Features at a Glance

Medical Billing

• With a single click, information from the completed SOAP note is sent to the billing portion of the software. The claim is automatically generated and sent to the insurance queue for payment.
• E & M Calculator provides suggested levels of service for the visit, offering an efficient billing process and reducing errors.
• Real-time eligibility checks are provided from the beginning of the visit, reducing errors and time consuming phone calls.
• User-defined fee schedule maintenance provides offices the flexibility to make changes as needed.
• Streamlined billing features allow users to bill automatically to secondary and tertiary insurances for convenience.
• Supports CMS 1500 and ANSI 837 with the option to electronically submit or print claims.

Claims Processing

• Electronic super bill creation module that includes the charges for diagnosis, services, treatments, and procedures of patients all in one user-friendly customizable design.
• Charges are generated at the time of charting - eliminating the need for manual data entry.
• Charges ready for submission are easily monitored – allowing users to review and make adjustments as necessary.
• Simple claim tracking provides information on claim denials for easy correction and re-submission.
• Unlimited E-Claim submission ensures that medical bills are conveniently transmitted to insurance companies and swiftly reimbursed – all for a low monthly fee.
• Our software provides the flexibility to utilize our clearinghouse, Gateway EDI, or any clearinghouse of your preference.

Managing Payments

• Intuitive ERA (Electronic Remittance Advise) makes payment posting automated and streamlined for busy office staff while still offering a manual payment posting.
• Optional collection service to improve efficiency in the payment reconciliation process.
• Payment records simplify and monitor patient payment history.

Patient Statements

• Detailed, customizable, envelope formatted patient statements are reviewable electronically for improved efficiency.
• Automated reminders and alerts for patients with outstanding balances improves collection rates and increases cash flow.

Financial and Analytical Reporting

• A/R reports provide 30, 60, 90 day data in a clear concise format for simple review.
• User-definable data queries offer flexibility to search for specific data within the practice, with a “save search” feature for repeated use.
• Reports offer full flexibility to span facilities and physicians, and can be exported to Microsoft Excel for added convenience.
• Authorization reports provide detailed information for simple review.
• Daily reconciliation reports offer a streamlined process for users to easily manage day-to-day transactions including charges and payments.
• Reporting capabilities to monitor outstanding balances and payments based on insurance carriers or patients; accompanied with graphical data for a convenient look and feel.

Benefits

• A customized solution to meet the needs of your practice
• Clear view of the entire revenue cycle process
• Self paced training and implementation
• Improved staff productivity
• Increased effeciency and cost savings
• Faster payment from payers