Medical billing software is now an essential part of the healthcare business, be it hospitals or individual practices or insurance companies. It automates the whole process, making it so much easier to keep track of payment information, sending medical claims on time, and more.
In this article, we are going to get into details about how to create custom billing system and how medical billing software price for development differ.
Whether it is developed for an enterprise or for small practices, custom software for medical billing requires a number of features that simplify communication between patients, hospitals and insurance companies regarding finances. These include claim management, eligibility checking (monitoring patient’s insurance status), payment charging, keeping patients’ profiles and many other important things.
Complex programs like offline and web-based healthcare billing software require a set of features to enable the administrative and financial parts of the system:
Personal profiles for each patient with all the necessary information, including ID, insurance details, medical records, transactions history, billing address.
It automates sending and receiving of all the claims, making this process fast and easy. It should also include claims re-submitting functions.
This helps hospitals automatically check a patient’s insurance status, letting the hospital know if their insurance company will accept the claim and if the insurance is not expired.
The medical accounting software takes over the entire account associated with payment procedures such as billing, including keeping track of all appointments and procedures that the patient has had.
The software keeps track of everything in a patient’s profile, including all health-related information, treatment records, specialists they visit, prescriptions, diagnoses, etc.
Reminding patients about bills that are still due or that their insurance is about to expire should be automatic.
Having templates for all the types of bills that could be issued is very handy as well.
Any lost information can cause damage, so you should ensure automatic backups, as well as:
With custom medical billing software development, you can design a system that fits your business goals and vision.
Suffice to say, a system like that requires to be developed from scratch, so it will involve a lot of planning. Thus, the pre-development stage includes, but is not limited to deciding on the business and development aspects, such as:
It’s best to enhance your knowledge of the industry with research and analysis of the entities involved in the process. Interviewing your potential customers (hospital officials or individual practice owners) will uncover their routine and struggles with payments. Interviewing patients might also be a good idea to understand the other side of the billing process.
This type of software is made for healthcare institutions but you might want to create a system that caters solely to individual practices. In this case, your customers will have different demands compared to hospitals in terms of client base capacity or pricing policy, for instance.
Previously, we’ve mentioned the main features that medical billing software requires and we recommend to add all of them to the basic functionality. But, depending on your business goals and required types of medical billing software, you might be onto some truly innovative features that will solve certain issues better than what we already have. Discovering new useful features is also a part of the pre-development, or planning, process.
It might seem like a desktop version is all your future customers might need. Yet, a mobile version (Android, iOS or cross-platform) or a mobile adaptation of a web version is necessary for any application nowadays, considering the widespread use of mobile devices.
Easy navigation, having everything at hand and easy to reach, readable fonts, pleasant colors — a lot of things play into the ultimate goal of user-friendliness.
Hospital billing software deals with confidential personal data, so you need to think of ways how you are going to protect this information. Auto-backups and data encryptions are some of them. This also includes compliance with data protection policies, such as the GDPR or HIPAA.
Make sure the new system will be integrated with insurance carrier networks to simplify eligibility verification.
This includes the types of information you are going to gather and store, as well as where you are going to store it (on your servers or cloud-based).
If you don’t intend to hire in-house developers, the choice between freelancers and outsourcing should always lean towards an outsourcing agency. When it comes to building projects from scratch, you need guarantees that it will be supported from start to finish.
Another key step before you start developing the software is defining the tasks that need to be done, to create your product, as well as the time frames for them.
Evaluate your resources, see what needs to be done, estimate the cost of medical billing software development and then you can identify whether your funds are sufficient for creating a medical billing application or you need to look for investors.
Another thing is choosing the technology to build software for medical billing. Web services need front-end and back-end technology to code the application along with its features.
We’d also recommend using Sentry to catch and fix bugs while your medical billing software code is being developed.
So, how much does it cost to develop medical billing software? Developers usually charge hourly rates, regardless of whether you hire freelancers or outsource from an agency, but the cost of custom medical billing software also depends on the feature set, the number of developers you hire, and other conditions. Here is an estimate of what you might pay to develop medical software if you choose to outsource from a technical partner for $60/hour.
|Task/features||Time for development, h||Approx. cost, $|
|Pre-development activities: planning of website application structure, finalizing requirements, server setup, continuous integration, etc.||~110||6,600|
Core features development:
|~100-180||6,000 - 10,800|
|~300-400||18,000 - 24,000|
Medical billing software costs here are very approximate and should be discussed with your developer or technical team. You should also take into account that not all development agencies provide design services, and if you opt for freelancers, that’s an extra expense.
Testing is an integral part of the development process, but you will need to budget software maintenance after the project is complete. Not all development agencies offer support after an application is live and working, so you might need to hire a team to provide updates and bug fixes for the product.
A wide range of specialty clinics use this system to handle daily operations such as scheduling, managing claims, billing and payment, revenue management and more.
DrChrono is an integrated solution for organizations ranging from smaller ambulatory clinics to larger hospitals and enterprises. It includes configurable medical forms, e-prescribing, scheduling and more with access to over 40,000 labs.
CareCloud Central is used by health organizations of all sizes to track, manage and optimize financial as well as administrative processes by streamlining operations. It helps manage workflows and optimize the completion of daily time-consuming tasks to save time and money.
If you have been hatching the idea of developing software for medical billing for a long time, but at the same time ask a lot of questions about how to create medical billing software in practice, just contact us. We will be able to discuss all the necessary features, conduct additional research to meet the needs of both the market and your business.
In addition to basic features such as patient pre-registration, appointment scheduling, electronic claim process, accounting and financial management, credit card payments, encryption, and security, we can implement options that will make your products stand out from the competition.
If you want to make an online medical billing software system, the cost of development will largely depend on the type of contractor you’re going to choose (freelancer or a technical partner) and the features that you want to customize your MVP with. The number and complexity of features will influence the time needed to code the functionality.
If you decide to hire a technical partner, it good to sit down for a meeting and discuss all your ideas and medical billing software requirements to get more insight into the software development process, advice on what technology to use, and a more accurate estimate of the project’s price. So we are ready to discuss your customized medical billing solutions.
QA in software development is an effective way to avoid defects when creating new applications or web platforms. Quality assurance in software testing will assist you in creating a really qualitative product without operational problems.