Management through Information Home Health Care
An ideal solution for home health aide agencies that provide Medicaid reimbursed services and are submitting claims via HCFA 1500 or clearinghouses.
A
software package that has all the features needed to easily prepare, submit claims
and track their payment. From original claims to resubmits and adjustments HALO's
Electronic Medicaid Billing does it all.
You may record all services
provided to all clients. You can only bill Medicaid BUT you can get the reporting
you need to bill your non-medicaid services PLUS many of the reports needed to
manage your business.
Features
- Record and report on services - both visits and nursing assessments
- Supports entry and reporting of both Medicaid and non-Medicaid services
- Once all services are entered, you can create compliant 1500 professional claim files within minutes
- Supports claim adjustments and voids
- Full Accounts Receivable Tracking functionality
- Import and process of Electronic Remittance Advices (optional)
- Invoicing non-Medicaid payers (optional)
Benefits
- Reduced claim submission efforts
- Improved cash flow
- Eliminate clearinghouse charges
- Improved control on receivables
- Improved control on denials
Costs
Medicaid Electronic Billing quickly pays itself with reduced costs and since it is a one-time charge it dramatically limits the increase of operational costs that are typically experienced as your business expands.
This one time cost is usually offset by the one-time cash flow improvement and, in most cases, is paid back by reduced costs of claim submission and elimination of clearinghouse charges.
Overview
Client - Client information is simply entered or updated as needed. All information is entered once and reused each time you submit a claim for services and is available for analytical reporting.
Aide Visit Master Plan - To reduce the clerical efforts required to record attendance, the general visit schedule is stored, e.g. the client will receive visits each Monday, Wednesday and Friday and Medicaid pays for the first two days and the third day is paid by the client. This information is later used during the verification process.
Verification Of Services - A easy-to-use screen allows you to verify planned services against aide time sheets by a simple mouse click. Also, It allows for the changes and additions to the planned services. Once verification is completed visit reports can be printed for final review.
Medicaid
Billing - The process requires only a few steps. This simple-to-use process
involves a quick review of the completeness and accuracy of service information.
A "Check for Data Problems" feature assures that the information required
for Medicaid exists and complies with Medicaid rules. Once the data is accurate
a simple click of a few buttons results in the creation of the claims file which
is ready for transmission to Medicaid. In addition:
• A billing report
is displayed for printing
• Accounts Receivable records are created
• General Ledger transactions are created for later printing and posting
to your Financial Reporting system
Accounts Receivables may be tracked within HALO. The function includes the typical features of most Accounts Receivable packages including: Cash Receipts and Aging Reports, Credit Memos and revenue write-off.
Rates, Procedure Codes, etc. - This information is pre-loaded in HALO. You have the ability to add new payer programs, update rates as they change. It is not necessary to be concerned with entering the proper rate and procedure information when you bill. HALO uses this stored information to automatically determine the coding needed for each billed service.
Reports
Several types of reports are available. Among them are: Verified services by Aide,
Client and Payer, Open Receivable, Invoiced Claims, and Client lists.
Additionally, with minimal training and, if needed, with assistance from our support staff, you can create your own customized reporting to meet any unique needs.