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Billing & Collections

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Long-Billing

IMS's billing module is HIPAA Compliant and EDI functional. It offers Electronic Billing capabilities, aging, outstanding and summary reports along with easy to read graphs. SuiteMed Software has designed its billing module to emulate the normal daily workflow of a biller. It will increase billing accuracy, efficiency and productivity. IMS Billing provides E & M coding, tracks insurance claims, patient receipts and generates end-of-day reports. In addition, there are comprehensive lists of financial reports that can be created.

Providers can create a Superbill directly from the Visit Note/EMR and Check in/Check out modules. Once the bill is prepared for submission, the user can select to administer a pre-claim audit. Any errors or missing information found through the pre-claim check will be indicated by a warning, allowing the biller to rectify it with the click of a button.

With IMS Billing, billing errors are reduced, and time spent processing individual claims are minimized, improving cash flow. All billing information created is captured in real-time and can be accessed immediately. You can process claims electronically through our software or print it out on a HCFA paper claim. Any problem claims can be easily re-submitted with a single click. The Office Manager has access to a myriad of accurate reports, graphs, financial reports and trends to assist in management of the practice IMS Billing / Collections offers a complete cash flow solution.

Today's medical practice has infinite technological potential. IMS Billing / Collections offer a complete cash flow solution.

Benefits

Charge Entry

	Multiple Methods of Charge Entry
	Single Event Charge Posting
	Multi-Charge Posting for batch entry of multiple charges
	Patient Ledger
	E & M coding
	Create Superbill on a Windows CE based PDA and synchronize with the server
	Complete integration with Superbill generated by doctor to avoid replication.
	Copy charges from a previous bill for quick entry
	Detailed view of previous charges and their status
	Define invalid CPT’s and Diagnosis per individual insurance
	Define default CPT modifiers, alternate codes, or Box 19 requirements per individual insurance
	Assign flash notes to specific CPT codes per individual insurance
	Assign prior-auth, CLIA, or billing frequency requirements per individual insurance
	Auto-tracking of used prior-authorizations
	Quickly rebill any previous charges
	Reconcile patient payments at time of charge posting from collected copays or patient open credits
	Enter charges for multiple dates
	Obtain log of all unbilled visits from To Be Billed
	Easy access to all patient related information
	Single-Click to Insurance details and scanned images of insurance card
	Create Fee Schedules for a given date range, physician, or insurance
	Create centralized global fee schedules

Claims

	Pre-Claim check for missing information with direct correction capabilities
	HCFA 1500, PM 160, UB-92, CHDP
	Track all claims and status
	Handle rejected and problematic claims for resubmission
	Includes claims analysis reports & tracks insurance and patient receipts
	Crossover and secondary insurance claims
	Generate bills for patient payment responsibility via printing or fax

Payment Posting

	Post multiple payments for same patient
	Post payments in batches
	Auto-Reconcile payments for certain insurances
	System warns if payments differ from fee schedule
	Auto-assign write-offs
	Define cross-over payment rules
	Input rejection codes for rejected claims
	Assign individual line item comments for patient statements
	Easily Receive secondary payments before primary
	Receive payments for paid claims
	Receive payments for paid claims
	Reconcile patient payments while reconciling insurance payments
	Scan EOB’s for automated printing of correct EOB at time of HCFA print for crossover claims

Managed Care

	Managed Care contract and billing
	Summary and graphical reports to validate benefit of a Managed Care contract
	Extensive Managed Care contract definition

Collections

	Paperless workable Accounts Receivable Report with multiple follow-up options
	Completely integrated with the Billing Module
	Assign customizable buckets for past due days such as 60-day, 90-day, etc..
	Track all follow-up attempts for past due bills
	Assign color-defined Collection status to easily identify the current stage of collection
	Organize past due balances from highest to lowest
	Print, Fax, E-mail automated statements and collection letters

Billing Report

	Print customized statements or choose from default statements
	Generate statements for all patients or a group of patients
	Billing reports for specific offices and date ranges (service date or entered date)
	Reports by billed Insurance, Doctor, Patient, Place of Service, Referral Doctor, Patient Diagnosis, etc
	Reports by Not Billed patients (for Checked In and Visit Note created)
	Analyze rejected claims to improve future billing
	Day close process and reports
	EMC, aging, and outstanding summary reports
	Over 100 graphical and data reports related to billing