Electronic Claims and Electronic Remittance Advice with Medisoft
Medisoft with Revenue Management allows primary and secondary claims to be sent to a clearinghouse. Other methods do not allow secondary claims to be sent electronically. Sending secondary claims electronically saves money and time over printing the claims, and it gets the claims paid faster. As more insurance companies start requiring providers to file claims electronically, you need a solution that will allow all claims to be sent electronically or risk claims going unpaid because they cannot be submitted to the payer.
Medisoft with Revenue Management checks the claims for errors against HIPAA standards and clearinghouse edits before the claims leave the office, ensuring more claims get paid faster and reducing the amount of denied or rejected claims.
Medisoft with Revenue Management uses the HIPAA mandated ANSI 5010 standard. The ANSI standard was developed with IC D-10 in mind, so you can be assured your claims will not be affected by the implementation of ICD-10. Using the ANSI 5010 standard to send claims to a clearinghouse means all claim types can be sent as it is the same standard in which the insurance companies receive the claims. There is no ‘translation’ by the clearinghouse, no fields that are mandated but cannot be populated as can happen with other methods of sending claims. Some common examples would be: NDC codes for drugs, sending corrected claims, sending claim or transaction notes.
Medisoft with Revenue Management can send claims to the clearinghouse of your choice.
Medisoft with Revenue Management allows the auto posting of Electronic Remittance Advice (ERA). This allows users to post EOBs with a few mouse clicks in minutes. ERA posting is fast, accurate and easy while allowing all of the review and detail of posting manually. More insurance companies are discontinuing the mailed paper EOBs so it makes sense to take advantage of the electronic EOBs by auto posting them.
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