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Q. How can I get a practice management system that works with the most insurance carriers?

A. First, make sure your system supports your current office workflow, helps you replace paper records and manual steps with electronic files and processes and has room for growth. Ask each software vendor which electronic transactions (e.g., eligibility check, claim submission, claim status, electronic remittance and attachments) can be sent from the system. Verify that transactions are sent in HIPAA-compliant electronic formats. Check out the details of how transactions are sent to any insurance carriers you work with either directly or through a clearinghouse. Is real-time processing possible with the software? Make sure you understand how communications from insurance carriers are handled (e.g., receipt acknowledgement, errors and status transactions). Finally, be sure to compare all the costs between vendors, especially the electronic transaction costs.