Comparative Listing of Medical Billing Software

Transcription

Comparative Listing of Medical Billing Software
Comparative Listing Of Medical Billing Software Packages
Comparative Listing of
Medical Billing Software
Packages
Searce Healthcare
Shamik Parikh
Hardik Parekh
September 04
Comparative Listing Of Medical Billing Software Packages
TABLE OF CONTENTS
Introduction ....................................................................... 3
AdvancedMD – by AdvancedMD Software, Inc.................... 5
Altapoint – by Altapoint Data Systems, LLC........................ 10
Centricity – by GE Healthcare Systems ............................... 15
ClaimGear – by XGear Technologies, Inc. ........................... 19
elligence – by Data Strategies, Inc. .................................... 22
Healthpac – by Healthpac Computer Systems, Inc. ............ 28
NDCLytec – by NDCHealth .................................................. 31
MedicsElite – by Advanced Data Systems, Inc. ................... 35
NDCMedisoft – by NDCHealth ............................................. 39
The Medical Office – by SoftAid, Inc. .................................. 46
Comparison ........................................................................ 52
Conclusion.......................................................................... 53
References ......................................................................... 54
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Comparative Listing Of Medical Billing Software Packages
Introduction
Healthcare industry in the United States is undergoing rapid changes with a
continued emphasis on privacy regulations like HIPAA (Healthcare Insurance
Portability and Accountability Act). This coupled with the ever-increasing stress on
improving the efficiency of healthcare operations to minimize the healthcare costs is
forcing the providers, insurance companies, clearinghouses, and billing companies
equally to evaluate alternative processes and systems.
Medical billing is a very important portion of the whole equation affecting the
healthcare industry. Medical billing firms ensure that the right payment is routed
properly from the right patient’s insurance company/companies to the
practitioners/hospitals in a timely manner. Medical billing has become a complex
endeavor due to the sheer number of diagnostic codes, procedure codes, and other
requirements that change year after year increasing the chances of billing error.
There are several hundred medical billing software packages, which try to make the
billing process more efficient and generate electronic claims. Medical billing software
also helps providers manage financial information and reduce errors on claims
submitted to over 3000 insurance companies and the Medicare. Medical billing
software can be a standalone function or integrated with other aspects of medical
practice such as patient medical records, appointment scheduling system, etc.
Several practice management packages are increasingly eyeing for a vertical
integration in terms of offering billing, patient scheduling and medical records
including the patient history etc.
Since billing firms are mostly independent entities handling the claims processing for
the practitioners, it is becoming more and more necessary to have a seamless flow of
data from the software package used by the practitioners to the billing package used
by the billing firms. Having several hundred software vendors in the industry does
not help to this problem and indicates a definite need for further consolidation in the
industry and a spread of interoperability standards among existing packages. This
will reduce the switching cost when the practitioners want to move to a different
medical billing vendor and will increase the overall efficiency of billing operations.
In this paper we have attempted to compare several popular billing packages in
terms of their features, technical capabilities, cost and interoperability compatibility.
This paper is an attempt to provide useful information for small and medium medical
practices, which would allow them to make suitable selection of software depending
on the fluid needs of their client base.
The following packages were included in the evaluation:
1. AdvancedMD
2. Altapoint
3. Centricity
4. ClaimGear
5. elligence
6. Healthpac
7. MedicsElite
8. NDCLytec
9. NDCMedisoft
10. The Medical Office
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Comparative Listing Of Medical Billing Software Packages
The paper describes each of the above software packages in detail and a combined
comparison chart is included at the end of the paper. Sample screen shots are
included to get a real feel of the software user interface and capabilities. Important
as well as unique features of all the packages are noted. The information presented
in the paper is collected from varied sources including but not limited to company
website, brochures and other marketing material, direct interaction with company
executives, support professional etc.
Billing software can be a stand-alone solution or a part of the larger practice
management package. In either case, the industry trend is toward more powerful
interactive financial tools that fully integrate with practices' administrative and
clinical software and databases.
However we strongly recommend that prior to implementing any new technology,
practices should evaluate their technology and processes to determine how they are
related before making any changes to either. Technology is a great means to manage
operations, but only if the operations support the technology.
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Comparative Listing Of Medical Billing Software Packages
AdvancedMD
– by AdvancedMD Software, Inc.
Overview
AdvancedMD Software, Inc is a privately held company with headquarters
located in Salt Lake City, Utah. The company has been in web-based practice
management software business for the last 5 years. AdvancedMD has numerous
users working with more than 1,400 healthcare providers. According to company
records, each year, some 98% of the active clients renew their services.
AdvancedMD offers a billing and practice management software that is 100%
web-based. All one needs is an ordinary computer and a broadband Internet
connection. This software contains all the general features included in practice
management software like Appointment Scheduling, Patient Data management,
Electronic Claims capabilities, Reporting & Accounting for practices of various sizes.
Key benefits to small mid-sized practices • No need to install or manage software servers
• No hassle with upgrades or backup tapes
• Always available anywhere (work, home, road)
• Always up-to-date information
• Always secure and encrypted
• Always backed up
Features
Patient Data
• Easy-to-use tabs organize data on a single screen
• Scan an insurance card or referral at one location, view it everywhere
• Custom fields let you store specialized data
• Ticklers, memos, and alerts keep staff up to date
• Intelligently helps eliminate duplicates
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Comparative Listing Of Medical Billing Software Packages
Insurance Billing
• Customized online charge slips (superbills) allow providers to “point-and-click”
a screen that's just like a paper charge slip. The online slip can be entered on
any in-office computer, or on a handheld PocketPC or tablet, eliminating
costly errors and saving data entry time.
• The Quick Charge Entry screen allows “heads-down” rapid charge entry when
required.
• A Unique visit tracking number is assigned to each appointment. This number
follows the patient through the whole transaction including the insurance
claim form and the EOB.
• AdvancedMD's charge review function allows new posted charges to be
queued up and reviewed by a biller prior to posting.
• All charge data entered is instantly updated to the front desk, so when the
patient checks out, the patient portion is already calculated and the return
visit information is available.
Scheduling
The Scheduler offers tight integration with additional patient details including • Alert memos for outstanding balances
• Co-payment amounts & checkout
• Referral information
• Potential duplicate appointment information
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Comparative Listing Of Medical Billing Software Packages
Reporting & Management
• Over 100 reports come standard with the system, including many ways to
target outstanding balances. All reports can be exported to MS Excel for
further analysis.
• Ability to configure system for viewing aging by date of service or date of
entry.
• Collections or other MS Word letters can be created that automatically import
patient-specific data
• Download full sets of data in MS Access any time for backup purposes, or for
more sophisticated analysis.
eClaims & eRemittance
• Faster reimbursement through electronic submission
• Efficient processing with batch processing
• Efficiently manage rejections and errors with online reports
• Full HIPAA compliance
• Rapid online reports for each claims submission batch
• Denials management reports
• Electronic auto-posting (ERA) of payments directly back to charges
EMR Solutions
• Document scanning and management
• Dictation/Transcription module
• Custom data fields for collection of vital signs, labs, prescriptions, etc. right
within the patient's online record
• Tablet/ PocketPC solution: Remote charge capture in a Tablet or PocketPC
• Full HL-7 and XML web service connectivity options
Collections
• AdvancedMD Collections automates the process of "working" the collectionsoriented reports with a customizable workflow, increasing staff productivity by
helping them work on the most important tasks.
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Comparative Listing Of Medical Billing Software Packages
•
•
Patients are automatically tracked throughout the collections process. Staff
can create patient and payer task lists and automated reminders for follow-up
actions.
Billing managers define worklists that group accounts based on aging, family
or insurance balances, carriers, etc., so that the right collectors are working
the right accounts.
Technology
A Web-based practice management & billing system like AdvancedMD
eliminates the need for having a server in the office. All the features of the
application can be accessed through internet explorer web browser and a broadband
internet connection. The data resides behind an enterprise-class firewall to prevent
unauthorized electronic access.
PC Requirements
•
•
•
•
•
•
•
All workstations must meet the following minimum specifications:
o Pentium III class or better
o 256 MB RAM or higher
o 800 x 600 screen resolution or better
o Windows 2000 or newer desktop operating system (NT 4.0, Server
2003 not supported)
Internet Explorer 6.0 or above with 128-bit encryption is required for each
workstation
Internet Explorer configured to (1) allow the AdvancedMD web site as a
trusted site, and (2) accept and use ActiveX controls.
Adobe Acrobat Reader installed for each workstation printing reports
Licensed copy of Microsoft Word 2002 (XP) or higher for each workstation
printing HCFA claim forms and/or statements
High-speed Internet data connection to the PC (see below for specifications)
Optional: Analog modem line and dial-up Internet account (as a backup
Internet access method)
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Internet Access Requirements
Number of concurrent users
(sharing this connection)
1-5 concurrent users
6-10 concurrent users
11-20 concurrent users
21-30 concurrent users
Recommended Tested Speed
Download
Upload
256 Kb/s
256 Kb/s
512 Kb/s
256 Kb/s
768 Kb/s
384 Kb/s
1024 Kb/s
384 Kb/s
Pricing
For 1 physician
Practice Management System Application $250
Electronic Claims submissions (unlimited) $49
For 5 physicians
Practice Management System Application $1125
Electronic Claims submissions (unlimited) $245
For 10 physicians
Practice Management System Application $1875
Electronic Claims submissions (unlimited) $490
Pricing includes Practice Management System maintenance/support and Offsite Data
Backups.
Contact
AdvancedMD Software, Inc.
2795 Cottonwood Parkway, Suite 120
Salt Lake City, UT 84121
801-983-0880
801-983-0898 (Fax)
http://www.advancedmd.com
[email protected]
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Comparative Listing Of Medical Billing Software Packages
Altapoint
– by Altapoint Data Systems, LLC.
Overview
Altapoint Data Systems, LLC has been in the healthcare software business
since 1996. Douglas Lyman who heads Altapoint, has been in this industry since the
early 1990’s and he is the original creator of Lytec, a medical practice management
package, now owned by NDC Health. AltaPoint has nearly 3000 installations and over
7000 users in all 50 States across U.S. as well as few other countries.
Altapoint provides integrated practice management software and an interface
for mobile handheld devices for a variety of healthcare practitioners. AltaPoint is an
integrated electronic medical records (EMR) billing and PIM software solution that
complies with new federal standards for medical records privacy and security.
Altapoint is available in three modules - Medical, Vision, and Chiropractic to
better fit the needs of individual practice. General practices and a wide variety of
specialty medical practices, ophthalmic, optometric, podiatric, chiropractic, physical
therapy and other practice types use the AltaPoint billing and practice management
software.
Features
AltaPoint combines billing, inventory, scheduling, reminders, clinical records,
and many other features in one system.
Patient & Insurance Billing
AltaPoint streamlines and simplifies the work of insurance billing and allows printing
of insurance claims on pre-printed forms or on plain paper.
• Patient balance, family balance, and last payment are displayed on the patient
form (no command or operation necessary to view).
• Appointments tab - view future appointments and quickly make new
appointments.
•
Ledger tab - Quickly view all patient transaction history directly from this tab.
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Comparative Listing Of Medical Billing Software Packages
•
•
•
You can even choose to view recent payments only. Also, you can create a
new bill or estimate by selecting a single button.
Reminders tab - view and edit unlimited recall entries.
Instant access to guarantor record.
Advanced options for maintaining and tracking insurance vs. patient
responsibility.
Electronic Claims Processing
AltaPoint electronic claims allow users to process and track insurance claims quickly
and efficiently by eliminating the long waiting period involved in paper claims
processing.
Speech Recognition for Narrative Dictation
AltaPoint takes advantage of state-of-the-art technology that allows the physicians to
dictate notes directly into their patient records. The system converts this dictation
into text as they speak.
Store Pictures, Radiographs and other Images
Use a scanner or digital camera to capture and store pictures of patients, contacts
and employees. One can also scan and annotate an unlimited number of clinical or
treatment related photographs and radiographs per patient.
Palm OrganizerTM Support
Using the Palm organizer, AltaPoint extends the access to important practice
information. One can add and edit patients, record patient encounters with billing
detail, view and update appointments, add tasks, addresses, and even detailed
notes. Powerful data synchronization utilities allow the user to enter information on
the desktop computer and Palm organizer independently.
Custom Statements that You Design
Patient statements can be customized as per the needs or can be selected from the
available templates. These statements can include a variety of information including:
aging of accounts; special and dunning messages; estimated insurance and patient
responsibility of charges; up-coming appointments and reminders; patient
instructions for specific procedures - and many other options.
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Appointments & Tasks
Use AltaPoint to record and manage all of the appointments and tasks. Set up repeat
appointments and special days as well as add alarms and notes. View appointments
by day, week and month.
Management Reports
AltaPoint comes with a complete set of accounting and management reports. In
addition to the reports that come built into the system, it allows design of an
unlimited number of customized reports and forms. All reports support Microsoft
Windows fonts and can be previewed on the screen before printing.
•
•
•
All fields and files available for reports
Script based reporting with powerful logic and conditional printing.
Calculate sub totals and grand totals on column-based reports.
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•
•
Print logos, graphics, pictures, and x-rays on statements, invoices, and other
reports.
Direct data links to Microsoft Office (including Word, Excel, Access); Star
Office; and WordPerfect.
Inventory Control
It allows tracking of inventory items and maintains desired stocking levels and
reorder points with the ability to track the revenue, and cost of goods sold for each
product in inventory.
Reminders
AltaPoint simplifies and streamlines the tedious task of generating reminder notices.
An unlimited number of recall entries, reminders, and alerts can be entered per
patient.
Task Management
It allows tracking of important tasks by date, patient, and provider.
Letters, Labels, and Post Cards
AltaPoint’s integrated report writer allows creation of any number of custom letters,
file labels, mailing labels, and post cards.
Referral Tracking
AltaPoint allows tracking of referrals by doctor, patent, media, as well as other
sources.
"Smart" Word Processing Interface
AltaPoint can be integrated with existing word processor, since Microsoft Word can
read AltaPoint data files directly without the need to create separate “Mail-merge”
files. AltaPoint also interfaces directly with Microsoft Excel, Microsoft Access, Visual
FoxPro and many other popular programs.
Phone Dialer
Integrated phone dialer allows the computer to dial any client or contact phone
number with the press of a key or the click of the mouse.
Spell Correction
Integrated spell correction is available when entering patient notes, administrative
notes, and all other areas in AltaPoint designed for free-form text.
Compound Codes
Compound codes can save time and keystrokes when entering invoices. With this
feature, several procedure codes can be combined as a single command.
Technology
System Requirements
For Client: A workstation or stand-alone machine that can efficiently run Windows
NT/2000/XP Pro. A Pentium II 300 MHz or better is recommended with at least 128
MB of RAM. Windows XP Home and Windows ME are not recommended. Windows
98 is no longer supported by Microsoft and, although it has worked with AltaPoint in
the past, is no longer recommended for general office use.
For Servers: Servers should effectively run Windows NT/2000/XP Pro, Novell 4/5,
or Linux Distribution with a 2.2 Kernel or higher. A Pentium III 500 MHz or better is
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Comparative Listing Of Medical Billing Software Packages
recommended with at least 256 MB of RAM. Please specify the server's operating
system at the time of ordering.
For Printers: Most standard laser, inkjet, or dot-matrix printers will work with
AltaPoint. Xerox Printers and most multi-function printers are not recommended for
use with AltaPoint.
For Digital Imaging: A digital camera or scanner that can produce Windows BMP
and JPEG files.
For speech recognition: Dragon NaturallySpeaking v5 or later, Pentium III, 512
MB RAM recommended. A ScanSoft approved sound card USB input device required.
Pricing
AltaPoint
AltaPoint
AltaPoint
AltaPoint
AltaPoint
AltaPoint
Model
Medical Single-User
Medical Multi-User (5 users)
Medical Client/Server (2 users)
Medical Client/Server (5 user)
Medical Client/Server (15, 25, 50 or more users)
for the PalmTM organizer (Palm sold separately)
Price
$995
$1495
$1,295
$2,495
CALL
$295
Optional Products and Services
ENS Electronic Claim Submission Services (Setup) $179, $49 (Monthly Per Provider)
Extended Telephone Support $499 (Annually or $299 for Six Months through
AltaPoint)
AltaPoint for Palm $295 (Per Provider, Palm PDA/Hand-Held Device Not Included)
ICD-9 and CPT Codes for Import into AltaPoint $295 (2003 Set Currently Available)
Basic Data Conversion Services $195-$495 (Basic Conversions from Many Old
Systems)
Form Customization for Statements, Superbills and Others $75 (Hourly)
Contact
AltaPoint Data Systems, L.L.C.
1100 East South Union Avenue
Midvale, UT 84047
Toll free: 1-888-ALTA-LLC (1-888-258-2552)
Local: 801-569-9401
Fax: 801-569-9370
http://www.altapoint.com
[email protected]
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Comparative Listing Of Medical Billing Software Packages
Centricity – by GE Healthcare Systems
Overview
Since its inception in 1993, Centricity Physician Office Practice Management
was built from the ground up as a 100% pure Microsoft-based solution.
The Centricity system, now installed in more than 3,000 office-based
physician practices, automates administrative functions, such as scheduling, patient
information, billing, insurance claim processing, accounts receivable and collections,
managed care, and inventory control. Each month, more than 3.6 million
transactions are processed for more than 12,000 physicians with the use of GE’s
Centricity™ Physician Office Practice Management system (formerly called Millbrook
Practice Manager).
Centricity Physician Office - PM is built to interface with thousands of other
Windows applications, which allows easy integration of custom features. Centricity
works with practice sizes of 1-150 physicians and is capable of handling over 70
specialties. Currently it is being used in 50 states all over US.
Features
Centricity Physician Office - PM offers tools to manage everything from scheduling to
collections to financial analysis. These are some of the capabilities:
•
Resource-based scheduling that accommodates multiple providers in multiple
locations
•
Patient information management accessible from any screen
•
Fast, accurate billing for any payer, including any kind of managed care
contract
•
Built-in electronic claims, remittance, statements, and eligibility
•
Accounts receivable and collections tools for better cash flow
•
Flexible reporting, including both built-in reports and compatibility with
Microsoft Excel, Microsoft Access, and Seagate Crystal Reports
•
Inventory control
•
Scanning for insurance cards, lab reports, and more
•
Compatibility with dozens of EMRs, appointment reminder systems, and other
specialty software
Because Centricity was built on the Microsoft Windows platform and the HL7
standard, it is compatible with any other Windows-based software. Centricity runs on
Microsoft/Intel-based computer hardware. It takes full advantage of industry
standard protocols to move data between disparate systems like outside labs and
internal equipment. It uses HL7, for example, the standard for communicating health
data among disparate systems. This lessens the need for expensive, proprietary
interfaces. It is accessible to Microsoft Word, Excel, and Access, and to Crystal
Reports, and further to other reporting tools using ODBC.
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Centricity offers support for a number of claims clearinghouses as well as
direct interfaces to Medicare, Medicaid, and Blue Cross for many states.
Appointment Scheduling and Tracking
• Schedule and view office visits for multiple doctors, treatment rooms, and special
equipment
• Customize time schedules and restrict time slots
• Appointment slots are color-coded for quick reference
• Easily book recurring appointments
• Track workers' compensation, industrial and personal injury
• Search ahead in increments of time (days, months, etc.) to future appointments
Office Management
• Automated recall notices
• Automated reminder notices
Patient Information Management
• Identify guarantor and/or insured party(ies) for each patient
• Unlimited insurance carriers/insured parties per patient
• Attach scanned images to each patient file
• Assign financial class per patient
• Assign billing codes per guarantor
• Designate primary and referring physicians
• Track level of coverage and patient's responsibility at every step of the process
• Add patient notes, appointment notes, and/or billing notes
Filing Claims and Reporting
• Electronic Data Interchange (EDI)
• Electronic eligibility verification
• Electronic claims status
• Insurance paper claims (HCFA-1500 and UB-92)
• View claims activity for a specific visit
Payment Posting
• Distribute payments by exception for quick entry
• Automatically calculate alloweds and withholds
• Transfer monies between insurer and patient
• Post unlimited payments, adjustments and transfers at the same time
• Set up your system to replicate your Explanation of Benefits (EOB)
• Automatically attach predefined notes to payments, adjustments, and transfers
• Print receipts at the time of a visit
• Attach scanned images of EOBs to payments
Accounts Receivables and Collections
• Track amounts charged, expected payment, amount paid, adjusted, or refunded,
and any balance due
• View summary of all outstanding receivables and "drill down" to review line item
details such as payments and adjustments
• Group insurance carriers for collection purposes
• Automate collections letters
Financial Management
• Custom charge sets for fast and easy entry of commonly used
diagnoses/procedure codes; append charge sets on a single visit
• Unlimited fee schedules for easy tracking of fees, costs and allowed amounts by
procedure; unlimited managed care fee schedules
• Easy entry of modifiers, place of service (POS) and type of service (TOS) codes
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•
•
•
Capitation accounts management
Copy fee schedules; effective/expiration dates on fee schedules
Attach transcription notes to each visit
Inventory
• Track an unlimited number of directory items
• Charge tax where applicable
Reports
• Over 100 reports ranging from patient lists to financial analysis
• Print statements and claim forms on demand
• Print reports one at a time or tag and print in a batch (all at one time); use filters
to limit report printing based on various criteria (e.g., date range, facility, doctor,
company, etc.)
• Transaction-based aging reports can be run at any time
• Easily customize reports with integrated designer
• Merge letters and mailing labels
• Use custom report capabilities with ODBC applications such as Microsoft Excel,
Microsoft Access, Microsoft Word and Seagate Crystal Reports
• User-modifiable receipts, statements, HCFAs, UB-92s, Superbills and patient
profiles
Technology
Minimum System Requirements
Processor
RAM
Free Hard
Disk
Space
Other
Hardware
Workstation
Pentium 233MHz
64 MB
200 MB
Server
Pentium IV- 1 GHz
1.0 GB
1.0 GB or 4x Database size
(whichever is greater)
Mouse (or trackball)
Network Interface Card
Mouse (or trackball)
Network Card
CD-ROM
Modem
Operating
System
Windows XP Professional
(SP1 or later)
Windows 2000 (SP3 or
later)
Other
Software
MS Word 97 or later
MS Internet Explorer 6.0
(SP1)
Windows XP Professional (SP1 or
later)
Windows 2000 (SP3 or later)
Microsoft Small Business Server
2000 (SP1 or later)*
Windows 2003 Server**
Microsoft SQL Server 2000 (SP3 or
later)
MSDE (SP3 or later)
MS Internet Explorer 6.0 (SP1)
* Small Business Server SP1 includes Windows 2000 SP3.
** Windows 2003 Server 64-bit is not yet supported
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Comparative Listing Of Medical Billing Software Packages
Contact
GE Healthcare Systems
3000 N. Grandview Blvd.
Waukesha, WI 53188
Phone: 262-544-3011
http://www.gehealthcare.com
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Comparative Listing Of Medical Billing Software Packages
ClaimGear – by XGear Technologies, Inc.
Overview
XGear Technologies, Inc. was founded in January 1999 by CEO Douglas A
Kegler. With the need arising for a cost effective, efficient and flexible medical billing
and practice management system, ClaimGear, an Internet-based practice
management solution, was introduced. By now, Claimgear has been in the market for
over 6 years with a current database of 500+ accounts spread out across 46 states.
Features
New features in the latest version of ClaimGear include the ability to enable
tracking and editing of patients' information, claims data and scheduled/canceled
appointments. The system also employs a time-saving Payer address base that
allows clients to easily load payer addresses and contact information with simple,
searchable functions. These features are expected to significantly reduce the time
previously needed for these functions.
The ClaimGear software is a Practice Management Software program designed
to operate with the speed of a local PC application and the flexibility of a Web
browser application. The software is based on Java technology and the Internet to
provide physician offices and billing services better efficiency and adaptability.
Below are some of its unique features:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
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Exclusive Claim Tracking Software saves hours tracking denied and unpaid
claims
Full featured Appointment Scheduler
Electronic Submission to Over 1,200 Payers
HCFA 1500 Claim Form
HIPAA Ready
Automatic Posting of Electronic EOB
Electronic Patient Statements
All CPT and ICD Codes
Patient Statements
Electronic Patient Eligibility
Over 40, Easy to Generate and Read Reports
Accounts Receivable Aging Reports
Daily/Monthly Charges and Payments Reports
Preview Reports on Screen Before Printing
Multi-User and Multi-Level Security
Automatic Claim Transmission
Automatic Data Backup
Secure, Real-Time Connectivity
128-bit SSL Data Encryption
Tel: + 1 908-758-0782
Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
Fig 1: Scheduler
Fig 2: Claims Billing
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Comparative Listing Of Medical Billing Software Packages
Fig 3: Eligibility Check
Technology
Strict security measures are utilized to protect the data from unauthorized access
including firewalls, 128-bit SSL data encryption, and passwords. The use of a RAID
system, battery backups, and tape backups prevents system downtime.
Minimum System Requirements
•
•
•
•
•
Windows 98, NT, 2000, Me, or XP computer with a Pentium, Celeron, or AMD
400Mhz or higher
Minimum 56K Internet connection, but a cable or DSL modem is suggested
128MB RAM. Less than 128 MB of RAM will cause the program to operate
slowly
Screen resolution should be at least 800 x 600. At a lower resolution, you can
still use ClaimGear but it will not display correctly
36MB of disk space
Pricing
The cost for ClaimGear is not based upon users or of providers. It is just a one-time
setup fee (ranges from $199.00 - $599.00). The Support, maintenance and updates
are included in the one-time setup fee for the lifetime of the program.
Contact
XGear Technologies, Inc.
1506 Lake Highland Drive
Orlando, FL 32803
Toll Free: 877-252-2208
Local: 407-228-6111
http://www.claimgear.com/
[email protected]
Tel: + 1 908-758-0782
Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
elligence
– by Data Strategies, Inc.
Overview
Founded in 1982, Data Strategies, Inc has been a provider of technology
solutions in the healthcare industry. Based in San Diego, Data Strategies is the
developer of CompuMedic, The Resource Scheduler, and elligence. Nearly 1,000
health organizations across the U.S. form their loyal consumer base.
elligence is the "next generation" of CompuMedic - the management software
system for physician practices offered previously by Data Strategies. elligence is a
scalable, secure, and compliant healthcare management system, designed for
practices, clinics, and billing service providers of virtually any size.
Features
Patient Folder
• Review all aspects of a patient's demographic profile and financial history with
the practice - including insurance coverage(s), archived insurance, notes,
recalls, accounts receivable and unapplied credits (patient credit balances).
• Link to Appointment History screen to show upcoming, past, cancelled, and
no-show appointments.
• Access patient's ledger from the folder.
• Family billing - easily identify a guarantor and/or insured parties for each
billing account. Each patient is assigned a unique account number, even if the
patient is linked in a Family Billing account.
• Generate unique patient account numbers automatically, or the practice can
assign their own account numbers.
•
•
•
Assign financial class for each patient.
Designate primary (assigned) and referring physicians.
Track encounters, and associate them with diagnoses, referring doctor,
authorization number, and the like.
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
•
Enter patient notes, reminders and collection notes easily.
Co-Payments
• Apply co-payments at the time of service, with a few keystrokes.
• Co-pays that are collected at the time of service can be applied to the
applicable E&M charge once the charge is entered, or may be applied to the
visit if the patient is a member of a capitated plan.
Ledger
• Instantly review Open (unpaid), Closed (paid), and Unapplied (over-paid)
transactions, on a line-item basis.
• Show charges on a line-item basis, along with all payments and adjustments
associated with them.
• Insert notes to reflect insurance information, collections, on-bill notes, and
internal memos. Notes are displayed in chronological order, interwoven with
the transactions/dates of service to which they have been attached.
• Modify transactions, or "drill down" for more information, just by doubleclicking on the item.
Fee Schedules, Capitation & Contract Management
• Unlimited fee schedules for easy tracking of fees, costs, and allowed amounts
by procedure.
• Unlimited fee schedules for managed care.
Charge Capture
• Automatically identify allocation of financial responsibility at the point of
service, so the patient portion can be collected before the patient leaves the
office.
• Patient credit balances (unapplied credits) can be applied easily to co-pays
and charges at time of service or at any point during the billing cycle.
• Procedures, diagnoses, modifiers, authorization numbers, notes and other
transaction-specific information are entered on a line-item basis.
Collections & A/R Management
• Implement an effective in-house collections effort, improve receivables and
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
•
reduce the need for outside collection agencies with a comprehensive set of
collections and A/R management tools.
Archive statements, so that you can reprint them or view them on the screen
exactly how they looked on paper to the patient - reduces the time it takes to
resolve statement-related issues with patients.
Payments & Receipts Management
• Post insurance and patient payments, as well as adjustments to a patient's
account - on line-item basis.
• Balance batches easily by using running totals and totals by batch. Batch
report may be printed at any time.
• Automatically calculate allowed amounts, based on Fee Schedules.
• Post multiple payments, adjustments and transfers of financial responsibility
simultaneously.
• Attach notes to payments, adjustments and transfers of financial
responsibility.
• All unapplied credits on file are identified on a per-patient basis on an easilyaccessed report; hyperlinks in the report take the operator to each patient's
Ledger, so each credit can be processed.
Document Designer
• Customize and design your own insurance forms, statements, superbills, recall
notices, marketing mailings, surveys and other documents and
correspondence.
• Work with a number of pre-defined documents, including the CMS 1500
(formerly HCFA 1500), UB92 and a gallery of superbills and patient
statements.
•
•
Templates can be created from pre-formatted templates that come with
elligence (e.g., a standard 1500 or UB-92 form), based on other templates
the practice has already created, or from scratch.
Use custom report capabilities with ODBC applications such as Microsoft Excel,
Microsoft Access, Microsoft Word and Crystal Reports, so you can export data
from elligence to templates in other software programs.
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Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
EDI Overview
• Manage the flow of electronic healthcare transactions to and from your
practice, through a unified, centralized system.
• Verify the validity of all outgoing and incoming EDI transaction files.
• Transmit and process files, just by pressing EDI Manager's "Send/Receive"
button.
• Maintain all EDI transactions specifications and requirements, to ensure strict
ongoing compliance with HIPAA.
Electronic Claims Submission
• Build an electronic claims file, based on user-defined selections, of charges
that have been entered into the system.
• Based on a library of rules that is pre-defined in elligence, an Exceptions
Report is displayed that flags claims from which information is missing or
inaccurate.
• Hyperlinks in the Exceptions Report take the user to the exact place in
elligence where the data must be corrected.
• Pre-Processing Report displays all charges that will be billed electronically.
• Claims are processed, then placed in the EDI Manager's Outbox for
transmission.
Electronic Remittance Advice (ERA)
• Replaces the time-consuming process of manually posting multi-page EOBs
with an automated, streamlined method - more effective personnel utilization.
• Enables significantly faster updating of accounts receivable.
• Automatically posts payments, maintains a history of allowed amounts and
adjusts write-off amounts.
• Highlight any patients and/or charges that have any claim or charge
adjustment codes, as reported by the insurer.
• Claims that do not meet expected payment amounts, or have other errors
that cannot be corrected immediately from the Exceptions Report, can be
posted manually later.
Electronic Statements
• Generates a batch of statements, and then transmit it to the statements
processing service bureau.
• Create a back-up copy of the statement batch in HTML or PDF format, so you
can retrieve the statements at a later time and address inquiries by the
patient.
• The service bureau will send an acknowledgement report, indicating they have
received your batch, the number of statements included, etc.
• The file is processed, data is double-checked, and addresses are bar-coded.
• Your statements are printed.
• Undeliverable addresses are separated & corrected.
Technology
elligence is designed specifically for Microsoft Windows, and other Microsoft
technology (such as SQL Server 2000). Data for all programs is stored in standard
Microsoft SQL Server 2000 for easy transfer of information. The application is
deployable on a Local Area Network (LAN), Wide Area Network (WAN), Virtual Private
Network (VPN). Also, it may be deployed on a peer-to-peer network for fewer than
five concurrent users.
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
System Requirements
Data Server – This computer hosts SQL Server and exposes a shared folder
(“GlobalFolder”) for all App Servers (see below) to write and read shared files. There
will always be only one Data Server in any single installation, regardless of the
number of locations, users, etc.
Requirements are:
Component Minimum
Requirement
Processor
1.2GHz
RAM
Hard Drive
512 MB
20 GB
Microsoft Windows 2000
Server / Advanced Server
TCP/IP; File and Print
Sharing to App Servers
100mbps to all Application
Servers
SQL Server 2000 (or free MSDE if under 15 users)
Backup software / system of some kind that is capable
of holding all databases + the GlobalFolder contents
MUST NOT expose this server to the internet by
assigning it a public (internet) IP Address or by routing
the SQL Server TCP/IP port into it from another
computer which has a public (internet) IP Address.
OS
Net Protocols
Net Bandwidth
Additional Software
Additional notes
Recommended
Fastest currently
available processor
1024 MB
RAID-5 Array
Application Server – This computer hosts the elligence server application. There
will be one Application Server for every 30 users of elligence.
Requirements are:
Component Minimum
Requirement
Processor
1.2GHz
RAM
512 MB
20mb free space; 1GB free
space for Windows memory
management
Microsoft Windows 2000
Server / Advanced Server
TCP/IP; Client for Microsoft
Networks to Data Server
100mbps to the Data
Server; 128kbps per
Workstation
IIS 5.0 (comes with Windows 2000 Server) Firewall if
any server applications are “listening” over any public
IP Address. SSL Server Certificate, VPN, or another
architecture capable of providing 128-bit or higher
encryption if elligence accessed from outside the Local
Area Network.
Because all App servers must have file sharing access
to the GlobalFolder on the Data Server, it is required
that all App servers reside on the same private TCP/IP
network as the Data Server
Hard Drive
OS
Net Protocols
Net Bandwidth
Additional Software
Additional Notes
Recommended
Fastest currently
available processor
1024 MB
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
Workstation – These are the computers on which end-users will actually run
elligence. They run the elligence Workstation software. There will of course be at
least one of these for each concurrent user.
Requirements are:
Component Minimum
Processor
RAM
Net Protocols
Requirement
333MHz
128mb
10mb free space for
program files; 100mb free
space for Windows memory
management
Windows 98 SE / ME / NT
Workstation / 2000 Pro / XP
Pro
TCP/IP
Net Bandwidth
128kpbs
Video Card
4mb able to run 800x600 at
256 colors
Hard Drive
OS
Recommended
500 MHz
256mb
Windows 2000 Pro / XP
Pro
512kbps “Peak” ability
for Reports, Billing
16mb able to run
800x600 at 16-bit color
Contact
Data Strategies, Inc.
9645 Granite Ridge Drive, Suite 230
San Diego, CA 92123
800-875-0480
858-514-1210 (Fax)
http://www.elligence.net
[email protected]
Tel: + 1 908-758-0782
Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
Healthpac –
by Healthpac Computer Systems, Inc.
Overview
Healthpac Computer Systems, Inc, with corporate headquarters in Savannah,
Georgia, has been in the market for 23 years with clients in over 30 states across the
U.S.
Healthpac Computer Systems, Inc. offers their software package H2000 that
is HIPAA ready and has many powerful features such as: full patient billing, electronic
claims filing, electronic remittance posting, and extensive insurance claims
"scrubbers".
Features
H2000 is a quick, easy medical billing software system offering fast tracking of
demographic background, and insurance information. Healthpac can be used for a
large multi-user system, or a single-station full management system, or simply to
process and file claims electronically. Through the use of user definable "rules
tables," H2000 can be customized to the requirements of individual practice.
Like all Patient Information and Insurance Claims Processing systems on the
market, H2000 is also designed to do the basic functions of:
•
•
•
•
•
•
Reducing the average age of receivables
Improving cash flow
Automating insurance claims, rejections, re-filing, and follow up procedures
Providing a better in-house collection system
Identifying bad debt situations before they happen
Capturing and controlling all information relative to the patient and all
services rendered
Healthpac offers a package that can operate on Client/Server as well as ASP
software architecture. An Application Service Provider (ASP) version of Healthpac
H2000 is available for a low monthly cost per workstation. Under this plan, all a client
needs is a PC connected to the internet. Healthpac maintained programs and client
data are available 24 x 7 via a secure internet connection. This feature is a good
option for new startup Billing Companies, doctors’ offices and small DMEs with 1 or 2
workstation requirements.
Healthpac H2000 comes with the following features Patient Information:
• User Defined “Claim/Data Entry Edits” by Doctor, Insurance Company and
Procedure Code
• Ticklers Available Each Time You Make a Note on An Account For Follow Up
• Scanning Linked By Account/By Line Item
• Can Automatically Load Fee Schedules That Are In ASCII/Excel Format
• The system can scan insurance cards, driver’s license, PHI disclosure release
and other documents and fed directly into the system for future reviews.
Insurance Billing:
• Supports Direct Filing Formats
• Verify Correct Reimbursement at the time of Payment Posting
• Automatic Rebill of Claims as Defined by User by Insurance Company
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
•
•
•
•
Automatic Letter Writing By Denial Code For Appeals
One Screen For Update of Patient Information, Rebilling Claims, Checking
Notes
Hash Number Totals for CPT/Dx Codes, Policy Numbers, Social, Account
Number
The pre-programmed "checks and balances" system forces the crossreferencing of data thereby verifying the accuracy, before filing the claim.
Security:
• The system is set-up for user specific log in and password-protected entry.
Every movement is stamped with the user, date and time information. Every
transaction can be tracked and reported.
• The system can be set to auto-log off users after a determined period of time.
This is called a "sleep mode" and the user must log back into the program
with their password upon return. This is another step in HIPAA compliance.
• User access can be defined locally by management/administrator. With a
simple “yes” or “no”, management can allow a user to have access to
demographics but not all of them the ability to view financial/account
information and more.
Practice Management:
• The system has the ability to "scrub" the claims before they are submitted,
verifying that the required information is on the claim necessary for
processing and payment.
• The system automatically prints an (computer generated) EOB from the
primary payment to send with the claim to the secondary. As the HCFA forms
print, any secondary claims will have an accompanying EOB - sorted.
• One can scan the posted EOB for future retrieval and review. The system is
designed for the user to stay at their station, recalling or printing whatever
they need to be as efficient as possible. It is also possible to auto-post an
electronic EOB.
• System handles multi-tiered pricing for each CPT Code to permit automatic
posting.
• Ability to suppress claims based on CPT Codes for procedures not covered by
insurance.
• Group CPT Codes for reporting and analysis
Reporting:
• Use Ad Hoc Report Generator to export data into Excel or Other Programs
• Compare Current Year Month End to Prior Year Month End totals using
Healthpac’s Practice Management Reporting, which displays on screen, your
requested information with additional pie or bar chart that can be used to
create impressive presentations.
• Practice Management Reporting allows managers to analyze production
information by “drilling down” to supporting data by clicking on the figures
being analyzed.
• The Employee Production Report provides for the analysis of detailed
Employee Information supporting educated personnel related decisions
Technology
Operating Environment – H2000 runs on Windows, NT, and UNIX systems. Clients
requiring LINUX should call Healthpac to discuss support options.
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
Interfaces to Client and Third Party Systems - H2000 is an “Open System”
utilizing a powerful database design supporting Open Database Connectivity (ODBC),
and as such will seamlessly integrate and pass data back and forth with most popular
databases including SQL Server and Oracle.
HL7 Compatible – H2000 exchanges data with all systems requiring HL7
compatibility.
Hardware Requirements
(1 to 10 User – In-House Server System)– Windows 2000 Server – Pentium III,
with 550 MHz Processor and up– 512 MB Main Memory (1GB Preferred)– 40 GB Hard
Drive– 10/100 MB NIC Card
(10 Users and Up – In-House Server System)– Windows 2000 Server– Pentium
4, with 1.5 GB Processor and up– 512 MB Main Memory (1 GB Preferred– 40 GB Hard
Drive (RAID or Mirrored Disk Preferred)–10/100 MB NIC Card
(Workstations) Windows 2000 Professional or Windows XP Professional
(Scanners)Full Page – for EOB, CMN etc – Fujitsu 4220 series ADF Duplex
Drivers License & Insurance Cards – Scan Shell 8
Implementation Description
IT Provider assistance in configuration
Customer installation and configuration
Training Description
Some training recommended - some training from the IT Provider/Reseller may be
helpful.
Support Description
E-mail support - questions can be sent directly to a support staff for review.
Telephone support - calls can be placed directly to a support staff.
Technical support is available in a variety of packages, from hourly consulting
services, annualized support agreements and ongoing, 24x7 management services. A
toll-free support line is available, as you require it. Software support agreements are
available after the one-year warranty is over.
Contact
Healthpac Computer Systems, Inc.
1010 East Victory Drive
Savannah, Georgia 31405
Toll Free: 1-800-831-9419
Local: 912-341-7420
Fax. 912-233-4370
http://www.healthpac.net
[email protected]
Tel: + 1 908-758-0782
Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
NDCLytec –
by NDCHealth
Overview
NDCHealth has been a provider of health information solutions since 1977.
NDCHealth Corporation serves more than 90% of the U.S. pharmacies, 100% of
Canadian pharmacies, more than 30% of UK pharmacies, greater than 20% of the
nation's hospitals, more than 180,000 physicians, over 1,000 healthcare payers
representing over 4,000 payer plans and more than 75% of pharmaceutical
manufacturers.
Since 1989, NDCLytec has been used by about 100,000 healthcare
professionals to operate their practices. Lytec is a Windows based application capable
of administering medical practices, managing accounts receivables, filing electronic
claims as well as efficient reporting of different business parameters.
Features
Insurance Billing & Reimbursement
• Stores billing information for any health insurance plan and assures accurate
payer information with the NDC Carrier Import option
• Helps track and manage all insurance claims
• Prints standard HCFA-1500 claim forms
•
•
•
Easily applies insurance payments with the payment wizard. Or, processes
payments automatically with NDC Remittance Processing
Tracks past-due payments to maintain timely and accurate insurance billing
Interfaces with NDC Electronic Claims Processing for faster claims processing
and improved reimbursement
Tel: + 1 908-758-0782
Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
Patient Accounting
• Adds efficiency with all account information for each patient on a single screen
for convenient access, entry, tracking, and retrieval
• Simplifies daily book balancing using patient daysheets
•
•
•
Easily applies patient payments with the payment wizard
Manages patient receivables with aging reports
Tracks insurance authorizations and reminds you when the authorized visits
have run out
Practice Management
• Identifies the trends of your practice through diagnosis and procedure code
analysis
• Tracks the profitability of your referring physician network
• Summarizes information about the financial status and service performance of
the practice
• Analyzes the managed care costs for services provided against the insurance
reimbursement received through contract services
• Compares the difference between charges billed to an insurance company and
the amount reimbursed from the insurance company
• Tracks the number of inventory items you sell
Scheduling Appointments
• Schedules, moves, or cancels appointments quickly and easily
• Views appointments according to your office setup — by day, week, or
resource
• Prints superbills
• Allows multiple bookings to minimize missed appointments
• Alerts staff of patients’ co-payments and balances due
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Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
NDCLytec Professional gives you the same functionality of NDCLytec with some
additional programs to help the larger office be more productive.
•
NDCLytec Code Import saves time and reduces data entry errors by
importing the latest ICD-9, HCPCS and other medical codes into your
NDCLytec program
•
Encoder Pro helps you select the correct diagnosis and procedure codes,
greatly reducing claim rejections
•
NDCLytec Medical Port makes it easy to import or export data to and from
NDCLytec and other software programs
•
NDCLytec Scheduler Professional gives extra functionality to the scheduler
in NDCLytec, further increasing productivity
Some additional features of NDCLytec –
HIPAA Features
• Entry of HIPAA required standard identifiers for use in the Provider and
Address screens: National Provider Identifier Number (NPI) or the Employer
Identification Number (EIN).
• Protects the sensitive data with the auto logoff feature. The system will
automatically log off after a specified period of idle time.
• Backup of data files through the new backup feature. Automatic prompts
remind the user to backup each time the system is exited.
• Keep track of the history of patient consents and authorizations.
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Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
Timesaving Features
• Use up to three user-defined insurance categories to help generate claims and
reports quickly and easily.
• Reduce data entry errors with the new zip code feature. Fill in the zip code
and Lytec will automatically fill in the city and state.
• Store additional phone numbers, fax numbers, and e-mail addresses in the
new Contacts tab, which is available in the Patient, Provider, and Address
screens.
• Flag claims to be updated and included in the next batch of claims.
• Enter 2 digits for the year and Lytec will automatically convert it to the correct
4-digit year. The Pop-up calendar (within any date field) makes searching for
the right date even easier.
• Easily manage multiple sets of data with the database list feature. This allows
the user to easily access data files that may have been stored in various
locations.
Technology
Single User System Requirements: Pentium/233 processor or higher, 200 MB of
available hard disk space, 32MB of RAM, 256 color display, Microsoft Windows
98/2000/ME/XP/NT 4.0 (with latest service pack) or higher.
Workstation System Requirements: Pentium/233 processor or higher, 200 MB of
available hard disk space, 32MB of RAM, 256 color display, Microsoft Windows
98/2000/ME/XP/NT 4.0 (with latest service pack) or higher.
Server System Requirements: Pentium /233 processor or higher (Pentium II/500
processor or higher recommended), 200 MB of available hard disk space, 64MB of
RAM (128MB of RAM recommended), 256 color display, Microsoft Windows 2000, or
Windows NT 4.0 (with latest service pack) or higher.
Pricing
NDCLytec 2004 Single-User
NDCLytec 2004 Multi-User
NDCLytec Dental
NDCLytec 2004 Training CD’s & Video
Bundle
Interactive training All 5 CD’s
Interactive training CD’s sold separately
Video Training Bundle
$1,629
$2,249
$1,199
$499
$369
$79
$279
Contact
NDCHealth Physicians Services
5222 E. Baseline Road, Suite 101
Gilbert, AZ 85234
800.735.1991
http://www.lytec.com
Tel: + 1 908-758-0782
Fax: + 1 908-349-3339
Email: [email protected]
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Comparative Listing Of Medical Billing Software Packages
MedicsElite –
by Advanced Data Systems, Inc.
Overview
Advanced Data Systems, Inc based out of Maywood, NJ has been a provider
of practice management software since 1977. More than 30,000 physicians of every
practice size and specialty use software solutions provided by Advanced Data
Systems. Individual providers, group practices large and small, hospital billing
departments, practice management firms, networked providers, billing companies,
and many others handle the automation of their practices with the help of Advanced
Data Systems.
MedicsElite™, a Windows-based practice management software system, is the
latest product by ADS, introduced in the market about three years ago. MedicsElite
was under development for more than six years prior to its initial release. To date,
over five hundred medical practices utilize the MedicsElite system.
Features
•
•
•
•
Patient Information Management
Patient and Insurance Billing
Financial Ledger
Practice Reports
Like many other software packages, MedicsElite includes modules that enable
users to manage patient information including demographics, insurance,
appointments, contacts, referrals, notes and other case management details. It
displays the insurance plan details, claim status, and ensures automatic verification
of appropriate Procedure-Diagnosis codes as well as automatic generation and
recreation of Insurance & HCFA forms. The financial ledger enables computation,
tracking and reporting of accounts receivable and collection activities.
Optional Modules –
• Appointment Scheduler
• Electronic Billing Module (EDI)
• Medical Practice Management Reports
• Prescription Writer Module
• PalmPilot MobileAccess
Capabilities can be enhanced with the help of these modules that allow users
to create, modify appointments, create user-defined reports, easily view managed
care issues such as capitation, referral tracking, co-payments, number of allowable
visits, utilization and outcomes. Mobile review and entry of data through PalmPilot
synchronization and customization from the desktop is possible via the MobileAccess
module. Fast and easy electronic claims submission and Electronic Data Interchange
(EDI) can be carried out to handle most sophisticated billing requirements.
Patient Information Management
• Comprehensive patient information including demographics, insurance,
appointments, contacts, referrals, notes, case management details, and more
• Fast patient registration with alert messages including duplication warnings
• Case specific records: insurance plans, hospital stays, A/R classes
• Patient and guarantor account retrieval by numerous search criteria including
patient and/or guarantor name, date of birth, SSN, phone number, insurance
policy number, account number, transaction number, medical record number,
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•
•
•
•
and user-definable fields
Procedure and diagnosis code tracking with auto recall for immunizations,
mammography, annual check up, etc.
Patient and insurance company balances displayed in every patient-related
view
Budget billing plan specific to the individual patient
Custom fields available for user-defined information
Patient and Insurance Billing
• Detailed insurance plan information screen
• On-screen insurance claim status (insurance claims pre-submission report,
insurance unpaid claims report, automatic claims re-submission and claims
tracking)
• Procedure-diagnosis code linkage: helps ensure claim acceptance by
automatically verifying that an accurate and appropriate diagnosis code is
attached
• Automatic cascading: sequential billing of an unlimited number of carriers per
patient
• Automatic claims resubmission (user definable by insurance carrier)
• Unlimited insurance-specific fee schedules
• Multiple insurance holders per patient
• Multiple insurance coverage and effective dates
Financial Ledger
• Comprehensive transaction information with easy mouse click drill-down
capabilities
• Accounts receivable and collection activity: complete computation, tracking,
and reporting
•
Insurance and HCFA forms: automatic generation and recreation
• Recording of check numbers with the associated procedures for easy posting
reconciliation
• Dynamic formats and flexible customization features
• Full audit trail
• Open item posting: automatic disallowance, withhold calculation, automatic
write-off
• Verifies accuracy of insurance payments based upon the insurance fee
schedule
• Multiple statement formats
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Comparative Listing Of Medical Billing Software Packages
Reporting
• Robust set of system reports:
• Transaction listing
• Aged trial balance (user-defined patient/insurance aging categories by date
range for itemized charges)
• Recall report (selected by patient name, account number, birth date, provider,
recall reason, last service date, or procedure selection)
• Demographics reports
• Reports may be sorted/filtered by any combination of A/R class, department,
insurance, place-of-service, provider, referring doctor, plus date range (daily,
weekly, monthly, quarterly, annually, and for any date or date range)
• Screen-preview and printing of all reports, statements, receipts, immunization
record, insurance forms, encounter forms, and letters
• Laser Forms Software (optional module) for patient statements and receipts,
encounter forms, HCFA 1500 forms
Word Processing
• Built-in word processing, seamlessly integrated with other system modules
• Mail-merge for automation of single letters or letters to groups of patients,
providers, insurance companies, attorneys, etc.
• Letter creation based on: date of service range, diagnoses, procedures,
birthday letters, operative reports, dunning and pre-collection letters, request
for insurance information, patient labels, referring physician labels
• Free-form letters and documents supported, both stand-alone or generated by
merging information from the system database
• Mail-merge label printing
• Integrated spell-checker
Technology
•
•
•
•
•
•
Microsoft Windows client-server architecture — industry standard & easy-touse
Realtime relational SQL database — fast, powerful, flexible
Developed with object-oriented C++ code — consistent Graphical User
Interface (GUI), fast, reliable
ODBC and HL7 compliant — open, extendable
ADS's own Extended Multiple Document Interface (XMDI) — simplified
concurrent access to multiple windows for an individual patient or multiple
patients (using linked windows)
Windows 98/2000/XP client, Windows 2000/NT server or AIX® server for
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Comparative Listing Of Medical Billing Software Packages
•
IBM® RISC System/6000®
All mouse functions have keyboard equivalents
Contact
Advanced Data Systems
255 West Spring Valley Avenue, Maywood, NJ 07607
Local: 201-368-2001
Toll-free: 800-899-4237
www.adsc.com
[email protected]
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NDCMedisoft –
by NDCHealth
Overview
In more than 17 years since NDC MediSoft was first released, over 170,000
systems have been installed for healthcare practices and billing services.
NDCMediSoft software is used for insurance claims printing, electronic claim
submission, accounts receivable tracking and practice management reporting in
healthcare practices and billing services. Medisoft comes in three versions: Basic,
Advanced, and Net Pro. Each version extends its functionality to fit the size of most
practices.
Medisoft Basic/Advanced Patient Accounting - designed for 1 user only.
Medisoft for Networks - designed for up to 3 users with a Windows 98/ME based
server.
Medisoft Network Professional - designed to handle up to 1000 users with the
proper Advantage database license.
Features
NDCMedisoft comes with basic features for medical billing like appointments
scheduling, insurance claims billing, accounts management and reporting.
The software enables users to easily create and modify patient appointments,
enter transaction data in user-friendly manner and create custom claim forms
through the Report Designer. The Patient Ledger shows all accounting activity on a
patient account while the Contact Log tracks conversations with insurance carriers,
pharmacies and others. The practice analysis report summarizes charges, payments
and account adjustments; easily pinpoint the progress of the physician’s practice and
provide indications for areas of improvement.
NDCMedisoft Basic comes with the following features:
Patient Appointments Scheduling
• Allows multiple bookings to minimize missed appointments
• Provides flexible templates and wait lists in the Office Hours Professional option
• Alerts staff of patient's co-pay and account balance information
Insurance Billing
• Prints standard HCFA-1500 claims forms or customizes according to user’s needs
• Tracks and manages all insurance claims
• Assists in accurate CPT and ICD-9 billing with Codes on Disk option
• Assures accurate payer demographic information with NDC Carrier Import option
• Send claims with MediSoft Electronic Claims for error-checking that reduces
rejections and speeds payment
• Verify a patient’s eligibility status, deductibles & co-payments in a healthcare plan
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Patient Accounting
• Allows all account information for each patient to be entered, accessed, tracked,
and retrieved on a single screen
• Balances books daily by using Patient Day Sheet
• Manages patient receivables with aging and account balance reports by provider
• Instantly view outstanding payments with pop-up patient ledgers that give
detailed patient account activity.
• Automatically match charges to payments using Payment Application
• Store and recall up to 26 prices for each procedure
• Mark procedure and diagnosis codes as HIPAA approved
Practice Management
• Close a day’s accounting quickly and accurately with the Patient Daysheet.
• Summarize charges, payments, and account adjustments with the Practice
Analysis Report
• Pinpoint referral sources for tracking and/or acknowledgement with the Patient
Referral Report
• Automate appointment scheduling with included Office Hours software
• Assign a security level for each employee for control of activities and protection of
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•
•
data
Track conversations with insurance carriers, pharmacies, or others with the
Contact Log
Automatically log off users after a period of being idle in accordance with HIPAA
NDCMedisoft Advanced has following functionalities in addition to
NDCMedisoft Basic:
Quick Ledger and Quick Balance
• View the entire patient ledger at a glance as well as find the account balance for
each patient or family account in a flash.
• User-defined color-coded transactions for credit balances and patient payments
Sophisticated reports
• Assess the financial health of your practice and show productivity trends; track
activities by insurance carrier, physician, service and facility for analytic
comparisons and insights
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Comprehensive multimedia
• Store x-rays, insurance cards, photos, sound and video for richer patient records
accessible across your network
Instant communications
• Quick, convenient messaging on your network puts users in contact, regardless of
their location
• NDCMedisoft Network Professional lets you manage patient accounts across an
unlimited number of users and patients at different facilities. Your practice may
also want to take advantage of NDC Electronic Claims Processing for significant
additional value
The following exhibit provides a feature comparison matrix for all the three versions
of Medisoft:
Medisoft
Standard
Medisoft
Advanced
Medisoft
NetworkPro
OPERATING SYSTEM CAPABILITY
Main Computer/Server (Windows 98,Me)
√
Main Computer/Server (NT,Win2000, XP)
Workstation (Win98,ME,NT,Win2000, XP)
n/a
√
√
√
n/a
√
NETWORKING
Network (Multi-Users)
√
User License Included
1
1
additional
Maximum Number of users
1
1
1000
True Client Server Technology
√
DATA ENTRY
Checks for Duplicate SSNs
√
√
√
Assigned and Attending Providers
√
√
√
Procedure and Diagnosis Code Storage
√
√
√
Patient Quick Balance/Ledger Pop-Up
√
√
Deposit Tracking By Date
Deposit Slip Information Based on
Payments
Medicare Allowed Amount Tracking
√
√
√
√
√
√
New Style Transaction Entry Screen
√
√
Multiple Fee Schedule
√
√
Custom Case Designer
√
Treatment Plan List
√
ACCOUNTING
Formatter Allows Customized Statements
√
√
√
Support Multiple practices
√
√
√
Patient Portion Billing
√
√
Calculation of Finance/Billing Charges
√
√
Track Unbilled Patients
√
√
INSURANCE
Fills Out HCFA 1500 Claim Forms
√
√
√
3 Carriers Per Patient
√
√
√
Number of Visits Tracking
√
√
√
Expanded Superbill Features
√
√
Add-on Medicare Direct Module
√
√
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Medisoft
Standard
Medisoft
Advanced
√
Medisoft
NetworkPro
√
Deductible Tracking
√
√
Capitation Analysis
√
√
Add-on Medicare Auto Pay E.R.A.
UB-92 Compatibility
√
SPECIAL FEATURES
HIPAA Compliance
√
√
√
Security (Password Protection)
√
√
√
Automatic Backup Option
√
√
√
Patient Recall System
√
√
√
Computerized Appointment with Search
√
√
√
Online Updates
√
√
√
Customizable Tabs and Data Fields
√
√
Payment application
√
√
Activity by operator/user
√
Send Messages between computers
√
REPORTS
Prints Standard Patient Statements
√
Reminder Statements
√
√
√
√
Print Patient Birthday List
√
√
√
Day Sheet
√
√
√
Insurance/patients Aging Report
√
√
√
Analysis - Practice
√
√
√
Analysis - Billing/Payments Status
√
√
Analysis - Insurance
√
√
Analysis - Referring (providers/Source)
√
√
Audit Report Tracks Changes and Deletions
√
√
Remainder Statement billing
√
√
Patient Referral report
√
√
Extra Patient Screen
√
√
Open Item accounting
√
√
Multiple Fee Schedules
√
√
Physician referral Report
Billing / Payment Report
Insurance payment comparison
√
√
√
√
√
Production by Insurance/Provider/Procedure
√
Activity by Insurance/Provider/Procedure
√
Activity Summery by Day/Week/Month
√
Insurance Payment Avg Comparison Report
√
Production Reports
√
Audit Reports
Store Photos, Videos, Sounds in Patient
Case
Patients Remainder Billing
√
Patients Remainder Billing Summery
√
Activity By Facility
√
Guarantor Quick Balance List
√
√
√
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Medisoft links to electronic medical records (EMR) such as ChartingPlus through the
X~Link interface. Medisoft also compliments the e-prescribing online program
OnCallData as well as automated appointments through Appointment Call.
Medisoft comes with built-in support for electronic claims through a
clearinghouse. MedUnite and other clearinghouses can process all commercial
carriers as well as Medicare, Medicaid, etc. Additional modules are available for
sending directly to Medicare without going through a clearinghouse.
Technical Information
Medisoft uses a SQL based database engine. The Advantage Database Server is a
scalable, high performance client/server RDBMS for networked, stand-alone, Internet
and mobile database applications. The Advantage Database Server supports the
Windows NT/2000, NetWare, and Windows 95/98/ME operating systems.
System Requirements
MediSoft or PractiSoft® Advanced Patient Accounting
233 MHz Pentium II or greater processor, 64 MB RAM, 1 gig hard drive, mouse or
compatible pointing device, CD-ROM 2X or faster.
Microsoft Windows 98/ME/NT(4.0)/2000/XP operating system. Faster systems are
recommended for better performance.
MediSoft or PractiSoft® for Networks
Workstations: 233 MHz Pentium II or greater processor, 64 MB RAM, 1 gig hard
drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows
98/ME/NT(4.0)/2000/XP operating system.
File Server: 400 MHz Pentium II or greater processor, 128 MB RAM, 1 gig hard
drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows
98/ME operating system.
Network Hardware: Fast Ethernet (100mbps), 100 base network components (hub
and cards), Category 5 cable.
MediSoft or PractiSoft® Network Professional
Workstations: 233 MHz Pentium II or greater processor, 64 MB RAM, 1 gig hard
drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows
98/ME/NT(4.0)/2000/XP operating system.
File Server: 400 MHz Pentium II or greater processor, 128 MB RAM, 1 gig hard
drive, mouse or compatible pointing device, CD-ROM 2X or faster. Windows NT
(4.0)/2000/XP operating system.
Network Hardware: Fast Ethernet (100mbps), 100 base network components (hub
and cards), Category 5 cable.
Training Description
Some training recommended - some training from the IT Provider/Reseller may be
helpful.
Support Description
Web site support - product support questions, knowledgebase, are available at the
company Web site.
E-mail support - questions can be sent directly to a support staff for review.
Telephone support - calls can be placed directly to a support staff.
On-site support - a representative from the IT Provider/Reseller can come to the
customer site.
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Pricing
MEDISOFT VERSION 9
Product
Price
Medisoft Advanced Patient Accounting- Single User
$869 (call for special
pricing)
Medisoft Advanced Network Professional (for speed,
$1,757 Server software plus
performance, and advanced data protection - for
Client Licenses: $285 for 2
networks- Requires Windows NT, 2000 Pro, or XP
users; $415 for 3 users:
Professional)
$700 for 5 users; $1,320
for 10 users, $1,985 for 15
users, $2,870 for 25 users
Insurance Carrier List
$149
Electronic Claims Clearing House Startup Kit
$99
Direct Electronic Claims Module- ALL PAYER
$825
Direct Electronic Claims Module- SINGLE PAYER
$675
Direct Electronic Claims Module- REGIONAL
$525
Medisoft Electronic Remittance Advice (ERA)
$499
Billing Codes - PER SPECIALTY
$199
Billing Codes - ALL CODES
$549
Medisoft Training Videos (set of 4)
$279
Medisoft Training DVD's (set of 5)
$279
Medisoft Training CDRom's (Set of 6)
$349
Training which explains how to setup and use
Medisoft.
Medisoft Office Hours Professional Scheduling Program $329
- Single-User
Medisoft Office Hours Professional Scheduling Program $439 PLUS Client Licenses:
- Client Server (see a description several paragraphs
($285 for 2 users; $415 for
above explaining Client Server Technology and how it
3 users; $700 for 5 users;
can protect your data files better.
$1,320 for 10 users, $1,985
NOTE: The client licenses are the same for Office
for 15 users, $2,870 for 25
Hours and Medisoft Advanced, you do not need a
users
separate license for both.
Medisoft Final Draft Word Processor
$169
Contact
NDCHealth Physician Services
5222 E. Baseline Rd., Suite 101
Gilbert, AZ 85234
Support: (800) 334-4006
Fax: (480) 892-4804
http://www.medisoft.com
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The Medical Office
– by SoftAid, Inc.
Overview
SoftAid, Inc, which started with office management products, has been
developing medical billing software for over a decade. SoftAid maintains corporate
and training facilities in Miami, Florida. After developing MS-DOS based systems for
some time, they eventually released their first Windows application in 1995.
In 1996, SoftAid released the first version of their medical software, The
Medical Office Suite, is composed of several applications offering a variety of medical
billing software solutions. These 32-bit, Windows 98/NT systems are among the
popular practice management software programs available today.
Features
The Medical Office enables healthcare providers to automate their office
procedures and reduce their operational expenses. The Medical Office provides
competent practice management and medical billing solutions for healthcare
organizations of any size, and can be customized to meet a practice’s specific needs.
This HIPAA-ready software enables practices to maintain complete patient
information; file electronic claims; manage patient, physician and resource
scheduling and includes 340 customizable reports. Each system works in a wide area
network and can accommodate multiple providers, payers & simultaneous users.
The Medical Office serves a variety of healthcare providers, including:
•
•
•
•
•
•
•
•
•
Physician Practices of All Specialties
Home Healthcare Providers
Medical Billing Companies
Medical Equipment Companies
Clinics and Hospitals
Management Service Organizations
Rehabilitation Facilities
Independent Practice Associations
Professional Services Organizations
The Medical Office enables healthcare providers to easily manage vast
amounts of critical information from a single computer or across an entire network.
Since different size companies require different features and functionality, Medical
Office is available in several editions in order to provide medical professionals with
the specific tools.
THE MEDICAL OFFICE: STANDARD EDITION
The Standard Edition contains all of the basic features and functionality
needed for a single user office or medical billing professional.
THE MEDICAL OFFICE: PROFESSIONAL EDITION
The Professional Edition is ideal for small- to medium-sized practices and
billing agencies. It includes all of the features found in the Standard Edition, but with
multi-user capability.
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THE MEDICAL OFFICE: ENTERPRISE EDITION
The Enterprise Edition provides a powerful practice management system for
healthcare providers of any size, and includes all of the features and functionalities.
The software includes numerous customizable options, a versatile infrastructure, and
multi-level security for the safety of your critical data.
THE MEDICAL OFFICE: ENTERPRISE SQL EDITION
The Enterprise Edition of this practice management software built around a
SQL database is a good option for large group practices and clinics.
The Medical Office includes:
• Applications to automate a variety of healthcare facilities
• HIPAA-ready electronic billing platforms
• Security features to protect patient and billing information
• Flexible infrastructure that is scalable to any size
• Customizable features to meet the unique needs of your organization
• Robust reporting and interactive functionality that provide a high return on
investment
Core Features:
• Pre-installed ICD-9, CPT, HCPCS and anesthesia codes
• Automatically add or search many data fields with shortcut buttons
• Save time-stamped notations about patients, billing issues and more
• Multi-level security settings comply with HIPAA's security provisions
• Set recall notices concerning patient-related issues, billing, scheduling and more
• Quickly access menu options using your mouse's right-click button
• Required data fields are color-coded
• Interface with other Windows-based applications
Practice Management:
• Multimedia patient files track demographic and multiple insurance provider
information
• Create and edit an unlimited number of fee schedules
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•
•
•
•
Upload documents in a variety of saved formats, including images, movie, audio,
and Microsoft Office files
Track referrals, claim authorizations, patient charges and remittance histories
Establish claim defaults on a patient-by-patient basis
Manage claim authorizations and insurance eligibility
Billing and A/R:
• Send HIPAA-compliant electronic claims directly to carriers or through a
clearinghouse
• Multiple forms of payment posting into patient files, including automatic posting,
payment register and manual entry
• Claim scrubber reduces rejected submissions by checking claim for incomplete or
invalid information
•
•
•
•
Create EDI claim remittance notices based on carrier
Establish uniform charges for commonly used procedure codes
Set parameters for moving unpaid visits into collections
Generate patient invoices and statements
Scheduling:
• Schedule patients, physicians and resources, including equipment, exam rooms
and specialty staff
• Create and print customizable encounter forms / Superbills for each patient
• View schedules by day, week, month, year, and physicians
• Rules-based scheduling prevents appointments from being scheduled if they
conflict with office-set criteria, such as the availability of resources or a physician
off-site day
• Quickly find next available time slot
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•
•
Copy and paste appointments
Identify appointments by assigning color code
Reporting:
• Over 340 customizable reports are pre-loaded
• Generate aging reports on past due accounts, or produce credit balance reports
• Generate patient ledgers by individual or multiple patients
•
•
•
•
Report on billed HCFA 1500 and UB92 claims
Customize reports and sort information based on a variety of data options
Preview reports on-screen before printing
Create labels and form letters
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Technology
Recommended System Requirements
Business Workstation
Processors:
Operating System:
1.8Ghz processor or better
Windows 2000 professional SP2, Windows XP
Professional
56k modem
256MB - 512 MB (for Windows 2000 & XP)
40GB 7200 RPM
Intel 10/100 base T, 100MB Fast Ethernet preferred
16MB PCI or AGP video card or better
Modem:
RAM:
Hard Drives:
Network Card:
Video:
Dedicated Server
Processors:
1.8Ghz or dual processor system for more than 15
users
Windows 2000 Server SP4
512MB SDRAM for up to 5 users; 756MB SDRAM for up
10 users; 1GB SDRAM over 10 users
36GB SCSI LVD 160MBPS 10K RPM or 15K RPM Drives
(Raid 1 and 5)
1GB Fast Ethernet Preferred
100 MBPS 8 Port (5 Users), 16-24 Port Managed Switch
with 1 GB Uplinks (10-25 Users)
4MB AGP video card or better
Operating System:
RAM:
Hard Drives:
Network Card:
Switch:
Video:
Minimum System Requirements
Stand Alone PC
Processors:
Operating System:
RAM:
Hard Drives:
Network Card:
Modem:
Video:
800mhz or better
Windows 98 2nd Edition or later
256MB PC133
20GB
Intel 10/100 base T, 100MB Fast Ethernet preferred
56k modem
8MB PCI or AGP video card or better
Operating Systems: It is not recommended that companies use operating systems
older than Windows 98 Second Edition.
SQL Server: For companies interested in using a SQL database, SoftAid requires
that Microsoft SQL 2000 be used.
Network: Networks should be equipped with UPS, data back-up capabilities, switch,
100-1000mbps throughout, including network cards. TCP/IP protocols. Cat. 5e
network cable.
Remote Networking: SoftAid recommends Windows 2000 Server with Terminal
Services.
Remote Communications: pcAnywhere is required for online training and online
support from SoftAid. ProComm Plus 4.8 is used for EDI communications with
payers.
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Contact
SoftAid, Inc.
16291 N.W. 57th Avenue
Miami, FL 33014 USA
Phone toll free: 1-877-SOFT-AID (1-877-763-8243)
In Miami: 305-949-0970
Fax: 305-621-1030
http://www.soft-aid.com
[email protected]
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Comparative Listing Of Medical Billing Software Packages
Comparison
The following matrix provides a detailed comparison of the features for all the selected practice management software applications:
AdvancedMD
Altapoint
Centricity
ClaimGear
elligence
Healthpac
Lytec
MedicsElite
Medisoft
Medical
Office
Software Released In
1999
1996
1993
1999
2002
-
1989
2001
1986
1996
Year of Company Inception
1999
1996
1876
1999
1982
1981
1977
1977
1977
1992
User Base
1400
7000
12000
500
1000
3000
100000
30000
170000
5000
Patient & Insurance Billing
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Schedule Appointments
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Features
General Information
Basic Capabilities
Patient Demographics
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Electronic Claims
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Standard
Yes
Yes
Standard
Yes
Standard
Yes
Standard
Maybe
Yes
Graphs
No
Yes
Maybe
No
No
Yes
Yes
No
No
Maybe
Export Data to other formats
Yes
Yes
Maybe
Maybe
Yes
Yes
Yes
Yes
Yes
Yes
Account Remainder Statements
Yes
Yes
Yes
Yes
Yes
Yes
Maybe
Yes
Yes
Yes
Daily Sales and Receipts reports
Maybe
Yes
Yes
Yes
Yes
Yes
Maybe
Yes
Maybe
Yes
Compound codes
Yes
Yes
Maybe
Maybe
Maybe
Yes
No
Yes
Yes
Yes
Customizable Fields
Yes
No
Yes
Yes
No
Yes
Yes
Yes
Yes
No
Reporting Capabilities
Customizable Reports, Forms, and
Statements
Special Features
Spell Checking
No
Yes
No
No
Maybe
No
No
No
Yes
Maybe
Inventory Control
No
Yes
Yes
No
No
No
Yes
No
Yes
No
Speech Recognition
No
Yes
No
No
No
No
No
No
No
No
No
Yes
No
No
No
No
Maybe
No
Palm Organizer support
Stores Pictures, Radiographs and other
images
Yes
Yes
No
No
No
Only For
Anesthesia
Practices
Yes
Yes
Yes
No
No
Yes
Auto Backup & Restore
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Auto Write Off
No
No
No
Maybe
No
No
Yes
Yes
Yes
Maybe
Authorization & eligibility tracking
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Auto Log-Off
No
Yes
No
No
Yes
No
Yes
No
Yes
No
Remote Access
Yes
Yes
Yes
Yes
Yes
Yes
Maybe
Maybe
Yes
Yes
Software Architecture
Stand Alone
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
Yes
Client/ Server
No
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
ASP
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Peer-to-Peer
No
Yes
No
No
Yes
No
Yes
No
Yes
Yes
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Page 52 of 56
Comparative Listing Of Medical Billing Software Packages
Conclusion
The healthcare industry has evolved greatly with the advent of medical billing
software as now more and more claims are being submitted electronically. The
software helps providers manage financial information and reduce errors on
submitted claims. It facilitates better accounts receivable management, improved
business analysis and efficient medical practice. It is easy to link patients’ insurance
data, x-ray reports, laboratory test reports and other information to their medical
records with such software.
All the applications have the standard features that are essential in medical billing
software, with some additional features that differentiate each from one another.
Some software packages are based on Client/Server architecture, some Application
Service Provider (ASP) based, while some are available in more than one models. If
one package has extensive scheduling facility, then the other has better reporting
capabilities. Nevertheless, all these applications fit into the bracket of solutions for
small and medium business practices with low to moderate price range.
Overall medical billing software industry is currently in a highly segregated state with
over 500 players offering competing packages. Most of the medium to large players
also offer complimenting packages to serve medical practices’ ancillary needs. In the
near-term future we foresee a trend of greater consolidation in the industry with a
couple of major players offering comprehensive software packages to meet the needs
of a medical practice. Already many of the compared packages above offer modules
for appointment scheduling, billing, invoicing, patient data management which are
seamlessly integrated with each other. As the industry evolves to a higher maturity
level, there will be a higher vertical integration in terms of some of these packages
acting as MERP (Medical Enterprise Resource Planning) packages and will offer the
clearinghouse services as well.
One of the other forces pushing the healthcare software community towards
consolidation would be the rapid globalization. There will be an increased need for an
intra-package seamless sharing of patient data to meet the needs of an evershrinking world as the patients move from state-to-state and eventually from
country-to-country and medical practices at different geographical locations be able
to share these critical pieces of life-saving information. It will be upto the industry
regulatory bodies to enforce the standards that would allow an error-free data
transfer from one package to the other. Some of the technologies like eXtented
Markup Language (XML) already exists which makes it feasible to transfer the data
from one-package to the other; Its only time which will make it practical to use such
and other emerging technological standards to make the industry more efficient and
the world more healthy.
This paper aims to provide a reference for choosing an appropriate billing software
for a medical billing enterprise which is under a constant pressure to serve several
medical providers who in-turn use different practice management packages.
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Comparative Listing Of Medical Billing Software Packages
References
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•
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Knowledge – The Enterprise Software, Hardware, Services, and White Papers
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http://knowledgestorm.com
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Comparative Listing Of Medical Billing Software Packages
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Soft-Aid, Inc. - Company Report - Fast Company,
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– MedicsElite
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