The DME Office for Orthotics & Prosthetics Providers
The DME Office is a comprehensive
medical management system that can meet the specialized
office workflow and scheduling requirements of orthotics, prosthetics and
pedorthics providers.
The software performs the critical
functions necessary to effectively manage the day-to-day operations
of an O & P practice, including enterprise scheduling, patient
management, and inventory control. Additionally, the software
can process electronic claims to all four DMERC regions,
Medicaid, Blue Cross / Blue Shield, clearinghouses, and directly to insurance carriers.
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How
The DME Office Benefits Orthotics & Prosthetics
Providers |
- Includes detailed inventory management that can break down your
supply by location and record multiple price points per item.
- Generates
reports that can identify your most popular and profitable
product lines, top referring physicians, outstanding accounts
receivable and more.
- Reduces
the number of software applications required to effectively
operate your company by managing the billing, ordering, patient
and vendor maintenance and more.
- Manage numerous patient details, including clinical documentation, maintenance of prosthesis, billing history and physician referral.
- Increases
current account revenue by reducing denied claims using advanced
claim scrubbing technology.
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Office
Management Features of The DME Office |
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| Core Functionality |
- Create a variety of internal
data codes, including fee schedule, modifier, payment and
visit codes
- Reminder notes for
physicians and staff
- Required data fields are
color coded
- Restrict access to data and
system functions - based on user and/or group settings -
with our built-in multi-level security
- Multiple locations can be
managed as one company or individually by switching
back-end databases
- ICD-9, CPT, HCPCS and
anesthesia codes are pre-installed
- Interface for SRS bar code
scanning
- Share data with other
Windows-based applications
- Multiple windows can be open
simultaneously
- Custom programming and data
conversions are available
- Also available with a SQL
Server database for operations requiring high-end data
access
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| Patient Management |
- Store a variety of patient
information, including demographic information, multiple insurance providers (primary, secondary &
tertiary) and prescribed medication
- Set recall notices concerning
patient-related issues, billing, scheduling and more
- Attach patient and office
documents in a several different multimedia formats, including images, movies, audio
files and Microsoft Office documents
- Post co-payments or credits
to the patient's account prior to creating claim
transactions
- Save date, time, and
user-stamped notations about
patients, billing issues and more
- Monitor how patients are
referred to your office
- View a patient's complete
account history regardless of claim status
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| System Shortcuts |
- Hotkey functionality is available
throughout the software
- Quickly access menu options using
your mouse's right-click button
- Automatically add pre-stored
information to many data fields using shortcut buttons
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Orders
Management with The DME Office |
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| Order Creation and Tracking |
- Create,
edit and view new orders, as well as tracking the status
of existing orders
- Automatically creates claims
directly from the order records
- Process and track order
pick-ups and deliveries
- Distinguish between billing
and shipping addresses for drop-shipped orders
- Track order authorization
codes and referral information
- Generate and track capped rentals
- Set up formulas and process
orders for enteral nutrition
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| Purchase Orders |
- Automates the purchase
ordering process
- Purchase orders component
enables companies to create new orders, process re-orders
and track open items
- Maintains part numbers,
vendor information, delivery dates, shipping methods and
fulfillment status
- Line item inventory
information is automatically updated to reflect on-hand
and back-ordered items
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| CMNs |
- All certificates of medical
necessity issued by the Centers for Medicare and Medicaid
Services are pre-loaded
- Send CMNs electronically to
DMERC
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| Forms and Documents |
- Print delivery and pick up tickets
individually or in batches
- Generate 10-month option letters,
and other form letters per order
- Add multiple inventory items
to any order in one step, as an inventory kit
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Inventory
Management with The DME Office |
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| Managing Inventory |
- Store and edit serialized
inventory information
- Establish pricing on a per
order or per product basis
- Establish multiple pricing
lines for each inventory item
- Manage receiving part codes
for each product
- Maintain vendor, part and
lead time data
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| Inventory Tracking |
- View your entire product
list or break it down by category
- Track the quantity of each
product on hand and its location
- Establish reorder alerts
for low inventory levels
- Track maintenance records
and depreciation values on an item-by-item basis
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Scheduling
Features of The DME Office |
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| Scheduler Capabilities |
- Multiple scheduling views,
including, daily, weekly, monthly, yearly, by location, by
resource or doctor side-by-side
- Rules-based scheduling
prevents appointments from being scheduled if they
conflict with office-set criteria
- Create claims directly from
the scheduler
- Schedule deliveries,
pick-ups, resources and receivables
- Schedule recurring
appointments
- Specify minimum time
increments between appointments
- Access patient file information by
double-clicking a patient's appointment
- Create and print customizable encounter forms
/ Superbills for
each patient
- Generate encounter forms
individually or in batches
- Produce multiple Superbills
by visit type
- Search for scheduled
appointments
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Creating and Editing Appointments
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- Filter appointment option
allows all common appointments to be shown grouped
together
- Assign
color codes to appointments to match internal processes
- Automatically search for next available
appointment times
- Copy and paste or drag and
drop appointments
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Billing
and A/R Features of The DME Office |
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| Claims Processing |
- Process claims to all DMERC
regions, Medicaid, Medicare, Blue Cross / Blue Shield,
clearinghouses and/or directly to the insurance carriers
- Automatically create
claim files from delivery orders.
- Claim scrubber detects
potentially faulty claims prior to submission
- Submit and track the status of primary, secondary and
tertiary claims
- Bill capped rentals
- View and edit 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
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| 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
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| 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
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| 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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Reporting
Features of The DME Office |
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| Report Variety and Features |
- Over 325 preloaded reports
available
- Customize all reports and sort
information based on a variety of data options
- SQL reports include
additional filtering criteria for more specific screenings
- Preview reports on-screen before
printing
- Export any report into a
several different file formats
- Generate patient ledgers by
individual or multiple patients to review charges and payments
- Create EDI claim remittance
notices based on carrier
- Create labels and form
letters
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| Commonly Used Reports |
- Accounts receivable
summaries and reports by payer
- Aging reports on past due
accounts
- Year-to-date comparison
reports
- Patients and
customers with credit balances
- Billed/allowed reports
detail billed and expected claim amounts
- Confirmations and rejections
from Medicare
- Outstanding claims by
warehouse and payer
- Office procedure analyses
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| Orders Reports |
- List all orders filtered by
a variety of options, such as order status, payer, and
order date
- Orders listed by product,
including breakdown as a percentage of total sales and
rentals
- Net gain produced by order
sorted by products
- Produce delivery and pick up
tickets for any outstanding order
- Orders listed by referring
physicians, including break down as a percentage of total
sales and rentals
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| Inventory Reports |
- All products on-hand for quantities greater than 0
- Products that have reached
or exceeded minimum reorder levels
- Inventory broken down by
warehouse
- Detailed breakdown of all
inventory including serialized components
- List all products received
into inventory
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Optional
Companions to The DME Office |
The
Medical Office Records – EMR / EHR
Electronic medical records (EMR) improve
office efficiency and workflow by providing computerized access to vital patient information.
While The Medical Office can help increase overall productivity and
improve bottom line cash flow, the integration of The Medical Office
Records further enhances office workflow, minimizes paper-based
redundancies and improves on how procedure codes are selected, SofTalk
Link Engine
The SofTalk Link Engine enables The
Medical Office to bi-directionally interface with third-party software applications. Each
link engine module runs in the background of your SoftAid software,
and provides summary detail for applications such as Quickbooks,
Peachtree, Crystal Reports and any of our strategic
partners' programs. Link Engine modules can also be
developed for any other third-party software, as needed. This
seamless operation eliminates the need to manually export data and
does not conflict with any other computerized operations.
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