Effortless Claims Management: Streamlined, Swift, and Error-Free
Seamless Claims Processing Made Easy with eMed's Time-Saving Solutions
Streamline Your Medical Billing Process with eMed's Automated Claim Submissions and Real-Time Verification
Providing a seamless and flexible claims process that allows you to create and submit as many claims as you need, with no restrictions. Once you click to claim a bill, our software automatically routes it to the insurance payer. You’ll receive information about the insurance status of your claim within an hour, allowing you to quickly identify any issues and take appropriate action.
We have simplified the process while saving you valuable time, with eMed you can print manual claim forms directly onto a CMS-1500 form, without the need for manual typing. This also helps to ensure that your claims are accurate and complete. Search options and sort claims Â
segmented by insurance, date range, and status, making it easy to manage and track your claims.
3-Step Submissions
1. Benefit Verification
By instantly verifying insurance coverage and benefit information at the time of patient registration, you can ensure that the services provided are covered.
2. Coding & Billing
Once charge capture is complete, you're ready to convert the charges. When done, our system generates a claim form that includes the coded services and their corresponding charges.
3. Ready, Set, Submit
It's that easy. Submit claim forms electronically to the appropriate payer(s) using standardized electronic formats, such as HIPAA 837 files or web portals.
eMedPractice has a powerful clearinghouse that refines the claims process and ensures real-time routing to payers. Our RCM module automatically posts any Explanation of Benefits (EOBs) to your claimed bills, saving you time and effort. You won’t have to deal with file uploads or downloads, and you won’t pay any clearinghouse fees. Instead, you can benefit from the convenience of instant insurance verification and automatic EOB postings.
In addition, our system makes sending patient statements easier with multiple delivery options, such as emailing or adding them to the patient portal. This means that you can communicate with your patients in a way that works best for them, without any extra effort on your part.
Billing Rule Engine
One of the biggest challenges in medical billing is the risk of denials. Rejected or denied claims can cause a significant loss of revenue for your practice, as well as frustrating reimbursement delays. Understanding the importance of preventing errors before they occur cannot be over emphasized when it comes to medical claim processing.
To avoid the inconvenience of claim denials, it is crucial to set up rules that are specific to each payer and plan. Our system offers a fast and reliable solution, in minutes you can add presets to establish rules unique to each payer and plan. By doing so, the system can automatically flag errors that may result in claim denials.
These errors most commonly include invalid ICD codes, incorrect CPT combinations, or discrepancies in age, gender, and service location combinations with CPT. Any missing information or inconsistent data is also flagged for correction.
Contract Pricing
At eMedPractice, we make payer contract pricing easy and accurate. Once you’ve established pricing with a payer, our system automatically sends the specified charge amount to the payer with your claim. When the Explanation of Benefits (EOB) is posted, we validate that the allowed amount matches the contract price that you set up. Our system will notify you and forward claims to the denial queue for further review if the contract price exceeds the permitted amount. This ensures that you are aware of any discrepancies and have the opportunity to resolve them quickly, resulting in smoother payments and less administrative burden.
Streamlined Medical Billing
eMedPractice’s RCM module is comprehensive and packed with a range of features. Our medical billing software simplifies the process by allowing you to quickly enter charges, verify coding, and submit electronic or manual insurance claims on CMS-1500 forms. You can also send patient statements, post payments, generate reports, manage denials and accept e-payments.
Speed up Submissions
eMed can automatically generate and submit claims to insurance companies electronically, which is faster and more efficient than submitting paper claims. This can reduce the time it takes to submit a claim and can help providers get paid faster.
Instantly verify patient insurance eligibility in real-time, which can help providers avoid submitting claims for patients who are not covered by insurance or who have lapsed coverage. This can reduce claim denials and increase the likelihood of timely reimbursement.
Real-time claim status alerts allow healthcare providers to receive updates on the status of their claims in real-time. This means that providers can quickly identify any issues or delays in the processing of their claims, and take appropriate action to address them.
Our system automatically posts payments received from insurance companies, which reduces the time and effort required to manually post payments and reconcile accounts.
Having the seamless exchange of patient data between the EHR and RCM, ensures that the billing process is aligned with the care provided to patients. For example, our billing system automatically captures relevant patient information, such as diagnosis codes and procedure codes, from the EHR, eliminating the need for manual documentation and reducing the risk of coding errors. This can improve coordination of care, ensure accurate billing, and optimize reimbursement.
