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| Patient Master File |
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Allows virtually unlimited number of insurance carriers
and subscribers for each patient. |
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Allows "Pop-up" functions such as print insurance
form, statement, encounter ticket, patient registration form, and labels, display
transactions, enter recalls, medical records and patient notes, and more without
ever leaving the program. |
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Account Balance and Due From Patient shown at bottom of screen. |
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Comments line that shows in charges, payments, and appointments. |
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Class Code to designate financial class for statements and
aged trial balance. |
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Family Billing |
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"On the fly" lookup and maintenance of codes without
leaving the program. |
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User defined or computer generated account numbers. |
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User defined messages appear on all screens, optionally flashing. |
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Patient registration form prints all patient information. |
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Zip Code File stores City, State and Area Code for Rapid Data
Entry |
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Social Security Number Check prevents Entry of Duplicate Accounts |
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Mailing labels and chart / folder labels |
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| Charges |
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"On the fly" lookup and maintenance
of codes for procedures, diagnoses, referring doctors, etc., without exiting
the program |
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Automatically calculates co payments |
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Shows co payment for HMO’s (ie 5.00 per visit) |
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Uses multiple fee schedules |
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Referring doctor required for certain procedures |
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Prior authorization required for certain procedures |
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Checks for follow up days from previous procedures and shows
warnings when appropriate |
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Allows procedure codes to be linked to required diagnosis
codes to avoid rejections |
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Prompts for highest level of diagnosis specificity |
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Intuitively prompts for additional information required for
certain procedures (ie: on nail debridements prompts for oral or topical fungal
therapy, ambulatory or nonabulatory patient, dates of cataract surgery for cataract
glasses, etc.) |
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Shows Account Balance and Due From Patient at bottom of screen |
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Pop-up Calculator |
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Allows "Pop-up" functions such as print insurance
form, statement, encounter ticket, patient registration form, and labels, display
transactions, enter recalls, medical records and patient notes, and more without
ever leaving the program |
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Standard charge may be overridden for "sliding scale" |
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Batch numbers may be assigned to individual users for easy
identification of charges |
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Comments may be attached to payments |
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| Billing |
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Electronic Billing of Medicare Blue Cross/Blue Shield Claims
through National Standard Format or HIPAA Compliant ANSI X12N 837 format |
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Electronic Billing or Commercial Insurance Claims through National
Standard Format or ANSI X12N 837 Format |
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Electronic Billing of Medicaid Claims through National Standard
Format or HIPAA Compliant ANSI X12N 837 format |
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Optional Electronic Remittance (NSF or ANSI X12N 835) Automatically
Posts Medicare Reimbursements |
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Statements on Plain Paper in Numerous Formats |
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Dunning Letters |
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Collections module |
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May be printed individually from pop-up on demand, or in batch
mode |
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Prints on plain paper, eliminating the need for preprinted forms |
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May be printed in summary, balance forward, or detail mode |
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Allows user defined message |
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Includes tax ID, provider number, CPT and ICD codes |
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May be printed by Class Code |
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Family billing statements combine members of family or group
onto a single statement. This feature may be used for corporate or contract billing
as well |
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| Payments and Adjustments |
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Allows lines to be paid in bulk by selecting lines at random or blocks of adjacent
lines for high speed posting |
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Uses multiple fee schedules for billed and allowed amounts |
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Allows payments to be computed by percent or typed directly in |
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Comments or free text may be attached to each payment/adjustment |
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Payment codes may be looked up and maintained "on the fly" without exiting
the program |
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Pop-up calculator |
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Allows "Pop-up" functions such as print insurance form, statement, encounter
ticket, patient registration form, and labels, display transactions, enter recalls,
medical records and patient notes, and more without ever leaving the program |
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Batch numbers may be assigned to individual users for easy identification of payments
and adjustments |
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Account balances are broken down by insurance carrier |
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Easy entry of free standing payments (unapplied cash), credit adjustments, debit
adjustments, and refunds as well as easy application of unapplied cash or credit adjustments
to existing line items or debit adjustments without erroneously inflating revenue |
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| Appointment Scheduling |
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Day at a glance, Week at a glance and Multi-Column/Doctor Views |
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Multi-Column view shows separate column for each doctor |
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Allows entry of appointments for patients who do not have existing
accounts (new patients) |
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Pop-up calendar |
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Quick movement in days, weeks, and months increments |
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Individual schedules and increments for each doctor or all doctors |
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Quick lookup of appointments by patient |
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Search for next available appointment |
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Checks for follow up days from previous procedures and shows
warnings when appropriate |
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Tracks no-shows and cancellations |
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Block out times when doctors are not available, showing reason |
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Prints detailed appointment list including patient phone number
and account balance |
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Allows superbills to be printed from the appointment schedule |
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Shows patient home and work telephone numbers for easy reminders
of upcoming appointments |
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Stores two lines of comments/description |
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Shows when a referral is needed and allows entry/display thereof |
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Allows entry of recalls |
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Prints Recall postcards or labels for recall postcards |
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Prints Appointment Reminder postcards or labels for Appointment
Reminder postcards |
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| Display Transactions (Patient Ledger) |
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Screen format allows increased visibility of payments and adjustments |
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Abbreviated Summary Mode shows charges only (including balance) |
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Detail Mode shows all payments and adjustments |
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Treatment Mode show Narrative Descriptions of Diagnoses and
Procedures |
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Pop-up windows show even more details about transactions |
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Instant account balance and due from patient |
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Allows corrections to be made to charges, payments and adjustments
for re submission from pop-up window |
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Allows comments for payments and adjustments to be displayed
and/or entered or changed |
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Patient ledger may be printed in summary or detail mode |
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Descriptions for payment codes shown on screen for enhanced
readability |
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Shows and allows editing of prior authorization numbers, referring
doctor, diagnosis codes and more |
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May be popped up from patients, charges, or payments screens
or from the menu |
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May be printed or displayed |
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| Reports |
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Comprehensive day sheet may be printed by batch number, includes
totals by doctor, batch number, and payment/adjustment code, shows voided transactions |
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Aged trial balance may be printed in various degrees of detail,
and may be printed by Class Code |
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Aged outstanding claims report by insurance carrier may be printed
in detail or summary mode, shows percentages of A/R, allows aging option and allows
selection of minimum / maximum age to show |
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Extensive practice analysis module shows cross section of practice
in many modes (ie by procedure, referring doctor, location, department, and more) |
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Comprehensive Report Writer uses English interface to produce
unlimited user defined reports, utilizes keyed data structure for speed and efficiency,
Report Writer allows queuing of labels or letters as a result of searches, or export
of information to ASCII file for text merge or import into external data base |
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| Additional Features |
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Data Base File Structure gives all programs the ability to lookup patients by
Account Number, Patient Name, Insured Name, Patient Zip Code, Social Security Number,
Birthday, Home Phone Number, Insurance Carrier, Insured ID, Group Number, Family
Account Number, Date First Seen |
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Electronic Mail |
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Referral and Capitation Handling for Managed Care |
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User friendly, intuitive, and attractive screens |
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Available HL-7 interface/bridge with Lab Corp and Quest Diagnostics |
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Abundant prompts and instructions on the bottom line of all screens |
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Pop-up windows and rolling bar selection screens |
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Pull down menus |
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Multi-user / Multi-tasking operation |
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Patient letters module includes editor and inserts patient information into letters |
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Data base files using standard, ODBC Compliant "X-Base" indices for
rapid data retrieval |
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All data files may be easily exported to ASCII text files for easy migration to
other programs |
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Electronic telephone/address file prints labels and lists and allows rapid lookup
by name or specialty |
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Referring doctors may be quickly looked up by name, code, or specialty |
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Integrated pop-up calendar and calculator |
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Multiple fee schedules for insurance carriers |
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Automatic control of printers for standard and compressed print |
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Statements and superbills may be printed with shading and boxes on laser printer |
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Postcards and letters may be automatically printed in alternate languages |
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Menus may be customized to allow different levels of access by user ID |
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Detailed, information and well written manual |
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Prompt, courteous, and competent application software support via telephone and
modem |
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24 Hour hot line for emergencies |
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. . . and much, much more! |
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