DME Office: Billing and AR features
Medical Billing and AR Features
Billing and AR Features of The DME Office
Claims Processing
- Process claims to all four DMERC regions, Medicaid, Medicare, Blue Cross / Blue Shield, clearinghouses and/or directly to the insurance carriers
- Automatically create claim files from delivery orders.
- Submit and track the status of primary, secondary and tertiary claims
- Bill capped rentals
- View and edit claims prior to submission
- Claim scrubber detects potentially faulty claims prior to submission
- Automated billing on a daily, weekly, monthly, 6-month and annual basis
- Bill CMS 1500 (formerly HCFA 1500) and UB92 claims
- Establish claim defaults on a patient-by-patient basis
- Manage claim authorizations and insurance eligibility
- HIPAA-ready ANSI EDI formats
Managing Payments
- Multiple forms of payment posting into the proper patient's file, including automatic posting and line item entry
- Post and track capitation payments by insurance carriers
- Post single or batch payments
- Post interest charges to existing claims
- Track patient charges, credits and remittance history
Statements
- View unpaid claims by provider, patient, date and more
- Generate patient invoices and statements individually or in batches
- Create EDI claim remittance notices based on carrier
- Produce summaries of receivables
Billing Customization
- Create and edit an unlimited number of fee schedules
- Set parameters for moving unpaid visits into collections
- Post interest charges to overdue claims
- Establish criteria for recurring claim processing
- Interface with external accounting software packages, including Quickbooks and Peachtree
- Patient's co-pay amount conveniently displayed in patient record
- Establish uniform charges for commonly used procedure codes
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Attach CMNs
Orders File
Delivery Tickets
Inventory Details
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