The
CMS Patient
Billing Modules
facilitates all types of billing needed today
in a Multi-specialty or Specialty Health
Clinic. Completely HIPPA compliant,
nationally, and in over 33 States, this module
helps prepare claims for Medicare, Medicaid,
commercial insurances, workers compensation,
company contracts, HMO’s, families and
patients. Claims maybe sent electronically or
via paper. In addition all remittance advices
maybe received and entered into the system
electronically and automatically for claims
sent electronically or manually for paper
claims paid.
This highly
automated and efficient system helps BCA
customers reduce errors, manual effort and the
cost associated with medical re-imbursement.
The system has been designed around a process
with policies and procedures established to
maximize cash flow, while helping to reduce
coding errors and the effort required to have
claims paid on time.
In addition
to its claims management capability this module
also has a complete and comprehensive set of
reporting tools, including the ability to
print, and display, claim registers, additional
requirements reports, unfilled claims, and
claims suspended. It also produces reports and
displays of claims paid, denied and suspended
including reasons for not paying. This
information is used to determine why errors are
occurring and develop the plans necessary to
eliminate problems.
Other
features include:
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User-defined billing cycles |
 |
Multiple
pricing by payer type |
 |
Automatic sliding fee adjustments |
 |
Automatic write-ups and write-downs for
contractual adjustments |
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Strict
audit trails and controls |
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Itemized
statements/receipts |
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Automatic transfer and billing of secondary
payers |
|