GeniusDoc simplifies patient registration by providing information in real-time through the automation of patient eligibility and benefits verification tasks. GeniusDoc allows the user to:
Determine Patient's Eligibility for a Service
Determine Exact Co-Pay and Remaining Deductible
Prior to Delivery of Services
Track Patient Benefit and Insurance Coverage Breakdowns
Track Policy-Wide or Particular Charge Levels to Ensure an Accurate Representation of Payment Responsibility
Set Reimbursement Expectations Accurately
Minimize Claim Denials
Optimize Cash Flow
Managed Care Authorization Tracking
GeniusDoc simplifies the tracking process of authorizations granted by managed care plans with critical functionality for your front office
Eligibility Verification
Electronically Validates Patient's Eligibility and Pre Authorization Status
Maintains Eligibility
By Plan
By Patient
Maintains Fees, Contractuals, Co Payment
By Plan
By Patient
By Facility
Maintains Capitation
By Plan
By Patient
Maintains Pre Authorization
Stop Loss Limits
Visits Limits
Dollar Limits
Referral Management
In / Out Referral Tracking
Automatic Generation of Referral Numbers
Provides Alert Messages for
Referral Information
Services
Number of Authorized Visits
Related Information
Automatic Creation of Charges
From the Referral Screen
Automatic Write Off of Contractuals
Electronic Submission of Encounters and Claims
Referral Request to HMO / PPO for Approval
Referral Authorization Sent to Specialist
Capitation Management
Produces Report of All Eligible Capitated Patients
Automatic Creation of Capitated Charges and Payments
Tracks Capitation
By Provider
By Facility
Automatic Calculation of Retroactive Charges and Adjustment
Provides Alerts
Break Down Managed Care Related Activity
Before Visits are Exhausted
Tracks Payment
By Member Count
With Distribution Across Multiple Providers
Claims Adjudication
Seamless Transfer of Authorized Referrals from Managed Care to Claims Adjudication
Re-Price Claims Received from Referring Provider
Submit Claims to Insurance Plan for Services Rendered by Referring Provider
Post Payment Received
From Insurance Plan with Automatic Transfer to Claims Adjudication
Print EOB's and Checks for Referring Provider
Reporting
Break Down Managed Care Related Activity
By Specific Providers
By Plans
By Patients
By Various Levels
Encounter History Reports
Referral Tracking Reports
Inpatient Tracking Reports
Productivity Analysis Reports
Claims Adjudication Reports
Patient Facility Tracking
GeniusDoc ensures the smooth movement of patient visits as they occur, eliminating lengthy patient wait times. GeniusDoc allows the physicians and staff to move and track patients while monitoring the length of time that patients spend at each point of their visit:
Track Appointment Workflow
Manage Bottlenecks and Inefficiencies Due to Staffing Issues or Visit Types
Based on
Check In
Treatment
Check Out Time
Visual Cues Highlights Longer Wait Times
Maximize Workflow Productivity
Patient Recall Functionality
Realizing that quality patient care extends beyond the patient visit, GeniusDoc helps physicians keep track of necessary health maintenance for their patients. GeniusDoc enables physicians to:
Create Multiple Patient Recalls
Based on Desired Intervals or Required Tasks
Follow Up Encounter
Lab Testing
Vaccination
Other Procedures
Set Alerts and Reminders for:
Past Due Labs
Consultations
Immunizations
Analysis for Patients on Specific Rx, Dx and Procedures
Ensure Important Follow Ups Are Not Missed
Optimize Patient Care with Quick Review of Recalls
