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Billing is fully integrated with the rest of MDoffice and uses validation rules 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. Also see Payment Management.

Claim Drawer
Click to view the Claim DrawerThe Claim Drawer allows you to quickly find, view and select complete details of any claim with interactive browsing. The Claim Drawer displays a scrolling list of any existing claim records for all patients along with other information needed for finding any claim quickly. Whenever you create claims, they're automatically displayed and organized in the Claim Drawer along with filtered queries so it can be quickly found. Instant access to your claim and billing data makes posting payments and accounts receivable much easier to manage and control.

Claim Services
Click to view the Claim ServicesThe Claim Services tab is where you enter multiple CPT procedures and charge details for services rendered on a line-item basis -- one line for each procedure performed. Referring physicians, referrals and authorizations can be easily assigned to claims. Once all procedure transactions for a visit have been entered, it's easy to highlight, edit, delete, or even add additional charges to a claim helping ensure that all necessary paperwork is completed. On-line treatment and diagnosis code tables along with easy to setup validation rules reduce denials and optimize reimbursements.

Claim Case
Click to view the Claim CaseThe Claim Case tab holds additional data required to create insurance claims and tracks a patient's complete episode of care for a specified case until the medical problem is resolved. This allows you to group charges for specific ailments and conditions together within a patients account. This is where any additional documentation required to create a HCFA insurance claim form is entered. This case specific information can be entered either during or after the posting of charges for a patient on a per-claim basis. A case describes a major problem or ailment that a patient could have, both current and recurring.

Claim Notes
Click to view the Claim NotesThe Claim Notes tab organizes notes and comments for billing and payment accounting. It serves as a convenient place to store different types of specific billing and reimbursement notes and reminders on a per-claim basis. It can show any internal comments to help in tracking each claim, whether it's for charges, payments or adjustments. Claim notes can be used to more fully describe and document a claim's transactions and to automatically track and document procedure and diagnoses coding tasks.

Claim Ledger
Click to view the Claim LedgerThe Claim Ledger tab displays a detailed spreadsheet ledger view of all billing and financial transactions created for a claim (procedure charges, payments, writeoffs and adjustments). Patient, insurance and claim balances are always current, aged -- totals are recalculated as soon as charges or payments are posted. At a glance, view dates of service and line item payments within claims and easily keep track of patient copays. It represents a complete, organized audit trail of how payments where allocated to patient charges, showing exactly how each payment was disbursed.

Claim Ticklers
Click to view the Claim TicklersThe Claim Ticklers tab shows the status of all tasks related to each claim and also shows the major billing events that happen in the life of each claim. It shows the claim's reimbursement progression and tracks transfers of responsibilities until fully paid or written off -- when a claim was created, when it was billed, and to whom. This includes all rebilling, rejections or denials, until the claim is finally paid, transferred to the patient, or written off in full. Complete billing history also track when, how and to whom insurance claims and statements are sent.

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