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Patient Billing            

 

 

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:

 

bullet User-defined billing cycles
bullet Multiple pricing by payer type
bullet Automatic sliding fee adjustments
bullet Automatic write-ups and write-downs for contractual adjustments
bullet Strict audit trails and controls
bullet Itemized statements/receipts
bullet Automatic transfer and billing of secondary payers

 

 

 

 

 

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