This module handles Invoicing for nursing homes and long term care facilities.
Generate Medicare invoices for Medicare Part B covered physicians
and ancillary services. Bill for medical groups servicing facility Medicare,
Medicaid and private pay clients for examinations, therapies, and other services.
Attending physicians can bill on a fee-for-service basis to Medicare, Medicaid
or Private paysources.
Procedures performed(charges) are billed to Medicaid or Medicare.
The coinsurance and deductible amounts not covered by a client primary
insurance carrier (paysources) are billed to Medicaid.
Extensive charge validations and verifications are performed to ensure
that procedures are valid for the client's diagnoses. In addition, the system
ensures that the procedures are billed in the proper order. This eliminates
third-party insurers claim rejection.
Remittance submissions can be made via e-mail, tape or diskette.
All Medicare charges can be set up to move to the regular Accounts
Receivable to accommodate Consolidated Billing, or kept in the Physician's