Enhancement: Electronic Transaction Reporting
Medisoft® Version 17 (v17) includes four new reports to help you manage electronic transactions related to verifying your patients’ insurance eligibility and submitting claims to insurance providers.
The reports include:
- Appointment Eligibility Analysis – Detail
- Appointment Eligibility Analysis – Summary
- Electronic Claims Analysis – Detail
- Electronic Claims Analysis – Summary Each of these reports offers several filters for controlling the information that shows. In addition, several summary values appear on each report so that you can see the information at a glance.
Enhancement: Audit Reports
Medisoft v17 includes a feature that allows you to track the reporting and exporting of data when you generate audit reports. A new option on the Audit tab in Program Options allows you to turn this feature on or off. It is turned on by default. Certain reports or grids that are printed or saved to disk will be audited. Note: Previewed reports will not be audited.
The following types of information are included as part of the audit reports:
- Data grids
- Custom reports, including claims and statements
When printed from either Transaction Entry or Statement Management, but not the Report menu or Report Designer, the audit reports include.
- Medisoft reports
- Office Hours data
- Final Draft reports or data printed or saved to disk
- Internal reports
- Eligibility information
Enhancement: BillFlash Integration
BillFlash integration applies to the Medisoft Advanced and Network Professional programs.
Medisoft now uses BillFlash to print and mail patient statements. With Medisoft v17, you can enroll in BillFlash directly from within Medisoft, as well as upload your statement files directly from Medisoft automatically. You can view and approve statement uploads to BillFlash by clicking links from within Medisoft. For more information on BillFlash and to learn how to enroll, go to http://www.BillFlash.com.
Within Medisoft, you can control several aspects of what prints on your statements, including which credit cards you accept, service messages you want to print, printing of account summaries and aging, and printing up to six messages to appear on statements. For more information, go to the Program Options – BillFlash tab.
Options on the Activities, BillFlash menu allow you to enroll with BillFlash, view and approve statements that have uploaded to BillFlash, see your account settings at http://www.BillFlash.com, and view reports such as the Disposition report. Each one of these menu options will open a different page on the BillFlash website.
The following windows in Medisoft have quick access to the eView page of the BillFlash website via a new View eStatements button. (In addition, when a patient is selected and Ctrl + F7 is clicked, the eView page will open for any statements for that patient.)
- Patient List
- New/Edit Case
- Quick Ledger
- Guarantor Ledger
- Apply Payments (through Transaction Entry)
- Collection List/Tickler
- Edit Statements
- Deposit List
- Apply Payments
- Transaction Entry (note that Calculate Totals has been moved.)
HIPAA X12 Version 5010 (ANSI 5010)
The following are changes made to Medisoft v17 to accommodate the upcoming change from the Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12 version 4010A1 to ASC X12 version 5010 (referred to as ANSI 5010), as well as the National Council for Prescription Drug Programs (NCPDP) version 5.1 to NCPDP version D.0.5010. ANSI 5010 and NCPDP version D.0.5010 are new sets of standards that regulate the electronic transmission of specific healthcare transactions, including eligibility, claim status, referrals, claims and remittances. Covered entities, such as health plans, healthcare clearinghouses and healthcare providers, are required to conform to ANSI 5010 standards