Medical Billing and Accounts Receivable

Medical Billing and Accounts Receivable

Claims Processing Capability

RenumerMed provides extensive claims processing capability including:

  • Process to clearinghouses, insurance carriers, Medicaid, Medicare, and Blue Cross / Blue Shield, etc.
  • Ability to submit and track the status of primary, secondary and tertiary claims
  • View and edit claims prior to submission
  • Built-in claim checker detects potentially faulty claims prior to submission
  • Claim files display patient co-pay amounts
  • Establish claim defaults on a patient-by-patient basis
  • Manage claim authorizations and insurance eligibility

Payment Options

Payments can be logged and received in a number of ways including:

  • Bill HCFA 1500 and UB92 claims
  • Multiple forms of payment posting into proper patient’s file, including automatic posting and manual entry
  • Post and track capitation payments by insurance carriers
  • Post single or batch payments
  • Track patient charges and remittance history

Automatic Billing Statements

Billing statements are issued automatically and provide for:

  • Generation of receivables summary and viewing of unpaid claims by doctor, patient, date, etc.
  • Generation of patient invoices and statements, individual or batch
  • Creation of EDI claim remittance notices based on carrier

Billing Process Customization

In addition to the pre-set functions above, RenumerMed provides for customization of billing processes through:

  • EDI modules for connectivity to a variety of payers and clearinghouses
  • Set parameters for moving unpaid visits into collections
  • The ability to create and edit an unlimited number of fee schedules
  • A unique interest charging window that provides the ability to post interest charges to existing claims
  • Establishment of criteria for recurring claim processing
  • Establishment of uniform charges for commonly used procedure codes
  • A special interface that provides connectivity to external accounting software packages, from Quickbooks and Peachtree to Oracle and SAP
  • Patient’s co-pay amount conveniently displayed in patient record