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Our Nursing Home Billing handles all the complexities of third party invoicing
for a stay in a nursing home. The software utilizes a fully integrated relational
database to simplify the tasks needed to generate invoices. Advanced features are
available to simplify the tasks of billing and tracking payments.
Census Driven
Complete the Daily Census processing by entering the resident Room changes,
admissions, discharges, transfers and changes. The detailed history is used
used generate Room and Board charges and reports used to control the billing.
A history of all changes is kept for auditing, statistics and HIPAA compliance.
Coordination of Benefits (COB)
When multiple health plans or insurance policies cover the same benefits,
the Billing will determine, using the defined rules in the paysources tables,
the order in which the plan or insurance policy is to be invoiced.
Preview Bills and Corrections
After generating the bills, view the results for potential errors, if
errors are found, you can correct them and regenerate the =invoices. Billing can
be rerun as as needed until the bills are posted to the history file.
This provides you with the opportunity to correct
any mistakes before committing to the results to the Accounts Receivable.
Track Prior Approvals
Track requests for prior approval numbers from HMO Insurance plans that
generally require Prior Approval before they will pay for a patient's stay
or services.
Once the Approval is received the home can invoice for the services
provided. Prior Approval information can be included on the invoices or
the electronic submissions.
Track Treatment Authorizations (TAR)
Certain states require Treatment Authorizations (TARs) before you can bill for
specific services and medications. The TAR module enables you to submit the
requests for authorization numbers and track those issued.
The Billing program uses the TAR data when billing. The Program will alert the user
to expiring TARs so they can be renewed before the Authorizations lapse and the invoices
are rejected.
Electronic Claim Submission
The software is fully HIPAA compliant and claims can be transmitted electronically
for payment. If the Intermediary can supply Remittances the system can process
payments automatically.
UB04 & CMS-1500 Forms
Print Laser-generated, UB92 forms for billing or reference. Billing is normally submitted
electronically, directly to the Intermediary or via a clearinghouse, you have the option
to keep a hardcopy of the bill on file.
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