Billings

Has anyone Used Kareo - ASP Based PM & Billing Software?

Teemor — Sat, 14 Feb 2009 17:14:23 GMT

Hello Everyone,

Has anyone Used Kareo - ASP Based PM & Billing SW? Their monthly pricing is very reasonable. However I do have a concern about their customer service? How good is their customer support?

I their any PM & Billing SW ASP or Client Server based that is as affordable as Kareo in the market?

Please let me know if you know of any Client Server or ASP based PM& Billing software that are very afforadable.

Thanks

Tim

Is it your biller PracticeSuite medical billing Software?

ndarsana — Mon, 20 Jun 2011 07:48:51 GMT

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I am using PracticeSuite medical billing software which is a leading cloud based one comprehensive Practice Management System and Electronic Health Record software suite which is fully certified for meaningful use by ONC-ATCB for 2011-2012. It is very simple, robust, and consists of fully integrated functions to automate the end to end workflow of a practice. The system is web based, does not require large upfront investment and is available as an affordable monthly subscription. Check out PracticeSuite

Or can call at 1-888-694-6169( toll free)

PM software (NueMD)

rallen — Thu, 04 Nov 2004 16:25:53 GMT

I am starting a solo practice after being an "employed" physician for the past 14 years. I want to start out with a good practice management software and add an EMR package later. I want an ASP model that is aggressively priced. Does anyone have any experience with Nuemd? It looks like it would interface well with medinotes and several other EMRs and touts "robust reporting " capabilities.

Reworking Workflow to Maximize Revenue

david2 — Tue, 03 May 2011 19:34:50 GMT

Not having a streamlined claims submission workflow can mean that your practice is losing out on tens of thousands of dollars each year. In this podcast, learn how to spot breakdowns in your workflow, create best practices and effectively use technology to optimize your revenue cycle.

http://www.nuesoft.com/news-events/podcast/medical-practice-workflow.html

Physicians and College Health Centers, who does your billing?

david2 — Thu, 03 Mar 2011 17:07:55 GMT

Do you do billing in house or do you outsource? Nuesoft recently announced Nuetopia Medical Billing Services and have seen a great response but I was curious about how physicians on here felt about another company doing their billing. And if you need an afternoon laugh, check out the new Who's Your Biller video here: http://www.youtube.com/watch?v=1XtBFm_f3T0

Nuesoft has also just released a podcast on college health insurance billing and I know that many colleges don't do any billing at all. This forum is mostly for physicians but I was wondering if there were any college health center people out there that could talk about why they do or don't do insurance billing.

CureMD Healthcare Free Weekly Webinar - Why use a Billing company?

AsTimeGoesBy — Thu, 03 Mar 2011 16:45:26 GMT

How a billing company can enhance your revenue and cut expense.

https://www1.gotomeeting.com/register/731242904

When:
Thursday, March 3, 2011
3:30 PM - 4:00 PM EST

Presented by Fred Melroy, Director at CureBilling.

Who's Your Biller?

david2 — Mon, 10 Jan 2011 17:36:09 GMT

Today, Nuesoft announced Nuetopia Medical Billing Services. Check out the entertaining short video here or go here for a free revenue cycle assessment for your practice.

MEDISOFT - running a report for patients with ALL diagnoses in transaction (charge) screen

wcutiew — Sat, 08 Jan 2011 21:00:11 GMT

Hi,

In Medisoft 16 Advanced, there is a report called Patients by Primary Diagnosis which allows me to run a report for all patients with a specific code in Diagnosis 1 column (primary diagnosis).

Is there a way for me to run a report that would let me search for all diagnoses columns (i.e. Dx1, Dx2, Dx3, or DX4)

For example, if I need to search for all patients that have diabetes (let's say 250.00), unless this dx is entered in the 1st dx column in the charge screen, this patient will NOT come up in the results of the report.

Thanks so much for your help.

Where (how) can I buy USED Medisoft ?

ArcticInferno — Wed, 20 Dec 2006 20:06:32 GMT

I understand that Medisoft version 12 is coming out in early 2007.

I would like to buy *** USED *** Medisoft.

My needs for the software is simple, but I do need Medisoft.

Where can I buy used Medisoft?

Is anyone interested in selling me a copy?

ICD-10 Transition: What You Need to Know

david2 — Tue, 09 Nov 2010 17:30:26 GMT

A new podcast has been released to help doctors, billers, office managers understand the pending required adoption of the new X12 Version 5010 Electronic Transaction Standard and International Classifications of Diseases procedure codes, or ICD-10 code sets, which will expand the current 17,000 coding options to the 155,000 code sets. Click below for more details and to listen to the free podcast.

ICD-10 Transition podcast

creating charges in medisoft via odbc and vb/access

mittalv — Fri, 03 Nov 2006 23:51:10 GMT

i am interested in writing my own custom data entry screens to create new charges in medisoft. i would like to write my data entry screens in ms access or VB and will use the Advantage ODBC interface.

i would like to know which tables need to be updated to create a charge. i know MWTRN is one of them for sure.

does anybody here know the list of tables to update and the required fields?

i have looked and looked on the 'net. wish someone would give us an idea of what the key transaction look like on the medisoft db backend. ie, which tables to update and in what order.

regards, vikram

ub04 claims facility billing

desert-biller — Wed, 06 Oct 2010 00:46:44 GMT

request for recommendation of a good software to do facility billing on ub04 for a surgical center..

thank you for your help in advance..

4% Medical billing services with FREE EMR

Alex Smith — Thu, 16 Sep 2010 08:30:23 GMT

EBIO-METRONICS is perhaps the only complete Medical Billing Service which is providing complete medical billing service for only 4% of the collections. Not only this but they are also offering complete EMR along with the medical billing services.I don't know how long this deal is going to last, but at this time this is the best deal in the market and very good time to take advantage of this, in an economy like this. More information can be obtained from their website at www.ebiometronics.com

SHOULD YOU OUTSOURCE YOUR BILLING?

digital-doc — Wed, 31 Mar 2010 15:08:20 GMT

Posted on March 26, 2010 at 9:17 amno responses) -->

One of the many business questions physicians face is whether to outsource their medical billing to third-party medical billing services or do it in-house with medical billing software. Some physicians would assume outsourcing billing to a medical billing service makes the most sense. After all, they’re the experts with the resources to properly process your claims, right? Others might want to maintain control of collections and do it all in-house.

Hold on. Don’t make a decision before thinking it through. Both methods of revenue cycle management have benefits and drawbacks. It’s up to the individual practice to weigh the pros and cons before deciding which approach is best.

Software Advice has broken down in-house billing and outsourced billing in terms of cost and qualitative factors. You’ll need to weigh the differences carefully when assessing the needs of your practice and decide if outsourcing makes sense.

Cost Analysis
For many practices, the outsourcing decision boils down to one factor: cost.

To help compare the costs of in-house billing versus outsourced billing, we’ve created a hypothetical, three-physician practice. To arrive at these numbers, we’ve used what we believe to be industry averages. Here are the characteristics of this practice:

Three primary care physicians;
Two medical billing specialists;
80 insurance claims filed per day (~20,000 per year);
$125 billed per claim on average (~$2,500,000 per year); and,
We assume that the billing service has a high collection rate on claims.

So, how much does each billing approach cost? Take a look at the annual costs:

	In-House	Outsourced
Billing department costs	$118,000	$4,000
Software and hardware costs	$7,500	$500
Direct claim processing costs	$3,600	$122,500
Software and hardware costs	$5,500	$2,000
% of billings collected	60%	70%
Collections	$1,370,900	$1,623,000
Collections costs	$129,100	$127,000
Collections, net of costs	$1,241,800	$1,496,000

Some background on our cost assumptions follow.

Billing staff costs. IN-HOUSE: This was calculated by adding up the median salary of two medical billing employees ($80,000), healthcare costs for two employees ($9,000), federal and state taxes for two ($12,000), and training costs to keep the employees updated on the latest industry developments ($2,000). Finally, we’ve included $15,000 in ancillary costs for statement paper, office space, office hardware and other miscellaneous costs. OUTSOURCED: We factored in five hours of time per week required to manage tasks related to billing at approximately $15 per hour. Even the best medical billing service will require follow up from a practice about particular issues. That adds up to approximately $4,000 per year in administrative costs.

Software and hardware costs. IN-HOUSE: We’ve factored in an annual cost of approximately $7,000 for practice management software (~$200 per month, per doctor) and another $500 for computer hardware costs. This does not include the upfront cost of a software system. OUTSOURCED: This reflects the computer and printer the practice would still need to interact with the billing service and print documents.

Direct claim processing costs. IN-HOUSE: Clearing house fees for a provider submitting 20,000 claims per year would be approximately $300 per month ($100 per physician), or $3,600 annually. OUTSOURCED: A medical billing service usually charges a percentage of the amount collected as their fee. The industry average varies widely by specialty. We’ve used 7% for our primary care practice.

Percentage of billing amount collected. IN-HOUSE: The percentage of revenue that a practice collects varies widely by specialty as well. Our hypothetical practice collects 60% of what it actually bills. According to industry experts, this describes an in-house billing department that is average at bill collection. OUTSOURCED: A practice can expect a 5% to 15% increase in the amount they’re able to collect by switching to a billing service. We factored in a 10% increase in the amount of money collected by a billing service as an average between the two.

Our cost comparison favors outsourcing billing, mainly based on the ability of a billing service to collect a higher percentage of the billed amount. Of course, this introduces a BIG IF. That is, outsourcing makes more sense IF the billing service improves collections significantly (i.e. on the order of 10%).

But there are other factors – beyond costs – that a provider must consider in its decision making. Let’s examine the two approaches to compare advantages and disadvantages.

In-House Process
The in-house procedure for processing insurance claims involves a number of steps that are universal to every practice. First, employees enter information into the medical billing software program from a “superbill,” which is gathered during a patient’s visit. The superbill contains particular diagnosis and treatment codes, among other patient information, which the insurance company uses to determine if the claim is legitimate.

Via the practice’s billing software, the provider then submits the claim to a medical billing clearing house, which verifies the claim and sends it to the payer. The clearing house scrubs the claim for the errors (for a fee) before passing it on to the payer. By not submitting claims directly to a payer, the provider saves time, money and lowers rejection rates. The clearing house also has the ability to format and submit claim data en masse in the various insurance company formats.

Once the claim is rejected/accepted by the payer, notification of the claim’s status is sent to the clearinghouse, which updates the provider on the status of a claim. If a claim is rejected, the provider’s staff resubmits the claim once additional information has been gathered. The practice will be charge for each claim submission, even if it’s a correction.

EHR software – especially those EHRs with a integrated practice management system – has the potential to make in-house billing easier for a practice. EHR software, when integrated with a practice management system, will populate both system’s data fields. Diagnosis codes and other information needed for billing doesn’t need to be keyed into another system. This eliminates a second round of data entry. This tighter integration may be one factor that helps keep billing in-house.

Outsourced Process
The process for outsourcing billing is more straightforward for practice staff. Superbills and other documents are scanned and electronically sent or mailed to the medical billing service. The medical billing service takes care of the data entry and claim submission on behalf of the provider. Most billing services charge a percentage of the collected claim amount. The industry average is approximately a 7% charge for processing claims through a medical billing service.

The medical billing service takes care of much of the “dirty work” associated with the billing process. It will also follow up on rejected claims, pursues delinquent accounts, and even send invoices directly to patients. The convenience factor is a major reason that providers choose to outsource.

If a practice is using EHR software, then the process is even easier. Information from a patient’s superbill is stored in the EHR and electronically transmitted to the billing service. This eliminates the need to send paper records to the billing service. And because the EHR software eliminates an extra round of data entry, accuracy is also improved.

One possible issue here is data integration between the EHR software and the billing service. The type of data being exchanged between the provider and the billing service will need to match, or else the data will need to be converted to a different format. Depending on the billing service, data conversion may be an option.

Should You Outsource Your Billing?
Besides costs, there are other factors that would spur a provider to consider outsourcing their billing.

Your billing process is inefficient. If you’ve been watching your collections drop while the time to collect increases, you may have issues in your billing department. Outsourcing to a third-party billing service typically decreases the number of rejected claims and decreases the time it takes to receive payment from a payer.
You have high staff turnover. Turnover is an issue in any industry but turnover in a provider’s billing department is especially damaging. Claim processing is the economic life blood of a practice and a new addition or replacement in the billing department will inevitably lead to slowdown in the processing of claims.
You’re not tech savvy. Keeping your billing in-house will require an investment in practice management software. Add in training for your staff and the significance of this investment becomes clearer. If you don’t want to deal with software upgrades and occasional technical issues, outsourcing is probably a good choice.
You’re a new provider. New providers have plenty to learn and worry about aside from their billing. Outsourcing their billing right off the bat can give them much needed relief from the day-to-day stress of launching a new practice, without a trial by fire in hiring, training and managing employees.
You have different priorities. Many doctors are not strong on the business side of running a practice. They became doctors to help patients – not worry about the administrative/clerical side of the business. Outsourcing the billing process eliminates the hassle and frees doctors to concentrate on patients.

It’s important to note that a medical billing service isn’t a silver bullet for in-house billing issues. Billing services can vary widely in their efficiency and accuracy when processing claims. If a provider chooses a billing service that is lax and prone to errors, the headaches surrounding billing issues won’t get better – they’ll get worse.

Which Approach Should I Choose?
It’s important for a practice to factor in their individual costs and preferences when deciding whether or not to outsource their medical billing. In an apples-to-apples comparison, we found that outsourcing had the higher net income. However, cost isn’t the only issue practices should consider. There are plenty of other factors involved in this business decision that may be as – if not more – important than costs.

Do you want to learn more about outsourcing your medical billing? Download our free guide to selecting a medical billing service:

Medical Billing Services Selection Guide

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http://www.softwareadvice.com/articles/medical/medical-best-practices-advice/when-should-you-outsource-your-medical-billing-1032610/

Exclusive Webinar by Transworld Systems on Profit Recovery & Collection Solutions

AsTimeGoesBy — Mon, 23 Aug 2010 19:16:46 GMT

Profit Recovery & Collection Solutions

Are you finding it hard to collect dues from non-responsive patients? Sometimes all the patient needs is a timely reminder. Transworld, the leading collection agency in the US would like to show you how their automated system can help.

Presenter: Steven Wener / Eric Knight – Transworld Systems
Date: Thursday August 26, 2010
Time: 3:30 – 4:00 PM EDT
Duration: 30 Minutes

Space is Limited

Reserve your Webinar seat now at:
https://www1.gotomeeting.com/register/678534441

Check out the list of our upcoming Webinars

Has MediSoft been put out to pasture?

Hal3 — Fri, 07 Mar 2008 07:53:20 GMT

I checked the webpage today and it was very primitive. There were PDF downloads for product descriptions. NDCHealth was no longer mentioned.

It seems that NDCHealth was sold to PerSe Technologies which was then sold to KcKesson.

The McKesson web pages do not mention MediSoft.

McKesson sells “McKesson Practice Complete”.

I am not planning to upgrade to MediSoft 14 at this point.

Does anyone have any inside info?

Practice Management Software

shadowlady — Mon, 13 Feb 2006 19:32:27 GMT

Hi! I have been looking and evaluating practice management softwares that I can find. But until now, I have not decided what I would purchase.

All suggestions are welcome.

If you can post the software you are using and its pros and cons, that would be great.

I have recently asked a demo of the ff:
1. Nextgen
2. MOST
3. AMS
4. AdvancedMD

Will wait and see till I've tried those listed.

Thanks in advance.

CureMD Healthcare webinar – How To Cash In Meaningful Use – Thursday July 29th 3:30PM EDT

AsTimeGoesBy — Tue, 27 Jul 2010 14:44:46 GMT

Starts:	Thursday July 29, 2010, 03:30PM EDT
Ends:	Thursday July 29, 2010, 04:00PM EDT



RSVP:	https://www1.gotomeeting.com/register/893967288
Industry:	hospital & health care
Keywords:	CureMD, EHR, EMR, Healthcare, Obama EHR stimulus package, Stimulus electronic medical records incentives, Medicare advantage claims, Electronic Health Record, Electronic Medical Record, HealthCare IT, Medicare, Medicare stimulus, meaningful use of EHR
Intended For:	Hospital Administrator, Medical Professionals, Healthcare Professionals, Healthcare Financial Management Professionals, Managed Care Executives,Office Manager, Accountants, Clinical Analysts, Physicians, EHR Buyers
Organization:	CureMD Healthcare

The final regulations were published July 16th, 2010 and it is time to take advantage of the government incentives for using EMR. If you are not ready to fully participate, join us next Thursday July 29th at 3:30 PM and learn how you can cash in. We will review the new final regulations as well as the incentive payments for E-Prescribing and PQRI. Let this program show you the simple way to $44,000 per eligible provider plus 4% added to your Medicare payments starting in 2011.

The program is brought to you by CureMD and presented by Fred Melroy, Senior Director of Contracting for NYULMC and UPN(University Physicians Network).

Check out CureMD Complimentary Weekly Webinar Schedule @ http://www.curemd.com/Webinar.htm

CureMD Weekly Webinar - Medical Billing - Condemned by Coding

AsTimeGoesBy — Wed, 09 Jun 2010 17:19:51 GMT

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Presenter: Robert Goff
Date: Thursday, June 10, 2010
Time: 3:30 - 4:00 PM
Duration: 30 minutes

Intended for: Medical Billing Professionals, Medical Billing Specialist, Medical Billing Services, Hospital Administrator, Medical Professionals, Healthcare Professionals, Healthcare Financial Management Professionals, Managed Care Executives, Office Manager, Accountants, Clinical Analysts

Robert Goff, Executive Director and CEO of University Physicians Network(UPN).

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Your coding has a vital effect on your revenue. Understand all the intricacies involved in coding, and learn how to get the maximum possible revenue by coding effectively.

Free E&M Coding Tool from FlexMedical

mprice — Tue, 01 Jun 2010 22:35:02 GMT

Hello all,

I will apologize in advance if I am posting in the incorrect area. :)

I wanted to take a brief moment to let everyone know about FlexMedical's free coding tool that can be downloaded at no charge from the FlexMedical website.

http://www.oceris.com/site/flexmedical/coder/index.php

Thanks,

Matt Price, FlexMedical

Medisoft/Simple 837

Sandy — Sat, 22 May 2010 16:05:00 GMT

I am using Window 7 and Medisoft 16 with Simple 837 to send claims to clearinghouse. Does anyone know how to correct this error message? The "Program File" field for this Receiver needs to be specified.

I have already double checked the EDI program file. This is only happening with the Windows 7

Billing software - do I have to write my own?

gchiu — Wed, 12 Jul 2006 03:57:20 GMT

I've been looking for some billing software that I can use with Synapse. Unfortunately googling doesn't get me far ... I can see some open source linux/perl stuff ... but that's not for me. I last programmed with perl 15 years ago .. I can do without it.

So, the question is, what's out there that's good, and uses open database files - so I can link to it seamlessly.

And if I have to write my own PMS and billing software, can anyone point to the essentials of what is required for 1. The PMS 2. The billing software.

Thanks,

Announcing Vigor Billing Interface™ for Medisoft®

gwalker — Thu, 15 Apr 2010 18:42:50 GMT

Hello, I would like to announce that we have developed an HL7 interface for Medisoft. You might wonder why another interface for Medisoft when there are already several to choose from.

Well, Vigor Billing Interface™ for Medisoft® has these features that you might not find in other Medisoft interfaces.

1. Vigor reads HL7 messages from the EHR and inserts those messages into Medisoft.
The flow of data goes like this: EHR -> generates Detailed Financial Transaction (DFT/P03) HL7 message files -> Vigor generates records into Medisoft

2. The following data flows from the EHR into Medisoft: Patients, Cases, Transactions, Diagnosis Codes, and Insurance Carriers.

3. Vigor runs as a Windows Service. This means you can run it on the server without an extra task tray on one of your user's desktops. You don't have to run a locked desktop on the server. Running as a service is more secure than running as an application on a locked desktop. If the server is rebooted, the service will automatically start again. No more troubleshooting why data stops transferring whenever the server is rebooted.

4. Transaction updates flow from the EHR. If there is an error with the transaction update, then a task is created in Medisoft's Work Administrator for your billing staff to follow up on.

We currently have this working with Cedaron's EHR and Medisoft v15 or v16.

Vigor Billing Interface is a trademark of Creative Software Solutions. Creative Software Solutions is a wholly owned subsidiary of MedTech Medical Management Systems. Medisoft is a registered trademark of McKesson.

Need help with ENS Clearinghouse.... getting the run around

pendulum — Fri, 18 May 2007 18:11:19 GMT

Hello everyone and thanks for the help ahead of time.

I have been using ENS Clearing house for the past 1.5 years and have seen worsening response time to correcting problems and worsening customer service. My biller spends 1.5 hours on hold to get a customer service representative on the phone line, only for them to tell her that the problem is too difficult for them to fix and that it will have to be bumped up a level. Days pass and no phone call or update. Since the NPI change, all of my medicaid claims have been denied because ENS has miss mapped the cms form when submitted electronically. This was recognized in early May. It was only 'fixed, attempted to be fixed' after i guilted/threatened a customer service representitive into helping me rather than just putting me on a todo list. (at that time i didn't know wether the mapping problem was just medicaid or all my payers and ENS couldn't tell me either)

So two weeks later and I am still getting denied medicaid claims for similar mapping issues,which was supposedly fixed. My biller spent 2 hours on hold only to be told 'i cant do anything and i will send it to the next level programmer' No one answers a phone at ENS and i continue to get the run around and no ENS employee wants to 'own the problem' and see to it that it gets fixed. They can't they tell me when it will be fixed. Instead i get a rising AR and utter frustration

What kind of claim scrubbing am i getting when my own clearinghouse sends 800 claims with an invalid user id because they didn't adjust spacing for the new user id modifier? Thus 800 claims are submitted missaligned by 2 character spaces.

I am beyond frustrated and have begun demoing other clearinghouses. Am i being unreasonable here?

Any Suggestions would be greatly appreciated.

thank,

shawn

Auto-posting batch patient payments

jdd — Fri, 05 Mar 2010 16:55:12 GMT

Hello all,

Trying to build an app that will, on a nightly basis (after credit card companies have posted payments) perform a batch load/post of patient payments (copays/deductible/coinsurance/etc) made during the day. Need to find out what format the data should be in that will be easiest for the PMS to upload and post (least work by the PMS customer).

EDI (835) is accepted by most, but doesn't really work, as this is expected from Payers. From trying this with one client, we found that each patient would have to be set up as a Payer for this to work. So, we abandoned this approach.

I know most of the PMS accept HL7 and have built a map to send DFT HL7 messages. Haven't found a PMS client to test this yet, though.

Trying to get info from the various PMS systems seems impossible unless you are a customer of theirs. Got lucky with NextGen, as their forum was open to the pulic and received a response from a NextGen person who let me know about the LockBox format. Was able to get a test customer who was able to load/post the file.

Would anyone have info on what format the various PMS systems would accept to auto-post a batch of patient payments?

Thnks in advance for any info you could provide.

--jdd