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Patient Master File
Allows virtually unlimited number of insurance carriers and subscribers for each patient.
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.
Account Balance and Due From Patient shown at bottom of screen.
Comments line that shows in charges, payments, and appointments.
Class Code to designate financial class for statements and aged trial balance.
Family Billing
"On the fly" lookup and maintenance of codes without leaving the program.
User defined or computer generated account numbers.
User defined messages appear on all screens, optionally flashing.
Patient registration form prints all patient information.
Zip Code File stores City, State and Area Code for Rapid Data Entry
Social Security Number Check prevents Entry of Duplicate Accounts
Mailing labels and chart / folder labels
 
 
Charges

"On the fly" lookup and maintenance of codes for procedures, diagnoses, referring doctors, etc., without exiting the program

Automatically calculates co payments
Shows co payment for HMO’s (ie 5.00 per visit)
Uses multiple fee schedules
Referring doctor required for certain procedures
Prior authorization required for certain procedures
Checks for follow up days from previous procedures and shows warnings when appropriate
Allows procedure codes to be linked to required diagnosis codes to avoid rejections
Prompts for highest level of diagnosis specificity
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.)
Shows Account Balance and Due From Patient at bottom of screen
Pop-up Calculator
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
Standard charge may be overridden for "sliding scale"
Batch numbers may be assigned to individual users for easy identification of charges
Comments may be attached to payments
 
 
Billing
Electronic Billing of Medicare Blue Cross/Blue Shield Claims through National Standard Format or HIPAA Compliant ANSI X12N 837 format
Electronic Billing or Commercial Insurance Claims through National Standard Format or ANSI X12N 837 Format
Electronic Billing of Medicaid Claims through National Standard Format or HIPAA Compliant ANSI X12N 837 format
Optional Electronic Remittance (NSF or ANSI X12N 835) Automatically Posts Medicare Reimbursements
Statements on Plain Paper in Numerous Formats
Dunning Letters
Collections module
May be printed individually from pop-up on demand, or in batch mode
Prints on plain paper, eliminating the need for preprinted forms
May be printed in summary, balance forward, or detail mode
Allows user defined message
Includes tax ID, provider number, CPT and ICD codes
May be printed by Class Code
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
 
 
Payments and Adjustments
Allows lines to be paid in bulk by selecting lines at random or blocks of adjacent lines for high speed posting
Uses multiple fee schedules for billed and allowed amounts
Allows payments to be computed by percent or typed directly in
Comments or free text may be attached to each payment/adjustment
Payment codes may be looked up and maintained "on the fly" without exiting the program
Pop-up calculator
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
Batch numbers may be assigned to individual users for easy identification of payments and adjustments
Account balances are broken down by insurance carrier
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
 
 
Appointment Scheduling
Day at a glance, Week at a glance and Multi-Column/Doctor Views
Multi-Column view shows separate column for each doctor
Allows entry of appointments for patients who do not have existing accounts (new patients)
Pop-up calendar
Quick movement in days, weeks, and months increments
Individual schedules and increments for each doctor or all doctors
Quick lookup of appointments by patient
Search for next available appointment
Checks for follow up days from previous procedures and shows warnings when appropriate
Tracks no-shows and cancellations
Block out times when doctors are not available, showing reason
Prints detailed appointment list including patient phone number and account balance
Allows superbills to be printed from the appointment schedule
Shows patient home and work telephone numbers for easy reminders of upcoming appointments
Stores two lines of comments/description
Shows when a referral is needed and allows entry/display thereof
Allows entry of recalls
Prints Recall postcards or labels for recall postcards
Prints Appointment Reminder postcards or labels for Appointment Reminder postcards
 
 
Display Transactions (Patient Ledger)
Screen format allows increased visibility of payments and adjustments
Abbreviated Summary Mode shows charges only (including balance)
Detail Mode shows all payments and adjustments
Treatment Mode show Narrative Descriptions of Diagnoses and Procedures
Pop-up windows show even more details about transactions
Instant account balance and due from patient
Allows corrections to be made to charges, payments and adjustments for re submission from pop-up window
Allows comments for payments and adjustments to be displayed and/or entered or changed
Patient ledger may be printed in summary or detail mode
Descriptions for payment codes shown on screen for enhanced readability
Shows and allows editing of prior authorization numbers, referring doctor, diagnosis codes and more
May be popped up from patients, charges, or payments screens or from the menu
May be printed or displayed
 
 
Reports
Comprehensive day sheet may be printed by batch number, includes totals by doctor, batch number, and payment/adjustment code, shows voided transactions
Aged trial balance may be printed in various degrees of detail, and may be printed by Class Code
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
Extensive practice analysis module shows cross section of practice in many modes (ie by procedure, referring doctor, location, department, and more)
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
 
 
Additional Features
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
Electronic Mail
Referral and Capitation Handling for Managed Care
User friendly, intuitive, and attractive screens
Available HL-7 interface/bridge with Lab Corp and Quest Diagnostics
Abundant prompts and instructions on the bottom line of all screens
Pop-up windows and rolling bar selection screens
Pull down menus
Multi-user / Multi-tasking operation
Patient letters module includes editor and inserts patient information into letters
Data base files using standard, ODBC Compliant "X-Base" indices for rapid data retrieval
All data files may be easily exported to ASCII text files for easy migration to other programs
Electronic telephone/address file prints labels and lists and allows rapid lookup by name or specialty
Referring doctors may be quickly looked up by name, code, or specialty
Integrated pop-up calendar and calculator
Multiple fee schedules for insurance carriers
Automatic control of printers for standard and compressed print
Statements and superbills may be printed with shading and boxes on laser printer
Postcards and letters may be automatically printed in alternate languages
Menus may be customized to allow different levels of access by user ID
Detailed, information and well written manual
Prompt, courteous, and competent application software support via telephone and modem
24 Hour hot line for emergencies
. . . and much, much more!
 
X-Med® Medical Information Systems
     

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