What is an ERA (Electronic Remittance Advice)? - Electronic EOB In Medical Billing
Hey guys, WE're helping you to improve the delivery of patient care I alleviating the stress on the business side of healthcare today we're talking about E. R. A.'s what are the E.R.A in the direct translation ERA's our electronic remittance advice so basically electronic remittance advice is an electronic version of the payment details that is an insurance carrier is providing a 2-year old that explains the services that work reimbursed.
I am not the amounts that are applying to patient care and someone wants basically the what you receive previously on paper or perhaps download a paper version from an insurance website it can be a file that you receive electronically directly from the pair you can receive that from the pair's directly in some cases without paying any extra fees or you can have those files directly imported into your software or download it from your clearinghouse you get it imported your stock where the Alectra diversions of these files are really helpful for a lot of reasons today we're going to go over those reasons.
I would say that most important number one reason is really just to help improve the overall efficiency of your business so you're not worried about cutting paper checks you're not worrying about chuckling and rushing off to the mail the mailman or woman should be able to grab those envelopes from excuse me to be able to grab those envelopes from the carriers you actually have the opportunity to just receive on a regular basis those electronic files from the insurance carriers and have them process directly into your **** your software.
I'm from your clearinghouse so what that means is basically you take away the busyness at the desk so that they can not the front desk or the team members that you have dedicated to processing mail you don't have that process of anybody shocked when you're doing busywork to be able to get documents scanned or processed manually. The next thing that I can do is it allows you to be able to auto-post into your software, if your software is capable of that the beauty of being able to either coast is that it really can help to make the process of data entry.
Go away almost 100 percent so somebody previously with the paper you'd be you would have someone that would be manually typing in constant use and spending a lot of hours each week to be able to accomplish the reconciliation up your patient account now with ERA's very seamlessly within a matter of minutes it can cost us an entire bottle you'd be our ERA that has the ability to reconcile justice seamlessly as you would with the paper E. R. A. except now you have the standard the language that comes across in the electronic format.
I'm the one main thing that really helps to do for you is that really helps you to really understand the reasons for the denials and more standard format previously insurance companies have had this way of. Sending in their own unique format for every insurance the carrier would have their own designs for their European each year you might have yes reason hoes and denial reasons add a comment about reasons for patients responsibilities that would be extremely. Hard to kind of make standard.
you don't fully already understand that insurance companies are the language you might be prompted to have to call them or if you send a request to that insurance carriers or explanation on why they deny all burst is within your way you might have a better chance at getting a very standard UP you are rejection or denial code that you are familiar with because it's something that you've seen on other carriers you're right so I'll what it also helps you to do is really to just eliminate the need for you to have to worry about storage right so like all of us in this day and age you know there's just so much paper still even when I think that we can be paperless our practices organizations that really makes it tricky right because like there's just so much happening but all these that patient had intake paperwork or client paperwork that you need on that side you also have just your own internal processes that may not all be electronic so there's a chance that you add to that a layer of complication.
when you have paperwork that you're also receiving it happens to worry about processing from an insurance carrier so you leave the whole process you just eliminate the need from your practice now obviously we can't be 100 percent ERA right because there are some carriers okay like some work comp Kerrier and auto carriers that you're still going to have to receive a paper remains as our paper UBS from them that that is I'm gonna take a little bit longer for them to actually figure out or work out and he is a process but the vast majority of other carriers like we hear I PS.
We are about 97 percent ERA and that just is something that we pushed you to get to you because it really helps to streamline the process it really helps to give us an opportunity based on the knowledge of your software your your software vendor you can really be able to pull apart those denials and really kind of work through them more efficiently and that's what we found with your race is that it really helped us tremendously and being able to like call out every single possible deny all very seamlessly without it being this monster project looking at paper Ibiza very badly trying to decipher
when there's a denial that needs to be worked out I think that just all in all it the the the the goal ultimately right is to streamline as you improve your revenue cycle so if you think about the ultimate goal is to be able to reconcile and host it was your race so that you can then balanced bill or bill your patience for any remainders on that something that you can very easily find seamless when you're doing it with you when you're doing the process with ERA's implemented and then on the flip side of that if something got to 9 you can very quickly identify the reason for this and I also I mean ultimately there's really no reason why you should find yourself looking at the transition to ERA's for the vast majority of your carriers and you know.
I would suggest that if you are afraid to make the leap or to just jump right into it try reaching out to 1 or 2 of your carriers there may already be an opportunity for you to retrieve the downloadable file there are a lot of your years out there that will offer you an 835 mile complimentary right it comes along with the the the service that they might offer I know that there are some Medicare out there that do that some states that you can download it resides directly from their site you have don't even need her enrollment eraser to do anything big but you couldn't be rolling your eyes let's say you just decide to reach out to you your clearing house with your software vendor and just request. You are a while you start to learn and really understand that I really think that it would be beneficial to you and your and your business now I'm if you found this video helpful given I mean it's always. Right hello we are going to be producing numerous articles for you to help strengthen the business strength in the business side of your practice thanks so much you guys.