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Billing
Billing is an automated process that does not require user intervention. The application automatically produces client invoices customized to client requirements, submits unlimited institutional and/or professional files to payors or clearinghouses, and prints patient statements or transmits them electronically to a service for printing or mailing. Extensive rules by payor ensure submissions or printed claims meet payer specific requirements.
Remittance is customized to the payment origination promoting efficiency for adjudication of client invoices vs. patient guarantor payments vs. payer remittance. Payer remittance is further streamlined with electronic processing of standard ASC x835 payer remittance files. Workflow is optimized by allowing the billing office to easily change payment responsibility, re-price and automatically create appropriate reversals in a simple one-step operation.
Features and Benefits include:
- Workflow friendly, everything to manage a payer, account or client is a click away
- Patient account entry eliminated for client-billed transactions
- Patient account data maintained indefinitely with an unlimited number of payers
- Client satisfaction is improved with online review and editing of invoices prior to mailing
- Client invoices formatted and presented according to outreach and individual client requirements
- Bill process automatic and based upon user schedule
- Payer submissions include electronic ASC x837 files as well as printed UB-92 and CMS 1500 claim formats
- Automatic ASC x835 remittance file retrieval for review and processing
- Automatic processing to secondary payer or guarantor maintaining original financial class for statistics
- Streamlined work queue entry and management for payments, refunds, denials and adjustments
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