Billing & Receivables

The Billing and Receivables Module is a valuable tool to document and enforce billing and reimbursement rules of care provided within a company.  Automated functions allow for timely entry, audit, reconciliation and closing of client accounts and accounting periods.  The many powerful features of this module will provide a company with valuable financial information for daily business functions.

Administrative Benefits:

• Track Accounts Receivable
• Produce financial reporting
• Use as a budgeting tool
• Provide information for integration to 3rd party general ledger system
• Track rate of reimbursement
• Facilitate financial auditing
• Standard online reports

Clinical Benefits:

• Withhold billing until completion of service progress notes

• Provide service information necessary for payor specific auditing

• Review benefits to maximize client care

• Review payor rules to maximize reimbursement

Reimbursement Benefits:

• Perform account review by:
  • Client financial assessment
  • Multiple sliding fee scale tracking
  • Current and historical insurance information
• Manage multiple billing formats:
  • Invoicing
  • Industry standard paper forms
  • Industry standard electronic formats
• Manage insurance billing rules:
  • CPT, revenue and payor specific bill coding
  • Multiple diagnoses formats including ICD-9 and DSM IV
  • Billing and expected payment rates
• Process electronic reimbursements received from payors
• Use automated account adjustments
• Process client statements
• Process statements to multiple locations
• Process 3rd party vendor statements:
  • Paper form
  • Electronic
• Track payor and client collection