Backing Up Database Files |
Specifying the backup device/drive/password
Format a Diskette
Backup All Data
Save One Database
Restore One Database
Merging Database Files (Adding two files)
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Billing Procedures - Appendix
A |
Daily
Middle of Month
End of Month
End of Year
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Change Date |
Change Date for posting, report
dates, etc.
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Charges |
Establishing your
charge (Supplies) database
Specifying Charges that will not be billed to Medicare/Medicaid
Posting charges to an invoice
Posting corrections to charges posted in
previous accounting periods
Marking charges not to file on claims
Printing statistical reports on charges posted
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Collections |
Defining
the disk location to store extracted collection data
Defining the minimum time from
one collection level to the next higher level
4 Ways to transfer invoices
to collection status
The Collection Main Menu
Transfer of data to collection agencies via email
/ diskette / printouts
Sample Collection Letters
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Contracts |
Establishing
a Contract Account in your billing system
Entering
a Contract Invoice
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Database Files |
Cities - User-defined allows shortcut
codes for entering addresses
Company - User-defined allows system configuration
Diagnosis - ICD-9 Codes and descriptions plus
search engines
General Ledger - Chart of accounts for transaction
printouts and journal entry into external accounting systems
Messages - User-defined messages for statements
and invoices
How to change the
severity of a message on a statement
Printers - Margin setups plus assigning to
reports and forms
Supplies - User defined list of HCPCS codes,
descriptions, and prices-accessed when posting charges
Telecom - Electronic claims parameters
Transported From / To
- User defined transport locations to reduce typing for addresses
User - Password and disk drive for backup/restore
Invoice - Most system activity
revolves around the invoice screen which includes these and other functions:
Adding a new invoice
(run sheet)
Add a memo to an invoice
Contracts - Nursing
Homes, Hospices, HMOs, Hospitals, etc.
Display an invoice data
Display invoices
with charges not posted
Display in chronological
order complete transactions of all trips for one patient
Edit (change) an invoice
data
Find an invoice/account
Posting Charges
Post Payments
Add Payments
The Medicare
EOMB
Post Medicare
Payments-including Contractual Writeoffs
Post Medicare
Rejections
Medicare Crossovers
Edit (Change)
Payments
Delete Payments
Mark Payments
for Corrections-Reversing Entries/Not to file with Claims
Print account detail
report - sometimes used to send a collection agency
Quick access of data
for telephone inquiries
Special State-Dependent
Fields-HCPCS Modifiers, Medicare, Medicaid
Patient Database
Add/Edit/Delete Patients from the patient
and invoice data entry screens
Attach Memo to patient
record
Find (Search) for patients
Nursing Home, HMO, Hospice,
etc. Contracts
Paycode 7 Database
Private Pay- Monthly Database Screens and descriptions
Paycodes
3-5-6 Databases
Auto / Primary / Secondary Insurance Database Screens and descriptions
Doctor Database
Employer Database
Insurance Company Database
Adding Insurance Companies
Specifying MEDIGAP companies
Searching and Locating Insurance Companies
Subscription Database
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Electronic Claims |
Setting Up Transmission Parameters
Transmitting Claims to Medicare
Transmitting Claims to Medicaid
Receiving Electronic Audit Trails
WINDOWS EMSClaims
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Entering Run Sheets |
Add a new run sheet
Sample Run Sheet
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File Maintenance-Database
Corruption |
Reindex Data Files
Validate Data files
And More
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Medicaid |
Medicare HCFA List -- allowed
charges-In use by Medicaid-some states, but not all
How your Charge (Supplies) Screen determine
charges that will be billed
Medicaid Contractual Writeoffs
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Medicare |
How rates (Medicare Allowed Amounts) are
determined
State-Specific Prevailing Fee Screens (Ambulance
reimbursement rates)
How your Charge (Supplies) Screen determine
charges that will be billed
Posting Medicare Payments and Writeoffs
MEDIGAP Secondary Insurance Payor to Medicare
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Multiple Companies are
Supported |
32 Independent Companies/Databases
are supported
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NON-Emergency Transports |
Diagnosis Coding Philopophy
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Payments |
Posting
Payments and Writeoffs
Posting corrections
to payments posted in previous accounting periods
Marking payments/adjusting
entries not to file on claims
Printing statistical reports
on payments posted
Refunds
Establishing Monthly
Payments |
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Program |
Installation
Starting
Exiting
Updating
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Reports |
See PRINT/Reports Menu
See PRINT/Files Menu -- print database files
Accounts Receivable/Payment Pending
Aged
by 3 selectable aging periods
Aged
by payor type
List
by selected payor type in chronological order by service date
Operations
Report -- summary of operations including A/R
Overpaid accounts for refunds
Balance posted payments with bank deposits
Collection Reports
One
report per invoice--all details for collection agency
Invoices
transferred to collections status this month
Extraction
-- list printed after extracting for collection letters
Patient
list -- patients on collection status
Payments
Operations
Report -- summary of operations including payments and writeoffs
Payments
and writeoffs by date with payor types identified
Payments by payor
type -- summary this month, YTD, and last year
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Run Sheets |
A Sample Run Sheet
With statement for patient to sign
Entering Run Sheets (Invoices)
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Statements |
Statements to print after posting
Insurance/Medicare Payments
Payment receipt
Mid-month past due statements
Monthly statements
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Transport Locations |
Setting up your From/To File
HCPCS Modifiers for locations/facilities
Statistical reports on transport locations
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Windows |
EMS icon on the desktop
Running multiple copies of the program
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