Medisoft V21 should be available soon for your healthcare\physician back office this year, in 2016.  This new version will have features to help improve the revenue cycle management of your practice and help improve the medical and insurance billing functions of your clinic or office.

An available option for Medisoft Version 21 is Encoder Pro that helps with the medical coding of ICD-10 diagnosis codes and CPT procedure codes.  You can search using common terms or clinical terms, then pull that information back into Medisoft.  You can also cross code from ICD9 to ICD10 and vice-versa.  The program also allows you to enter a CPT procedure codes, and find the common ICD-10 codes that get billed with that procedure code.

Of course Version 21 will also come with built in compatibility with BillFlash patient electronic statement functionality.  This allows you to easily upload your patient statements electronically to BillFlash and let them do all the “heavy” work of printing, stuffing, and mailing your statements for only pennies more than the stamp you are already using.  Physician offices tell us this is a tremendous timesaver, and doctors love the fact that their statements gets out on a regular monthly cycle again!

Need custom insurance billing reports? Contact us at 888-691-8058 or 941-743-6666 and talk to us about your custom reporting requirements.

Medisoft Practice Choice is available as a cloud based EHR program to help you transition from paper medical records to online electronic health records, call us today at 888-691-8058 or 941-743-6666.

Are you still spending your valuable time manually posting EOB’s? If so, call us about signing up for electronic payment posting of your insurance checks, and in just a couple of minutes, post that large EOB quickly and easily without manual insurance payment posting.

Are you constantly having problems with your electronic clearinghouse?  Call us about our integrated clearinghouse that works right inside medisoft, and gives you information about your claims right in Medisoft and can help reduce your EDI frustrations and nightmares.

Call us today at 888-691-8058 or 941-743-6666 to talk to us about any frustrations you may be experiencing with your medisoft revenue cycle management and we’ll be happy to try to help you.

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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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Wondering whats new in Medisoft version 19?  Wondering how Medisoft works with the new ICD-10 codes?  Here’s a video that shows you how to work with and manage ICD-10 diagnosis codes in Medisoft V19.

 

[jwplayer mediaid=”1539″]

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Another reason for running reports is to troubleshoot the amounts that are being billed on Remainder Statements and the amounts shown on Insurance Aging reports. The report most often used for this process is the Billing and Payment Status report.


Remainder

When troubleshooting remainder balances, it is imperative that you look at individual charges. Each charge with a balance is represented by a line item on the Billing/Payment Status Report. The columns you want to focus on when troubleshooting remainder balances are the Policy 1, Policy 2, Policy 3, and Balance columns.

In order for a charge to appear on a remainder statement, each of the Policy columns MUST have an asterisk (*) next to an amount. That amount may be zero. The asterisk indicates that a payment has been entered for that carrier and that payment has been marked complete. It can also mean that the specified carrier is not responsible for that charge.

If any of these columns do not have an asterisk that charge balance will not be included in the remainder balance and on remainder statements. If you expect a particular charge to appear on a remainder statement, and it doesn’t have an asterisk, you must either mark the existing payment complete, or enter a new payment for that carrier and mark it complete.


The only exception to this rule is when the Accept Assignment field in the patient case screen is not checked. See the Accept Assignment Handout for more information.

The other critical field is the Balance column. If there is not a balance on the charge, it will not be included on a remainder statement.

Aging

When troubleshooting aging reports, you will need to have the same focus on individual charges that you had when troubleshooting remainder balances. Additionally, you will want to look at the same columns: Policy 1, Policy 2, Policy 3, and Balance. Additionally, you may need to look at the Guarantor column.


A charge will not appear on an insurance aging report if one of two conditions exists.

  1. The insurance carrier in question has not been billed for the charge in question. If this is the case, the Billing and Payment Status report will display the value Not Billed in the correlating Policy column. If the charge has been billed to the insurance carrier, a date will appear signifying when the charge was billed on a claim. Additionally, it is important to note that insurance aging will ALWAYS be based on the date the claim was sent, NOT the date of service.
  2. If the insurance carrier has already paid for or is not responsible for a charge, it will not appear on the insurance aging report. Either of these conditions will be shown by an asterisk in the corresponding Policy column.

It is possible to age a patient remainder balance by either Date of Service (Transaction Date From), or by Date of First Statement. If you are aging by the Date of First Statement, the aging process will not begin until the patient is sent a statement. Therefore, a charge showing Not Billed in the Guarantor column would not appear on the Patient Remainder Aging report.

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Daily Balancing Routine

Medical offices generally run a series of reports each day that are used to ensure that the accounts are balancing, and that no fraud or theft is occurring. This section will examine the reporting process that should be used daily in order to ensure balance within the practice accounts.

The report most often used in balancing is the Patient Day Sheet. You can also use the Procedure Day Sheet. These two reports will display a list of all charges, payments, adjustments, and comments that were performed OR entered (not both) on a particular day. The Payment Day Sheet can be used to track payments, but in general would not be used in the daily balancing routine.

Date Created vs. Date From

In order to understand the balancing routine, it is important to understand the difference between two fields within the Medisoft program:

Date Created

The Date Created field exists on each transaction entered into Medisoft. This includes all charges, payments, adjustments, and comments. This field contains the date a particular transaction was ENTERED into Medisoft. This is many times a different date than the date the service was performed or the date the payment was received, etc…

When running balancing routines, it is imperative that you utilize the Date Created field when running your reports. This will guarantee that all transactions will be included on the report.

Date From

The Date From field is also held within each transaction entered into Medisoft. For charges, this field signifies the date of service. For payments, this field signifies the date of payment. For adjustments and comments, it is the date the adjustment or comment was made.

We do not recommend using this field when running balancing routines. This is because data entry for one particular date of service is not necessarily completed on that date.

Reporting Routine

To run your balancing routine, take the following steps at the end of each day:

  1. Click the Reports menu, Day Sheets, and Patient Day Sheet.


Tips and Tricks:
Medisoft Reports has variations of many of the most frequently used reports. For the Day Sheet reports there is another version called Patient Day Sheet (with Practice Totals). Practice Totals can be helpful to compare yesterday’s day sheet to today’s day sheet to ensure accuracy and that charges and payments weren’t deleted fraudulently.

For the purpose of this example, we will use the Patient Day Sheet (with Practice Totals)

To open Medisoft Reports, click on the Reports Menu and Select Medisoft Reports.

The Medisoft Reports screen will appear.


Day Sheets are found in the Medisoft Reports folder. There is the Patient Day Sheet both with and without the Practice Totals. Select the report with Practice Totals. Note: Depending on the size of the practice this report could take a long time.

  1. You will be asked where you would like to output the report. For balancing purposes, you should actually print a copy of the report, or export it to a file. This will allow you to go back and view the report as it appeared on any particular date.


  2. As previously stated, when running reports for balancing purposes, it is critical that you utilize the Date Created range. Additionally, it is important to note that you cannot utilize both date ranges when running this report. The report will not function properly if this is done.


  3. Enter your date range and click OK.
Tips and Tricks:

To maximize efficiency, you can easily fill out this entire screen without the use of the mouse. When the screen appears the Tab and Shift+Tab will help you move up and down the screen. When highlighting a Show all values section pressing the spacebar will remove the check and move your mouse to the date fields.

From the date fields you can use the directional arrows to populate the fields. Clicking the right arrow will populate today’s date, the up arrow will populate the date as one month forward from today’s date, and the down arrow will populate the date as one month back from today’s date.

  1. The report will then display.


  2. Skip to the last page of the report. You are going to see the following screen with different totals. The top section of the screen will include information specific to the range of dates (and any other ranges you have entered). The report ends showing the net effect of all of the day’s charges, payments and adjustments on your accounts receivable.


  3. The process for balancing or reconciling your accounts involves 2 major fields: Net Effect on Accounts Receivable, and Accounts Receivable. In order to reconcile or balance your accounts, you look at the previous day’s Accounts Receivable total. In this example, that number is $1274.00. You then add the current day’s Net Effect on Accounts Receivable to that number. In this case, that calculation is
    $1274.00 + $310.00. The result of this calculation should equal the current Accounts Receivable. In this example, that is $1644.00.

     

    May 2, 2006


    May 3, 2006


If these numbers do not match up, it indicates that transaction amounts have been edited or that transactions have been deleted. You should be able to track who made these changes or deletions using the audit report.

Additionally, there are 2 other reports you can use to verify the amounts on the Patient Aging report. These reports are the Practice Analysis report and the Patient Aging report.

 

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Introduction

After going through the entire process outlined in these blog posts, it is important that you are able to run reports that will let you know how your office is doing financially.

With the addition of Focus Reports (Renamed Medisoft Reports) back in v15, Medisoft Advanced and Network Pro now come standard with 228 reports, and most of the standard reports have been moved over from the Crystal Reports engine to the Focus Reports engine. You also have the option of adding Medisoft Reports Professional which comes with 368 reports and allows you to create your own custom reports or customize any of the existing reports.

This blog post and the others relating to Reporting, will discuss some of the daily reporting processes used in an office. Additionally, we will include information on modifying custom reports for reasons such as CMS alignment.

Report Cover Pages

Medisoft offers the ability to print a cover page with each report. Cover pages will let you know which filters were used when printing a report. This can be a useful troubleshooting tool when faced with report discrepancies.

To activate this feature, you will need to open the Program Options screen, and place a check mark in the field labeled Print Report Title Page in the General tab.

Exporting to a File

When printing a report from the Reports Menu, you have the ability to export to a file, with an extensive list of formats to export in such as Excel, Word, PDF, etc.

Quick Reports

When printing reports from certain screens like within Deposit List Report, Claims Management, Statement Management, Patient Ledger, Collections List, etc. these reports can only be exported in two formats. They are Quick Reports and Text Files. Files saved in the Quick Reports format will have a .QRP extension. These files can only be opened by clicking the Reports menu and Load Saved Reports.

To create a Quick Report format, you must first preview the report on the screen.

Once the report is displayed, click the disk button at the top of the screen.

You will be asked to specify the directory and name of the QRP file you wish to create. Make your selections, and click Save.

You will now have a copy of that report that can be opened through the Load Saved Reports option. This copy of the report will be an exact replica of the report, including all formatting.

Text Files

Files saved in the Text File format will have a .TXT extension. These files can be opened using any interface that can read a text file, such as Microsoft Word, Notepad, WordPad, etc. Through Medisoft, you can open the file by clicking the Tools menu and View File.

To create a Text File you must select the option to Export the report to a file.

When you click Start you will be asked to specify the directory and name of the TXT file you wish to create. Make your selections and click Save.

You will now have a copy of that report that can be opened through the means discussed above. You may find that some of the formatting changes when using Text files. Any images or shapes will be ignored when the file is created.

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Creating Single Ticklers

If you want to create one specific tickler, take the following steps from within the Collection List:

  1. Click the New button.
  2. You will see the following screen. In the field labeled Action Required, enter what you want the person working the collections to do.


  3. Select whether the collection is for the patient or the insurance carrier using the Responsible Party Type.
  4. You will now need to specify the Chart Number for the patient, the chart number for the Guarantor, and the Responsible Party. The responsible parties available for you to select will depend on what you entered in the Responsible Party Type.
  5. Finally, you need to enter the Follow Up Date. This is the date you want to contact the responsible party in an attempt to collect the debt.
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Collections

After billing your patients and assigning them to payment plans, you need to be able to collect on balances that go unpaid. Offices have a few options for doing this. They could hire a collection agency. In general, this is a fairly easy way for the doctor to take care of the outstanding debt. The downside to collection agencies is that they generally receive a high percentage of the collected debt as a fee for collection.

Another option for performing collections is to utilize the Medisoft collections module to collect your debts from within the office. The collections module is called the Collection List. The Collection List can contain collection information for outstanding patient and insurance balances. The Collection List is designed to allow you to quickly move down the list making phone calls to the parties responsible for the outstanding debt.

To access the Collection List, click the Activities menu and Collection List.

Collection List Navigation

By default the Collection List will only display collection tasks that are scheduled to be performed on the current date.

You do have the ability to specify the range of dates you wish to see listed by specifying a beginning and ending date in the upper left corner of the screen.

If you want to see all items regardless of date, place a check mark in the field labeled Show All Ticklers. You will notice that the date fields are now unavailable to you.

By default, any ticklers for charges that are eventually paid in their entirety will be marked as deleted. If you only want to see the deleted ticklers, place a check mark in the field labeled Show Deleted Only.

If you would like to exclude deleted ticklers from your list, place a check mark in the field labeled Exclude Deleted.

If you would like to see all ticklers regardless of status, only the top box (Show all Ticklers) should be checked.

Tips and Tricks:

If you are using the Collection List to perform the collections process, you would not want to see deleted items. If an item is automatically being assigned the deleted status, that item does not have a remainder amount, and you would not want to contact that patient or guarantor as part of a collections process.

 

There are a few ways you can create a new tickler. Older versions of Medisoft utilized the aging reports to create tickler entries. These versions also allowed the creation of multiple ticklers for the same balance. Medisoft v11 and v12 are different. You must create new ticklers from within the Collection List.

 

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Previous Balance Billing

By default, Medisoft uses a form of billing that includes detail for particular charges on one statement. Subsequent statements would show those charges that remain unpaid as a “Previous Balance”.

This manner of billing causes confusion with patients who want to know exactly what their statement is billing them for.

Medisoft has the ability to force any charges with remaining balances to show in detail on each patient statement. To enable this feature, you need to open the Program Options screen to the Billing tab. In the Statements section you will see the fields Standard Statement Detail Only and Remainder Statement Detail Only. Placing check marks in these fields will prevent charges from being lumped into a “Previous Balance”.

This feature will only work if you are using Statement Management to print or send your statements.

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Reports Menu

When printing reports through the Reports menu, you will not have the visual interface window available to you within Statement Management. Additionally, you will not be able to use these statements for integration with the Medisoft Collection Module. You will also be unable to utilize the Cycle Billing functionality available through Statement Management.

To print statements through the reports menu, take the following steps:

  1. Click the Reports menu and Patient Statements.
  2. You will see a screen asking you to select the statement format you wish to print. If you select a remainder format, the statement will only include charges that have a balance and have been paid by all responsible insurance carriers. If you select a standard format, the statement will include all charges with a balance that has been placed in statement eligible cases. Make your selection and click OK.


  3. You will be prompted to specify the device to which you wish to output your statements. Only printing or exporting to a file will result in those charges being marked as billed. Make your selection and click Start.


  4. The Data Selection Questions screen will appear. Enter the filters you would like to apply to the statement and click OK.


Tips and Tricks:

The Date From range when printing patient statements does not limit the charges that will be included in the statement balance. The function of this filter specifies the date range that should be included in the statement detail for previously billed transactions. If you want all charges to be included in the detail of the statement, enter a date range that will include all possible transactions.

The Chart Number range is asking for the range of guarantors NOT the range of patients.

 

The eligible statements will now be printed

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