Provider's Billing and Accounts Receivable functionality can reduce unbilled and unbillable services. It avoids the generation of incorrect or inadequately documented claims and decreases the time from date of service to charge entry.

• Information from completed services automatically transfers into the Billing module, eliminating the need for duplicate data entry.
• Create a flexible Charge Master that accommodates a variety of payor contracts.
• Coordination of Benefits (COB) featuring cascading payment responsibilities to secondary and tertiary payors.
• Enforce criteria necessary for successful billing by flagging transactions with inadequate documentation or information.
• Conduct batch payment entry.
• Manage subcontractor billing and accounting.
• Take contractual adjustments as bills are created (if desired), to improve the accuracy of A/R.
• Generate paper claim forms, including the CMS1500 and UB04.
• Generate electronic claims for HIPAA-compliant transaction sets, including ANSI 837 Institutional and Professional.
• Automate remittance posting (ANSI 835), individual account posting, cash posting, and refunds.
• Manage service-level authorizations and produce warnings and alerts based on detailed authorization criteria.
• Incorporate patient-specific sliding fee scales.
• Supports a variety of contracts, such as fee-for-service, capitation, and case rate.
• Issue patient statements.
• Retroactively rebill services when a patient's coverage changes.