The Advanced Billing module is focused on providing capabilities to manage and improve your revenue cycle by decreasing staff time needed to enter billing, process and manage insurance claims, record payments; improve the accuracy of coding of encounters; provide quick access to patient accounts for responding to inquiries and resolving status of claims.
Easy to use template that looks like the paper super-bill you are used to
Store CPT, ICD valid codes for easy and correct entry
Allows for multiple fee sheets for a single facility
Allows advanced capability to lock encounters that are not ready for billing
Time saving ability to enter miscellaneous options without leaving the fee sheet
Batch Charge Entry to Support Larger Facilities
Ability to enter multiple claims from a single screen
Allows for entry of new patients from the same screen
Real Time Eligibility Verification for Insurance
Billing Management
Work on all claims from a single screen
Advanced filters to see only the claims you are interested in working
Allows to view fee sheet and demographics ledger
Ability to fix all errors before submittal increasing First Pass Rate
Data entry uses quality control verifying codes as you type and automatically applies relevant data (patient, provider, payer) from system database
Generate HCFA, PDF, TXT, or Electronic Claims files
Automatically generate and upload claims to clearing house
Option to direct claims to 3rd party billing systems
Supports multiple insurance company networks
Ability to process secondary insurance claims
Ability to write off balances
Allows for moving balances to patient accounts
Ability to send more than 4 diagnosis with claim
Clearing House Integration
Seamless integration avoiding steps to generate and upload files separately
Advanced import facility will import NPI and Tax ID numbers needed for posting payment from ERA
Enhanced file summary of uploaded claims to clearing house includes current status of the claims and response from the payer allowing ability to update the EMR database automatically
Rejected Claim Management
Enhanced query ability to enable quick review to remedy errors and re-file claims from a sign screen
Stores history relating to why the claims were denied
Ability to enter pre-authorization and plan details greatly reducing staff time needed to manage the variations of authorized treatment
Track encounters based on number of visits, hours, specific CPTs
Flag encounters where pre-authorization is not covered or reaches allowed coverage
Patient Ledger
Elaborate patient ledger displaying total charges, amounts pending for each insurance, payments received, balance details detailing insurance versus patient portion
Color coded line items to easily distinguish services, patient payments, insurance payments, and adjustments
One click viewing of underlying fee sheet or payment
Quick printing directly from ledger of individual patient statement and patient ledger
Patient Statements
Batch or individual printing of billing statements
Quick access to billing statement and payment history from patient profile
Easy billing lookup for responding to patient billing inquiries
Enhanced Billing and Claims Processing
Smart Fee Sheet
Batch Charge Entry to Support Larger Facilities
Billing Management
Clearing House Integration
Rejected Claim Management
Advanced Payment Receipt Processing
Payments
ERA Posting
Capitation Payments
Accounts Receivable Management
Patient Accounts
Pre-Authorization Management
Patient Ledger
Patient Statements
Advanced Reporting