3rd Party Billing Offerings

Claims Management

OfficeEMR increases the accuracy of every claim you file, resulting in higher claim acceptance rates, increased productivity and improved cash flow. Managers and claims processors can drill down into the intuitive data screens perhaps starting at the payer level all the way down to a single procedure on a patients claim. All this without having to print reams and reams of paper. OfficeEMR tracks payer/provider relationship data, including payer background, type of contract, effective dates, fee arrangements, and utilization information. This wealth of information can greatly assist your practice as it analyzes contracts and renegotiates reimbursement arrangements.

Prior to submitting claims to payers, OfficeEMR has validated the patients data on file and processed several pre-edits—searching for errors or missing information and applying the required information, ensuring that all claims are accurate and complete. Edits are applied either on demand, during check-out or during the billing process. Claims are submitted to MedAvant, our clearing presently at no charge to you. Depending on the payer claim acceptance and/or denial can be reported electronically back to your staff.

The collections process is streamlined again and can all be accomplished on screen using the consistent drill down reporting capabilities throughout the application. Patient and insurance balances are displayed throughout and in the most appropriate locations.