MDoffice's billing, payment and accounting gives practices complete control over their billing, claims and accounts receivable. MDoffice handles the entire billing and payment cycle management -- from charge entry, to claim validations, to payment posting, to collections and follow-up, to receivables tracking. MDoffice can save time, improve collections, monitor patient accounts, and generate meaningful reports to better manage your practice.

Keeping track of the incredible diversity of insurance plans is no easy task. MDoffice helps you to simplify increasingly complex insurance requirements and stay on top of unpaid claims. Monitor and evaluate collection efforts for a single insurance company or group of companies -- by paper claims or electronic claims -- and for any date range. Or bill for family and corporate billing.

And with built-in electronic claims and electronic remittance, you can send and post your claims electronically. Go paperless by automatically billing for services and automatically posting payments. And MDoffice screens your transmissions for errors before you send so that you can make your corrections immediately.

Billing management.

Billing is fully integrated with the rest of MDoffice, allowing billing staff to capture data from patient demographics, scheduling and medical records and eliminate all duplicate data entry. Shortcut billing codes and electronic superbills speed data entry, minimize errors and reduce the chances of leaving out charges.

A robust built-in rules engine screens and validates all claims for missing or unacceptable data to reduce denials and maximize reimbursements. Patient and insurance responsibilities are calculated automatically and provide complete tracking of unpaid claims telling you when the claim was created, when it was last billed, how much was claimed, and which insurance company is responsible.

Payment management.

MDoffice's payment accounting is designed to help you improve both your day-to-day collections and cash flow. Insurance EOBs are entered once and are then posted to unpaid claims and charges along with any contractual writeoffs and adjustments. Your posting progress is kept track of to ensure you balance correctly. Warnings appear if a payment differs from the allowed amount. Secondary insurance claims are sent automatically.

Payment distributions are kept together so you can easily see each patient, claim and service line that it applied to. Each adjustment and denial reason is categorized and totaled for analysis and all detail is maintained until paid in full. Know instantly what hasn't been paid. Keep on top of outstanding claims the reimbursement tracking.

Increase collections with our "paperless" collections which tracks aged accounts receivable balances, generates dunning notices, and establishing payment arrangements. Simplify the collections management process with online work lists generated to prompt collectors through delinquent patient and insurance accounts and assign status codes to each account as progress is made.

Managed care management

MDoffice offers a complete managed care billing and tracking system giving you the facts needed for successful negotiations with managed care organizations. MDoffice provides the information you need to analyze the cost and efficiency of your care, using the patient data you collect every day for billing and insurance purposes. MDoffice's managed care provides primary care physicians and specialists with the tools to take on full-risk responsibility within a capitated environment. It integrates seamlessly with scheduling, billing and collections. MDoffice effectively handles the day-to-day billing for managed care patients and help you assess your performance on managed care contracts

Referral Management
Contract Management
Capitation Management

Managed care features and benefits:

	Maintains fees, contractuals, copayments and capitation by plan and by provider.
	Manages referral processing and tracking.
	Provides profitability and utilization reports by plan and by procedure.
	Electronic submission of encounters and claims.
	Tracks and maintains Pre-Authorization information.
	Eligibility verification accessible from scheduling, patient data and billing.
	Tracks number of authorized visit and charges per visit.
	Handles all the writeoffs associated with reimbursement.
	Maintains fees, contractuals, copayments and capitation by plan and by provider.
	Manages referral processing and tracking.
	Provides profitability and utilization reports by plan and by procedure.
	Electronic submission of encounters and claims.
	Tracks and maintains Pre-Authorization information.
	Eligibility verification accessible from scheduling, patient data and billing.
	Tracks number of authorized visit and charges per visit
	Handles all the writeoffs associated with reimbursement.

Billing features and benefits:

	Monitor every billing and payment transaction with detailed patient and insurance accounting.
	Manage incoming and outgoing referrals and track visits used and visits left.
	Streamline bookkeeping with automatic and flexible open item billing and payment posting.
	Submit pre-validated claims electronically and automatically post remittance payments.
	Track and manage automatic capitation adjustments, contractual write-offs and transfers.
	Generate claims directly from visit encounters using point and click online superbills.
	Quickly define and use exploding treatment protocols for fast and accurate billing.
	Use unlimited fee schedules organized by plan, contract, procedure and provider.
	Post insurance payments and contractual adjustments into an EOB-like spreadsheet.
	Reduce insurance handling and denials by complying with contractual fees and rules.
	Automatic validations verify and crosscheck ICD and CPT code linking for accuracy.

Maximize reimbursements, minimize denials.

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