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In this world of technology, you have to wonder what would happen to the medical billing profession if suddenly all the power in the world went out and the computers stoppe

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

d working. If you never thought of how catastrophic this would be, this little eye opening look at a hypothetical situation should get you thinking about having some backu

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

p plans for your medical billing business.

The problems with not having a computer to do your medical billing in today's day and age are mind boggling. There are actually

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

a multitude of headaches that you're going to have should your PC and network decide to go south for an eternity.

For starters and this is just for starters, every medica

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

billing establishment that processes claims via software, is physically tied in to medical insurance companies like Medicare, Medicaid, Blue Cross and a number of others.

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

If the computers shut down, all communication stops. This not only means that no claims can be transmitted to the insurance companies but it also means that medical billi

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

ng companies can't get critical updates like Medicare Allowable Tables, HCPCS codes, DX Codes and a ton of other things.

Then you need to add to the above problem the trou

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

ble you're going to have printing forms. For those of us who don't use electronic billing and actually submit paper HCFA 1500 forms, well, that brings us to the next crisi

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

. No computers means no printers work either. So your forms are basically recycling for the next day's paper collection. And even if your printer is still physically wor

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

king, there is no way for data to get to it since the computers are down and all the data is stored in them.

This is quite a pickle isn't it. Well, believe it or not, all

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

is not lost. At least it doesn't have to be if we simply realized that the electronic world could come crashing down at any time and because of this we need to have an al

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

ternate game plan. Does such an alternate game plan exist? Yes, it does. Will it be easy? No. It will take a lot of prior thought and preparation, but it can be done.

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

The first thing you need to do is always keep communication between you and the insurance carriers open by having a phone number on hand to speak to an actual representativ

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

e. This way if problems arise, you can at least ask some questions. By relying only on computers as a means of communication, you are looking for trouble.

The next thing

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

you have to do is, every time you enter a new patient into your system, print out a paper copy of their records. Also print out a paper copy of the items to be billed. T

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

his way, if your system should crash and you have to send in a claim, you can still do it. How?

Well, you know those forms that are pretty much useless except for that re

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

ycling? If you have all that information already printed out, you can, with some effort, hand fill out the HCFA 1500 forms. Yes, it will take some time. But if you're bi

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

lling a $3,000 wheelchair, so what? You're also going to have to make sure that you have envelops to go with those forms and an actual mailing address that is printed out

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

somewhere. If it's in the computer only, then you're going to have to call the insurance carrier for their address. You do have their phone number, right?

Yes, trying to

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

fix a nightmare like this won't be easy, but if you want to get your medical billing done, this is what you are going to have to be prepared to do. You'll be glad you did

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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