Practice Management - Billing

Practice Expert Plus combines a powerful set of features with an easy to use design, helping you manage the specific needs of your practice and boost office efficiency.

Features

Insurance Paper Claims:
HCFA-1500
Medicaid on HCFA-1500
CHDP (PM 160)
HCFA-1450 (UB-92) and Tracer Forms
The 30-1 form (Pharmacy)
Treatment Authorization Request Forms (TARs)

Electronic Claims Submission, Remittance, Eligibility verification:   Medicader & DMERC (Regions A,B,C,D)

Medi-Cal Menu:
Medi-Cal Menu Type 1 (Pharmacy)
Medi-Cal Menu Type 2 (Long Term Care)
Medi-Cal Menu Type 3 (Inpatient)
Medi-Cal Menu Type 4 (Outpatient)
Medi-Cal Menu Type 5 (Medical)
Medi-Cal Menu Type 7 (Vision)
Medi-Cal Type 11 (CHDP)
Los Angeles County Mental Health Menu

Other Billing Features:

Electronic Payment Remittance
Electronic Eligibility Verification
ENVOY Clearing House
CPT/ICD-9 Codes Correlation
Unlimited number of user-defined Fee Schedules
Patient Statements, Receipts and Invoice
Calls Management/Collections
Capitation Accounts Management
Point of Sale Interface (Cash Register)
Worker's Comp, Industrial & Personal Injury
Comprehensive Reports
Managed Care Module
Bar Code Data Entry Option
Mailing Labels (Patients, Providers, Insurance Companies, etc.)
DME (Durable Medical Equipment)

Advanced Security
User defined Access Rights

Comprehensive Billing Module

Practice Expert covers all medical billing needs.  You can directly send claims to Medicare, Medi-cal and Blue Cross as well as using several pre configured Clearing Houses. 

In addition to the common billing, Practice Expert also includes complete Worker’s Comp, Industrial and Personal Injury, Medi-Cal CHDP, and DME (Durable Medical Equipment) modules.

 

Primary, Secondary and Tertiary insurance claims are sent electronically.

 

Payments can be posted manually or automatically using Electronic Remittance Advice (form 835).

Management Reports

Practice Experts’ extensive reports provides full control on short term and long term financial management of the practice. 

 

Related resources

 

Appointment Scheduling
Practice Management
EMR, Electronic Medical Records