Electronic Claims Processing |
Put all the pieces of the revenue cycle management puzzle together. The complexity of medical billing in today’s environment requires a fast, functional, and adaptable practice management system. Integrated with the front and middle office functions, GeniusDoc assists with all aspects of the medical billing cycle.
GeniusDoc automates revenue generation processes once final scrubbing is performed. |
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For Key Revenue Generation Processes |
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Eligibility |
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Claims Submissions |
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Electronic Remittance with Clearinghouse and Payers |
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Customized Patient Statements |
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Reporting |
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Simplifies Claims Submissions |
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Validates All Claims Before Submission to a Clearinghouse |
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Check Claims Status from Unsettled Claims |
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Monitor Payer Performance |
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Electronic Remittance Advice with Automatic Posting of Payments |
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Insurance Tracers |
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Automatic Resubmission of All Insurance Claims Not Paid Within User-Defined Timeframe |
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Benefits |
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Faster Revenue Collection |
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Manage and Minimize Denials |
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Analyze the Efficiency of the Entire Cycle |
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HL-7 Interface with Leading Laboratories |
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Utilizes Business Intelligence |
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Warn Users of Errors Before Claims Submission |
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Reduces the Time and Cost of Re-Filing Claims |
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Lowers the Number of Days in Accounts Receivable |
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Process Primary and Secondary Claims Via |
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Electronic Payment Posting |
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Supports Tracking Logic with High Numbers of Diagnoses Codes or Service Codes Via |
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Manual Payment Posting |
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Supports Multiple Pages for Paper Claims |
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Processes Secondary Insurance Claims |
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Working with Gateway EDI technology, GeniusDoc Manages supplemental policies |
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Helps Providers Recoup Ignored & Lost Claims |
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Supports Claim Splitting |
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Communicate with Gateway Clearinghouse and Variety of Health Plans |
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Automatic Appeals of Denied Claims |
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Flags Denied Claims |
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Streamlines Appeals with Few Clicks |
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Provides Notifications When Payments Do Not Match Contracted Rates |
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Maintains Complete Filing History |
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Maintained for Every Batch and Every Claim |
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Allows Better Tracking of Aged Receivables |
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Generate HIPAA Compliant 837 Transactions (Electronic Claims) |
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Within Application Without a Third Party Data Translator Tool |
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Using the Maintains Complete Filing History |
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Maintained for Every Batch and Every Claim |
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Electronic Remittance Advice |
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Supports Manual and Electronic Payment Posting |
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Accepts Industry Standard X12 835 Files |
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Allows Users To: |
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Electronically Receive Payments |
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Distribute Payments and Adjustments to Ledgers from Payers |
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Electronic Insurance Payments with Line Item Posting |
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Enables an Electronic Explanation of Benefits (EOB) System |
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Ensures Correct Matching and Reconciling of Transactions |
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Ensures Extensive Support for Bundling and Unbundling of |
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Services |
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Provider-Level Adjustments |
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MOA Codes |
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Interests |
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Taxes |
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Tracks Adjustment Codes and Payment Levels |
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Provides a Detailed Analysis of |
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Payer Reimbursements |
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Necessary Fee Schedule Adjustments |
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Allows Transactions to be Imported In Seconds |
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Gives Staff Flexibility To Reconcile and Edit Incoming Data As Necessary |
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Reduces Data Entry |
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Reduces Errors |
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Expedites Secondary Insurance and Patient Billing |
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Easy to Use |
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| Electronic Fund Transfer |
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Automatic Reconciliation of Electronic Payments with Electronic Funds |
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Tracks Electronic Deposits to Banks |
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Alerts to Mismatches between ERA Advice to EFT Amounts |
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