Medisoft version 21 will soon be released for doctors office insurance billing.  Our new V21 software will allow you to connect to our electronic health record software so that you only have to  enter patient data once.

Our insurance billing software integrates with our electronic claims clearinghouse so that you can send your medical claims directly from Medisoft.  With our optional electronic payment posting, you can post an EOB check in seconds, compared to hours posting it manually.

There will be special upgrade pricing available for the first month after V21 is released, then a smaller discount the next month, and even small discount the 3rd month, so call us now at 888-691-8058 or 941-743-6666, to preorder and lock in your Maximum discount, or to get on our mailing list notification.

 

 

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First the bad news, “there is none”, Now the Good News “E-md’s, and a private equity firm acquires Medisoft Medical Billing Software products from McKesson.

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McKesson Business Performance Services (McKesson), over the past few months, conducted an analysis of their products and services to determine what products fit best with their organization.  After this evaluation, they determined that the Medisoft, Lytec and Practice Choice and Practice Partner products would be better served by a company that focuses more on the individual and small doctor practice market and found a private equity firm , focused on the small doctor practices, that they felt would better serve the Medisoft customers.

“McKesson chose to partner with e-MDs as it is an industry leader, founded by physicians and focused solely on the small- to medium-sized independent physician practice” says Harry Selent, President of MedicalBillingSoftware.com. ” McKesson feels e-MDs is the optimal  Parent Company that would best serve the Medisoft customers” says Selent. 

e-MDs is a portfolio company of Marlin Equity Partners (Marlin), which is a global investment firm with over $3 billion of capital. Marlin invests in companies where its capital base, industry relationships, and extensive network of operational resources significantly strengthen and enhance the value provided by its acquired products.  e-MDs is a leading provider of integrated electronic health records (EHR), practice management (PM) software, revenue cycle services, and credentialing solutions for small- and medium-sized, independent physician practices and enterprises.

Medisoft and Lytec are medical practice management and medical billing software programs used to help manage the Revenue Cycle Management of individual and small doctor practices around the country. Practice Choice and Practice Partner are electronic medical and health records software used by doctors and healthcare providers to document patient encounters and track details of patients and replaces the paper charts medical offices have been using.

The purchase agreement with e-MDs includes the Medisoft Value-Added Reseller  channel, which MedicalBillingSoftware.com is a member of, and services many of the doctors and healthcare providers using Medisoft. e-MDs will manage the day-to-day operations of the staff,  and products. The acquisition by Marlin Equity Partners is subject to customary closing terms and conditions, and is expected to be complete in 30-60 days. 

Over the course of the next month, McKesson will be working closely with the e-MDs team to plan for the transition of the support and development functions that support these products as soon as the official closing takes place. It is the intention of McKesson and e-MDs to make this transition for the customers as seamless as possible. 

McKesson, and MedicalBillingSoftware.com are committed to ensuring a smooth transition for its customers, and looks forward to the future success of its customers with the Medisoft, and Practice Choice Products!

 

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Benefits to using medical emr software in a doctors offic

Medical offices and clinics across the country have long borne the responsibility of keeping extensive paper records that not only consumer valuable office space, but are inefficient by today’s standards. These cumbersome anachronisms are the source of countless wasted employee hours, untold volumes of trees, and probably more than a few missed business opportunities. With the advent of medical EMR software the situation is rapidly changing. This is especially true thanks to initiatives set forth by the Obama administration offering incentives to move away from traditional paper filing systems.
Electronic Medical Records, or EMR for short, is the terminology used to describe the software which not only takes the place of the paper charts, files, and folders that have become a central part of most medical practices. By removing the need to keep a large filing system replete with detailed customer records in an easily accessible area medical EMR software is enabling medical providers to add additional service areas and capacity. Medisoft EMR software only needs the pre-existing office computer network and possibly a few new laptops to convert an office to a paperless (or at least paper-light) facility.
Offices can still keep paper records if they see fit, but they can now be relegated to the basement, or even off-site for security. While on the subject of security, medical EMR software is completely digital, meaning that thousands of records can be stored on something small enough to fit in a pocket. This allows backups that can be easily taken off site for increased security.
Being completely digital using McKesson Practice Choice or Medisoft EMR software means that records are available nearly instantly, and the ability to control which employees can access each record and how. This not only allows dramatic time saving when it comes to retrieving and filing patient records, but offers the ability to hide sensitive data from employees who have no need to see it, while allowing others the access to view/add/change as seen fit by the rules laid forth by the powers that be.
The power to search through patient histories can be a real time saver for highly paid personnel whose best use is seeing as many clients as possible, not sorting through their history trying to figure out when the last time a given patient had similar symptoms was.
With a growing environmental awareness and trend towards customers preferring greener businesses, offices utilizing medical EMR software give the impression that they care about the environment. It is all but inevitable that offices who are late adopters will come off as ‘quaint’ at best, but antiquated and archaic to others. Antiquated and archaic are not exactly the impression that most medical facilities want to leave on potential clients, even if it is over an issue like perceived environmental friendliness.
The increased security and completely digital nature of medical EMR software means that nobody ever has to search for a lost piece of paper this is required for billing purposes. All patient records all easily accessible and perhaps best of all, completely legible.
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To make the best use of a doctors time, we suggest “Scribes”… read more here:

 

http://www.ahdpg.com/blog/it-doesnt-take-a-harvard-mba-to-see-the-value-of-todays-medical-scribes/

 

 

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Change Status

If you would like to change the status or follow up date for a group of ticklers, click the Change Status button. The following window will appear.

You can utilize this window to change the status for all ticklers in the list, or you can change the status for ticklers that have been previously selected using the Windows multi-select function.

Status From: The Status From field will specify the status that ticklers must have in order to be affected by this change.

Status To: This field is used to designate the new status you wish to assign to the affected ticklers.

Change Follow Up Date To: Use this field to change the follow up date. This is very useful if you do not finish your collection work for a particular date.

Once you have made your selections, click OK.

 

 

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Editing Existing Ticklers

The purpose of the collection list is to allow you to quickly move through the collections process. Each tickler has a Responsible Party attached to it. This field will display either the Guarantor or the Insurance Carrier responsible for the outstanding balance represented by that tickler. If you click the + sign next to that party, you will see all applicable information necessary for making a collection call.

You can also double-click the tickler to open it. You will see the following screen:

Here you can edit many of the values associated with this tickler. Most importantly, you can specify the date this issue was resolved. Usually the entry of this date corresponds with the receipt of payment on the outstanding debt. This payment could be for the entire amount, or for any other amount agreed upon by both parties. If the issue is resolved, you should also change the status of the issue to either Resolved or Deleted.

You would repeat this process for each subsequent tickler

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Deposit List Automation Options

When entering payments through the deposit list, there are automated features which allow you to better navigate the billing and collections process. We will examine those features here. These fields are available on the payment application screen.

Alert When Claims Are Done: If you apply COMPLETE insurance payments to all charges that are on the same claim in Claim Management, that claim will be automatically marked as done. If this field is checked you will be notified when the claim is marked done.

Alert When Statements Are Done: If you apply payments that bring all charges on a statement to a zero balance that statement will be marked as done. If this field is checked, you will be notified when the statement is marked done.

Bill Remaining Insurances Now: If you apply COMPLETE insurance payments to all charges that are on the same claim in Claim Management, this feature will cause Medisoft to bill the next responsible insurance carrier automatically.

Print Statement Now: After receiving insurance payments, the next step in the billing process is usually to print patient statements. If this field is checked, the patient statement will print after clicking Save Payments/Adjustments.

Write off Balance Now: Medisoft has the ability to do small balance write-offs. This allows you to write off balances that are too small to be worth collecting. In order for this option to be available, you must have your program options configured in advance. On the Payment Application tab in the Program Options screen, you will see a section labeled Small Balance Write-Off. You must have an adjustment code entered in the field labeled Patient Write-off Code and the maximum amount you wish to be written off in the field labeled Maximum Write-off Amount.

If the Write off Balance Now is checked, the current payments and/or adjustments are created and applied, prior to recalculating the Patient Remainder Balance. After the Patient Remainder Balance is recalculated for the patient listed in the For box, the Patient Remainder Balance is compared with the Maximum Write-off Amount that was entered in Program options. If the write-off conditions are met, then the write-off adjustment is created and applied to this patient’s ledger.

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Adjustment Definitions

As stated in the introduction, adjustment entry is closely related to payment entry. When applying an EOB from an insurance carrier, you will not only create and apply payments, but you will also create and apply various types of adjustments. We will examine the types of adjustments that can be posted, and when each type should be used.

Disallowed Amount Adjustment: Allowed amounts are defined as the amount insurance companies will base their compensation on. Disallowed amount adjustments are used to reduce the balance on charges that were billed at a rate higher than the allowed amount. If you are using Medisoft Advanced or Higher, this adjustment can be automatically calculated for you through the deposit list. If you are using Medisoft Original, or if you are applying your payments through Transaction Entry, you will need to manually calculate and enter this adjustment amount. The calculation used in determining the amount is (Billed Amount – Allowed Amount) x (-1). If your billed amount is lower than the allowed amount, it is definitely in your best interest to raise your prices.

Withhold Adjustment: Withhold adjustments are used to decrease the AR total on a patient’s account due to money being withheld by the insurance carrier on a previous EOB. Insurance carriers may withhold money due to prior overpayments. These overpayments do not necessarily need are not necessarily going to be for the same patient(s). For this reason, withhold adjustments are often combined with takeback adjustments.

Takeback Adjustment: Takeback adjustments are used to increase the AR total on a patient’s account due to money being withheld by the insurance carrier on a previous EOB. This type of adjustment is applied to the patient(s) who has charges that were overpaid by the insurance carrier. Takebacks are usually entered in conjunction with a withhold adjustment.

Deductible: Deductible entries are used to move the responsibility for a particular charge to the next responsible party without lowering the AR total. If a charge has been applied to a deductible, the patient is responsible to pay for the charge. For this reason you do not want to change the AR amount. You simply want to make sure the charge shows up on the remainder statement.

 

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Deductible Entry

Many patient health plans include deductibles. Deductibles are amounts that must be paid by the patient before the insurance carrier will begin to make payments for medical care. Generally deductibles are calculated annually. The annual deductible amount is entered into the patient’s Case screen on the Policy 1 tab.


In addition to showing the Annual Deductible, Medisoft has the ability to track the portion of the deductible that has been paid in that particular office. Medisoft and other POMIS systems cannot track the total amount paid towards the deductible because some care could be performed in other offices such as insurance carriers and specialists. The amounts paid by the patient in these offices would be applied to the deductible as well, yet we would have no record of these payments. For this reason, the insurance carrier and the EOB should be the only indicator used by the office to determine whether or not the deductible has been met.

This does not mean that the deductibles should not be tracked in the office. Medisoft offers a procedure code type for deductible entries. These codes should be used to identify which charges were applied to the deductible. This type of code will not increase or decrease the balance for any outstanding charges; it will simply allow the program to bill the patient/guarantor for charges that were applied to the deductible.

Medisoft Basic users must enter these deductible codes through Transaction Entry. Medisoft Advanced and Network Professional users can enter these codes through the deposit list.

To enter a deductible code through Transaction Entry, take the following steps:

  1. Open Transaction Entry to the chart, case, and document or superbill number that contains the transaction(s) applied to the deductible.

    In the Payments, Adjustments, and Comments portion of Transaction Entry, enter a procedure code that has been previously set up as a deductible type code. (See MED103: Getting Started)

    In the Who Paid field, select the primary insurance carrier.

    You will notice that you are not able to enter any amount into the Amount field. This is because the deductible code is not actually affecting the AR total.

    Click the Apply button.

    You will see a payment application screen identical to the Insurance Payment Application screen. All functionality is the same as an insurance payment application except the Amount column. The amount entered into this column will not lower the balance of the charge at all. You are simply specifying the amount that would have been paid if the patient had met their deductible. This amount will them be added to the YTD field within the patient’s Case screen.

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Patient/Guarantor Payment Application

If you are applying a patient/guarantor payment, you will follow the same process listed above under Insurance Payment Application with one exception. You will not see a Complete box when applying patient/guarantor payments.


The purpose of the complete box is to allow billing of the next responsible party. The patient/guarantor is the last responsible party. There is nobody to move the balance to. For this reason, there is no complete box on the Apply Payment to Charges screen.

Patient/Guarantor Co-pay Application

If you are applying a patient/guarantor co-payment, the most important thing to remember is to choose a co-payment code and not a regular payment code. When applying the patient/guarantor co-payment, a new button will appear called Apply To Co-pay.


The Apply To Co-pay button will work similarly to the Apply To Oldest button. It will apply the co-payment to the oldest procedure code requiring a co-payment. In most cases, there should only be one procedure code requiring a co-payment, however if there was a missed co-pay for a previous visit, the Apply To Co-pay button will apply to the first record requiring a co-payment.

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