Billing Software Features
5010 Ready
Fully Tested and Compliant with HIPAA 5010 Specifications
Features
- No per claim submission charges
- No software license fees
- No hardware required on site, other than workstations with internet access
- Integrates with existing systems to import claim data
- All HIPAA 837 data elements accessible for editing
- Creates Institutional(837I) and Professional(837P) files
- Edit and print paper CMS 1500s, HCFA1500s, UB92s, and UB04s
- Built in HIPAA, receiver, and payer level electronic billing edits
- Edits and CPT4 Code Validation - OCE, CCI, MUE Edits & CPT Code validation
- Reduce AR days by directly communicating with payers
- All electronic bills archived for six years minimum
- PayerLink module allows for the automated transfer of files between 837Direct and your CMS contractor
Supports
- National Drug Codes(NDC)
Supports inclusion of NDC codes for pharmacy charges. Directly import NDC codes via print image.
- National Provider Identifiers(NPI)
No need to maintain NPI in host system. Transmission of NPI data on claims can be managed based on payer acceptance mode (e.g. do not transmit NPI, send NPI and legacy provider #, send NPI exclusively)
- Present On Admission(POA)
Directly import present on admission (POA) codes via print image. Business rules in place to handle POA requirements based on facility type.
- COB(Coordination of Benefits)
Bill secondary claims electronically to all payers
- Acknowledgment Reports
New ANSI 5010 999 batch confirmation report
New ANSI 5010 277CA claims status report