Medical Software

• Better accuracy with quality control
  
  
• Decreased turnaround time for claim payment
  
  
• Cost-savings by saving time and money on paperwork and postage
  
  
• Our software can be fully and seamlessly integrated with your current management software
  
  
• Timely reports and claim status information
  
  
• Backed by unparalleled technical service and support

• Claims can be submitted only after they have been scanned by our on-line rules either directly to the Insurance Company (preferred) or thru a clearinghouse.
  
  
• Claims are submitted electronically to either the insurance company or clearinghouse.
  
  
• The medical billing system would check all claims daily, and immediate feedback is provided for any claims submission issues. This will allow the practice to correct any issues and resubmit the claim all within the same 24 hour period.
  
  
• When the system receives notification of payment and an EOB (Explanation of Benefits) notice, the information automatically will be recorded by the system. Additional complications such as captivated insurance contracts, deductibles, U&C adjustments, and secondary insurances must be easily handled.
  
  
• Adjustments to encounters, ICD9, CPT, insurance demographics, policy numbers, mis-posted payments are a fact of life and the system needs to provide a method to handle.
  
  
• Easily accessible encounter, patient and insurance information to handle any required edits. Full user-by-user security to control access to any function.
  
  
• Security of the data is a top priority. Security can be broken down into four main sections: Protection from data loss, protection from data corruption, confidentiality of data and back up copies.
  
  
• Protection from data loss - provides complete data protection by maintaining multiple redundant database servers at its primary location and a backup server at an off-site location. In addition, multiple data backups are performed during the course of each day, and backup tapes are rotated and stored off-site.
  
  
• Protection from data corruption - provides multiple safeguards against the accidental or intentional corruption of data. System requires a user-based login with password to access the program. In addition, each function of the program is accessible on a user-by-user basis. This allows the practice to finely tune access requirements for each employee.
  
  
• Confidentiality of data - uses the legendary security model of the MySQL database system as the backbone. In addition, all data transmitted to or from is encrypted using industry standard strong encryption.
  
  
• Protection of your investment - as a service MVI Solutions includes: free automated updates, and unlimited technical support. This will ensure that the investment will be supported, maintained, and updated as required. MVI Solutions experience in providing programs and services to over 300 applications ensures that the system will be secure. As new HIPPA requirements become law, MVI Solutions will use the automated update function to make sure the system is in compliance.

• User and Password Entrance.
  
  
• Medical Billing Claims permits submission of a NSF layout of the HCFA form from the visitor medical billing system over the Internet through a secure web site, and the site will confirm delivery and allow you to view the HCFA form online.
  
  
• File sent using encryption, file is secure and in compliance with HIPAA's standards.
  
  
• Logs and identifies all resubmission of rejected claims.
  
  
• Site identifies reasons for rejection.
  
  
• Transaction Summary shows how many claims were sent, rejected, etc.
  
  
• Tracks all submissions into the system, how many of those were electronic, manual, and how many rejections.
  
  
• Files Status lists files received, and displays their progress (working etc).
  
  
• Report will list rejections in order and error.
  
  
• Reports displays all sent files, status, rejected, paid or approved and resubmissions.

• Multiple password entrances, one for master admin and another for medical staff or form checkers.
  
  
• The reports section will permit the viewing of the number of transactions in the last number of hours, reports from what doctors, errors trying to upload files and by which doctor, batch all un-worked reports, provide a system to auto check HCFA 1500 forms for detectable errors, provide auto flagging of any errors determined, shows all forms on a HCFA view, provide download features that work with clearing house or in a ANSI format that is acceptable by Insurance companies.
  
  
• Insurance billing-The ultimate goal of any successful medical billing process is the accurate submission of insurance claims to obtain payment. The claims submission process may include the printing of the HCFA-1500 paper claim form or the electronic submission of claim information to a clearinghouse or the ultimate is electronic submission to the Insurance companies on x-12 secure connections. In either case, the information submitted must be complete and accurate.

• Increased access/efficiency
  No longer will you have to worry about thumbing through drawers full of paper records. With MVI Solutions's EMR, patient information is immediately accessible, which can save every doctor time by not having to wait for charts to be delivered.
  
  
• Security
  MediaVue's EMR can be configured to restrict access to certain areas of the medical record or to have multiple levels for office personnel that are restricted based on job function. Furthermore, our EMR will identify anyone who has accessed or added to the record.
  
  
• Improved Documentation
  Test and lab results, EKGs and X-rays can all be entered automatically into our EMR thus reducing the risk of data entry errors or missing the information altogether. Health maintenance prompts alert physicians and office staff to missing or required patient information that has not been completed. Never again will you have to worry about have incomplete notes.
  
  
• Quality of Care
  Our EMR can also be used to track patient follow-up activity, patient compliance, and patient progress.
  
  
• Increased Resources
  By switching to our EMR you will no longer have a need for those huge filing cabinets. Toss those cumbersome objects away and use the space for other needs, such as more exam rooms or to increase the size of your waiting room. Office staff time will no longer be utilized hunting down records and filing: multi-user access will allow staff to update patient records immediately.

• The Practice Management Software was designed to eliminate as many time consuming tasks as possible - increasing office productivity and providing a greater return on investment.
  
  
• Our practice management systems can integrate with numerous third-party software applications, such as QuickBooks and Microsoft Excel, with our optional MVI Solutions module.

• Automatically add or search many data fields with shortcut buttons.
• Change a patient's provider at any time while archiving the old information.
• Share data with other Windows-based applications.
• ICD-9, CPT, HCPCS and anesthesia codes are pre-installed.
• Save time-stamped notations about patients, billing issues and more.
• Set recall notices concerning patient-related issues, billing, scheduling and more.
• Quickly search for a variety of information, including patient data, payment postings and more.
• Multiple windows can be open simultaneously.
• Quickly access menu options using your mouse's right-click button.
• Systems are scalable to a wide-area network.
• Additional features can be included via customized programming.

• Multi-level security settings comply with HIPAA's security provisions.
• Attach patient and office documents in a variety of saved formats, including images, movie and audio files, and Microsoft Office files.
• Create and edit an unlimited number of fee schedules.
• Establish claim defaults on a patient-by-patient basis.
• Manage claim authorizations and insurance eligibility.
• Accommodates multiple users and providers.
• Multimedia patient files track demographic information and multiple insurance providers (primary, secondary & tertiary).
• Monitor how patients are referred to your office.
• Track patient charges and remittance history.

• Multiple forms of payment posting into proper patient's file, including automatic posting, payment register and manual entry.
• Submit and track the status of primary, secondary and tertiary claims.
• Generate patient invoices and statements.
• View and edit claims prior to submission.
• Generate summary of receivables and view unpaid claims by doctor, patient, date and more.
• Manage capitation payments from multiple carriers.
• Create EDI claim remittance notices based on carrier.
• Set parameters for moving unpaid visits into collections.
• Establish criteria for recurring claim processing.
• Bill HCFA 1500 and UB92 claims.
• Establish uniform charges for commonly used procedure codes.

• Schedule patients, physicians and resources, including equipment, exam rooms and specialty staff.
• Create and print customizable encounter forms for each patient.
• View schedules by day, week, month, year, and physicians.
• Schedule appointments based on visit type, rendering doctor and more.
• Receive appointment status notices, such as No Show, Waiting Room, and Checked Out.
• Identify appointments by assigning color code.
• Access patient information by clicking on appointment time.
• Search for next available appointment times.
• Schedule recurring appointments.

• Over 340 preloaded reports available.
• Report on billed HCFA 1500 and UB92 claims.
• Generate aging reports on past due accounts.
• Customize reports and sort information based on a variety of data options.
• Preview reports on-screen before printing.
• Generate patient ledgers by individual or multiple patients to review charges and payments.
• Create labels and form letters.

EMR Software System

Electronic Medical Billing Electronically Directly to the Payer

It is important to know that most commercial insurance companies do not accept Direct electronic submission. You, as the provider, need to contact each insurance company to ask if they accept Direct electronic submission and which electronic file format they require.

At the present time most insurance companies that do accept Direct electronic submission use the NSF 2.0, NSF 3.01 or ANSI 837 4010 file format. These are also the file formats most often used by Blue Cross/Blue Sheild and Medicare.

When submitting claims using any of these formats, additional fields (beyond the standard fields of the HCFA-1500) must also be filled out for each patient. It is important to note, each insurance company has their own specific required fields and codes that must be used. 

If a provider is submitting claims directly to an insurance company, the provider must contact the Payer's EDI Department to request the following information:

• Enrollment forms for billing electronically
• File Format and Specifications. IMPORTANT: This will determine which export format to use and list the required fields and codes. Ex: NSF 3.01, NSF 2.0 or ANSI 837
• File Transmission Instructions (Sometimes referred to as a Bulletin Board System or BBS)
• Payer EDI web site address if available. (Payer web sites usually provide many useful technical documents)

Once the provider is enrolled with the insurance company, the provider will need the following from each insurance company that will be receiving direct electronic claims. 

• LoginID or Username
• Password
• Submitter ID number
• Receiver ID number
• Payer ID number's
• Dial up or BBS Phone number.

MVI Solutions program provides the fields necessary for the data input of this information, we as a software company do not provide the individual codes and payer information required by each insurance company. You must contact each insurance company for their field and code requirements for electronic submission of claims. The process from signing up to certification may take anywhere from one to six weeks.

Again, it is our recommendation that a provider have clear knowledge of not simply billing, but electronic billing, before considering direct submission.

Direct Electronic Billing Using a NSF or ANSI Based Format

The optional Billing Module works with a large number of insurance companies. Below is a list of Export formats the Billing Module can generate. Most insurance companies use the NSF 2.0 or NSF 3.01 (both included with the Billing Module). Please contact the insurance company's EDI department to obtain their EDI specifications.

Billing Electronically using a Commercial Clearinghouse

What is a clearinghouse?

A commercial clearinghouse serves as a transaction processor between provider and payers (insurance companies) much like VISA or MasterCard handles transactions between a store and bank. A provider only has to establish one relationship with a clearinghouse instead of each insurance company. Most commercial clearinghouses use an electronic format called a "Print Image". 

Entering data for the Print Image format is a much simpler process than data entry for Direct submission, using the NSF or ANSI formats. A provider prepares a batch file and sends all of their claims to one location (the clearinghouse). The clearinghouse then sorts the claims and sends them on to the appropriate insurance company. The clearinghouse will provide the biller with instructions and any necessary software (may be a charge) for transmitting the batch file to the clearinghouse.

How much does a clearinghouse charge?

Commercial clearinghouses charge the provider for their services. Generally clearinghouses charge a start-up fee, a monthly flat fee and/or possibly a per claim transaction fee based on volume. Clearinghouses are always introducing new features and many now offer other services including eligibility inquiry, claim status and patient billing. Most will also mail claims to insurance companies that do not offer electronic billing options. It is best to shop around for the best pricing to meet your billing needs.

Why use a Clearinghouse?

If you submit claims to multiple insurance companies there are many advantages to using a clearinghouse:

• Simplified data entry
• Claims sent to one location
• No lengthy testing process
• One phone number for transmission questions
• One dial-up number for claim reports

How do I transmit the claims?

There are two options for transmitting claims to a clearinghouse:

Transmitting via Dial-Up
If a clearinghouse uses the dial-up method, you can use the built-in modem software EZTerminal, although some clearinghouses will provide you with software to handle the communications between your computer and theirs. Please note that there may be a charge for the clearinghouse software.

Transmitting via the Web
Using a web-based clearinghouse is similar to the dial-up option except that the claims are transmitted via the Web. This requires an Internet connection not generally included in the EDI pricing.

Billing Electronically using a Commercial Clearinghouse with the Print Image Format

The optional Print Image Module works with a large number of clearinghouses. Please note that this is a partial listing. The print format will work with most major clearinghouses.