FINANCIAL MANAGEMENT

     The Billing component enables you to work with patient charges.

• Visit selection criteria
• Streamline your search for visits based on available criteria
• Create custom charge sets for fast and easy access to commonly-used diagnoses/procedure codes; append charge sets on a single visit
• Up to nine diagnoses on a visit
• Unlimited fee schedules for easy tracking of fees, costs, and allowed amounts by procedure; unlimited managed care fee schedules
• Easy entry of modifiers, place of service (POS) and type of service (TOS) codes
• Automated charge tickets virtually eliminate input errors
• Capitation accounts management
• Search database for all procedures used in the system
• Handle multiple physicians, specialists, and locations
• Automatic tracking of visit statuses until paid
• Pull up visits by patient and/or guarantor
• Estimate patient responsibility for collection at time of service
• Void and entire visit; clone visits
• Copy fee schedules; effective/expiration dates on fee schedules

ANESTHESIA

• Automatic "time to unit" calculations and concurrency determination for medically directed services
• Flexible billing of anesthesia claims both on paper and electronically
• Print reports showing start and stop times, procedures, time and modifier units charges, and calculate expected payments using carriers expected pay rate per unit
• Automatically calculate procedure concurrency and add the appropriate modifiers

FILING CLAIMS AND REPORTING

• Electronic Data Interchange (EDI)
• Electronic Claims Remittance (in selected areas)
• Insurance paper claims (HCFA-1500 and UB-92)
• Track filing of claims
• File claims selectively: all claims or a specific claim
• Submit secondary claims electronically (in selected areas)