Medical Claims Software

• Medical Billing Software
• Electronic Medical Records
• Claims Billing Software
• Electronic Statements
• Practice Portal
• Lab Portal Transmission
• Patient Portal
• Electronic Prescriptions
• Electronic Patient Charting
• Document Imaging
• Voice Recognition Software
• Computer Hardware

1. Use CPOE
2. Implement drug-drug, drug-allergy, drug-formulary checks
3. Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT
4. Generate and transmit permissible prescriptions electronically
5. Maintain an active medication list
6. Maintain an active allergy list
7. Record demographics: preferred language, insurance type, gender, race, ethnicity, and date of birth
8. Record and chart changes in vital signs: height, weight, blood pressure, calculate and display: BMI, and plot and display growth charts for children 2-20 years, including BMI
9. Record smoking status for patients 13 years old or over
10.  Incorporate clinical lab-test results into EHR as structured data
11.   Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities and outreach
12.   Report ambulatory quality measures to CMS or the States
13.   Send reminders to patients per the patient's preference for preventive/follow up care
14.   Implement five clinical decision support rules relevant to specialty or high clinical priority, including diagnostic test ordering, along with the ability to track compliances with those rules
15.   Check insurance eligibility electronically from public and private payers
16.   Submit claims electronically to public and private payers
17.   Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, allergies), upon request
18.   Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies) within 96 hours of the information being available to the EP
19.   Provide clinical summaries for patients for each office visit
20.   Capability to exchange key clinical information (for example, problem list, medication list, allergies, diagnostic test results), among providers of care and patient authorized entities electronically
21.   Perform medication reconciliation at relevant encounters and each transition of care
22.   Provide summary care record for each transition of care and referral
23.   Capability to submit electronic data to immunization registries and actual submission where required and accepted
24.   Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice
25.   Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities

• Electronic Eligibility (important in the high deductible world we now live in)
• Pre-collection of copays
• Advanced collection modules
• Clearinghouse integrations
• eStatments, eCollcetion Letters, etc.
• Claim Scrubbing
• Patient Portals via the web
• Image scanning
• and many more...

• Intergy by Sage medical claims software implementation
• Intergy EHR by Sage electronic health records implementation
• CCHIT 2008 certification for Intergy EHR by Sage v5.5
• Customer service survey score of 9.52 out of 10.

• Phone support for medical billing system and electronic medical records software
• Phone support for hardware, including servers, printers, backups, etc.
• Training classes for new and existing medical claims software and EMR customers
• On-site implementation of Intergy by Sage and Intergy EHR by Sage
• EDI Enrollment for new and existing customers
• R&D for our medical office billing software and EHR software
• Interface work with hospital information systems, labs, and EMR systems
• Countless other things...including blogging!

• M - Medical Office Billing Software experts for over 25 years
• A - Always providing the best service and support in the Midwest
• R - Ready to upgrade your office to electronic health records
• D - Doing whatever it takes for our customers to succeed
• I - Intergy by Sage and Intergy EHR by Sage products

• G - GUI, Windows-based product line
• R - Real-time claim-tracking, lab interfaces, electronic prescriptions
• A - A+ service, as proven by our...
• S - Survey scores.  Our 2009 customer support survey score was 9.52!

An EHR is like a good pair of shoes – you want them to fit right or you are going to feel the pain. And let’s face it, selecting the right EMR system and practice management system for your practice is not an easy task – particularly for practitioners who may not have IT expertise. Plus, there are more than 400 vendors of EHR/EMR products on the market today. It’s important to exercise caution and perform a thorough due diligence, but where should you start?

Bradford Scott Data Corp believes we have an amazing product that will truly improve your practice’s efficiencies and profitability, and we only want you to buy our software if it’s the “right fit” for you. We’ve got the insight of 25+ years of experience in the field of health information technology. But don’t just take our word for it. We encourage you to check our personal Provider references and letters.

Now you are ready to start approaching vendors and looking for the practice management and EHR solution that best fits the needs of your practice. If the vendor does not suit you, cross them off your list and continue to the next vendor. And don’t forget to demo the software. Have a vendor representative walk you through how the software works, and ask lots of questions! Once you have a shortlist of vendors, consider the following and make your decision.

1. What is involved in product implementation?
2. Is the implementation process disruptive to your day-to-day operations?
3. What kind of training is available?
4. What is the response time if you have problems next week or next year?
5. How long has the company been around?
6. What are the hardware requirements – will it require you to buy new systems?
7. Who is responsible for data back-ups?
8. How will the data be securely stored to protect your patients’ privacy?
9. How often will the software/hardware need to be upgraded and what will this cost?
10. Is the solution scalable as your practice grows?

By now, you have a couple of vendors who are standing out from the rest. The functionality meets the needs of your practice and you are starting to get excited about how the new practice management software and EHR solution can help your practice. Now it’s time to get references and ask your peers what they think about the software. Here are some questions you can ask:

1. How smooth was the implementation?
2. How well was training conducted?
3. What do you like best about the software?
4. What do you like least about the software?

Hopefully this has helped to further narrow your selection. Remember that you get what you pay for and you shouldn’t waste your time on products that don’t meet the needs you identified at the beginning of the process. Focusing on cost first could rule out some of the best products and minimize your chance to find the best solution that maximizes your potential gains – giving you a shoe that just doesn’t fit.

Please contact us for more information: http://www.bradfordscott.com/medical.php

• Health insurance coverage for all Americans
• Insurance market reforms that expand choice of affordable coverage and eliminate denials for pre-existing conditions
• Assurance that health care decisions will remain in the hands of patients and their physicians, not insurance companies or government officials
• Investments and incentives for quality improvement, prevention and wellness initiatives
• Repeal of the Medicare physician payment formula that would trigger steep cuts and threaten seniors' access to care
• Implementation of medical liability reforms to reduce the cost of defensive medicine
• Streamlining and standardizing of insurance claims processing requirements to eliminate unnecessary costs and administrative burdens

• Visibility of accepted and rejected claims
• Multiple search options such as patient, summary, rejection,  etc.
• View 15 months worth of claims history
• Multiple export options, including Excel and PDF formats
• Drill-down capabilities
• Graphical dashboard (as shown above) that relates claims $ amounts and accepted/rejected status

• Improved claim acceptance and payment results
• Reduce overhead for resolution of rejected claims
• One source view for management of all payers claims
• And best of all it is free - you only need Internet access
   

Medicare Claims Not Crossing Over to the Supplemental Insurer

National Government Services is informing all providers, physicians, and suppliers to an issue that occurred starting on or about January 1, 2010, and would have negatively impacted their patients' crossover claims.

National Government Services has learned that due to a system issue with the Common Working File (CWF), some claims are not crossing over to the supplemental insurance carrier for benefits.

CMS states that they are working on this issue and they further recommend that providers do the following; 
 

*         Examine your Electronic Remittance Advice (ERA) or standard paper remittance advice to determine if your patients' claims are identified as having been crossed over to your patients' supplemental insurers. Remittance Remark Code MA 18 will indicate your claim has crossed over to the supplemental insurer.

*        If you determine these claims were not crossed over, you are within your rights to submit claims to your patients' insurers for supplemental payment using methodologies acceptable to those entities.


We have taken support calls on this issue, this is just one example of the payer issues that Bradford-Scott Data corporation attempts to monitor to assist our clients with their medical billing software and claims issues. If at any time you have a question regarding an electronic rejection you have received on a report 05 or from a report 11 (payer issued) Please do not hesitate to contact our support line at (317) 713-2065 and we will do our best to assist you. For information on our Intergy medical billing software follow this link
http://www.bradfordscott.com/med_prod_practice.php

• More detail about each claim received, including date sent and acknowledged by the payer.
• A Dashboard that outlines your top rejections as well as dollar amounts your rejections represent.
• The ability to search for specific claims.
• Claim History for 15 months.
• Ability to track claims by payer or provider.
• Capability to print a timely filing letter to send to a payer.

As a physician, you need to know that your billing is being processed as efficiently as possible.  The bottom line - show me the money!  Does your staff waste valuable time working paper trails from your medical billing system to collect your accounts receivable?

Claims Vision is latest offering in our electronic package - a new web-based application that launches from Intergy or can be accessed directly through the Internet.  This tracks electronic claim history up to 15 months and provides a one stop shop to see the how/where/when and why of electronic billing.

These are just a few of the features Claims Vision offers:
 

• Multiple search options with fields for user defined data, including drill down to the claim level.
• At a glance view of claims accepted/rejected by the clearinghouse and payers.
• Request for Claims Review letter that defaults in the patient information and current claim status.
• Graphical dashboard allows you to track payer trends, view accepted/rejected ratios, claims dollars and top ten rejections of your claims.

Claims Vision is just another feature that is offered as part of our electronic package for our clients - does your medical office billing software measure up?  If you are not using features like electronic claims, automatic remittance posting, Claims Vision, ERA Manager or electronic statements, your staff is wasting valuable time that could be used to collect on your accounts.

Contact Bradford-Scott Data Corporation today and let us help you make the most of your practice.  We offer Intergy practice management (medical claims) and electronic medical records(EMR) by SAGE. 



 

I wonder about health insurance rates. I have heard for years health insurance companies make their money off of interest from investing premiums, and not the premiums themselves. As a result, when the stock market performs poorly rates go up sharply. I can't believe the way rates have steadily climbed over the last several years has to do with the stock market. Who gets to see the books for insurance companies? How do we know increases are not just greed at work?

The average medical office just has to deal with all the roadblocks to payment the insurance industry puts up. One way to make that task easier is to use electronic claims submission because it helps correct claims, and limit rejections. Bradford-Scott Data Corp. has a very good electronic health records solution, Intergy EHR. It includes great claims submission software that is integrated into the Sage product. Contact us to get valuable free information about our EHR solutions at www.bradfordscott.com or call 317-713-2065.