The Current State of Electronic Invoicing in Healthcare

04/21/2022

Although healthcare has a thriving electronic invoicing industry, it lags behind most industries when it comes to the digitalization of its accounts payable processes. Many manual processes still dominate healthcare purchasing, with 70 percent of invoices being paper-based and 85 percent of purchases made manually using paper checks. The result is that these processes waste approximately $18-22 billion per year and can delay payment by 120 to 180 days. However, electronic explanation of benefits solutions can help healthcare organizations improve their accounts payable processes, resulting in a higher percentage of accurate and timely payments.

While digital invoicing is still considered to be the future, it is here now in many organisations and public administrations. In this article, we'll discuss the current state of e-invoicing in healthcare, including the many benefits it brings to businesses. First of all, it is important to know that healthcare is not a fast-moving industry. Many institutions have taken the first step in implementing electronic invoicing and have even adopted regulations to support its implementation.

While e-payment solutions are often a better choice for many healthcare organizations, providers should be aware of the potential drawbacks of switching from paper to electronic. Some patients still prefer the traditional system of paper billing. In the U.S., approximately 25 percent of adults do not own a computer at home. Other people simply mistrust the technology and prefer paper records. Finally, some cultures prefer to conduct business face-to-face.

The challenges faced by healthcare businesses are huge. The medical sector has had the highest media attention, the most labour unrest and the COVID-19. Consequently, healthcare managers must take care to improve their business processes. In addition to improving financial controls, improved procedures also improve accounting and electronic invoicing. A better way to manage patient expenses is also another big benefit of Patient financial engagement. However, the healthcare industry is still developing and embracing technological advances.

The project is a collaborative effort between several public and private health providers, including hospitals, to implement e-invoicing. This collaboration aims to implement a multi-syntax solution to meet the challenges of multiple standards and different ERP systems. The project will also promote semantic interoperability between the various participants in the e-invoicing industry. Furthermore, EDICOM will upgrade existing e-invoicing tools to meet the requirements of the eInvoicing Directive.

Another challenge facing healthcare providers is ensuring that third parties are PCI-compliant and HIPAA-compliant. While electronic invoicing in healthcare may seem appealing and effective, there are still several regulatory issues to consider before adopting this practice. In particular, healthcare providers should check to make sure that their payments are secure and protected by HIPAA, the federal law protecting patients' privacy and security. For example, HIPAA applies to electronic billing activities, and HIPAA requires healthcare providers to encrypt credit card data before allowing third parties to process PHI.

After a payer reviews a patient's claim, the medical provider issues a bill. The biller then follows up with the patient to ensure payment. However, different healthcare providers have different rules and guidelines for bill payment, and in the worst case scenario, a collection agency is hired to collect the debt. This will cost both the provider and the patient. That's why it is crucial for healthcare providers to embrace electronic invoicing. To get more enlightened on the topic, check out this related post: https://en.wikipedia.org/wiki/Electronic_billing.

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