Maximize efficiency and you minimize costs. An age-old axiom
to a successful business model. Reduced hospital readmissions.
Reduced preventable ER, urgent care and unscheduled MD visits.
Reduced time for OASIS™ submission. Improved regulatory
compliance. Improved patient satisfaction. Easy retrieval
and storage of valuable patient information. Consistency,
quality and confidence for all members of your healthcare
team. The financial benefits of process improvements like
these are hard to quantify.
Actually…no they’re
not.
Process billing and claims
faster.
Misys Homecare handles both electronic and paper claims
for Medicare and Medicaid. And we provide a clearinghouse
for commercial payers, other third-party payers and self-pay
patients. Once patient, treatment, and OASIS™ assessment
data has been entered, and the first billable visit has
occurred, a RAP can be generated. PPS billing is available
based on the start-of-care date and HIPPS code. You don’t
have to wait until month-end closings, and RAPs can be
billed at any frequency.
You can customize billing frequency and cycles with a
few keystrokes, and billing cycles are automatically generated.
Our system accommodates multiple payers, contingent secondary
payers, per diem billing, gross and net rates, standard
mark-up rates for supplies, rounded hours for private
duty and spend-downs. Key financial reports can be generated
for every carrier and plan. You can view summary and detailed
accounting reports of billing activity, billing registers,
service codes for staff and contractors, patient status
codes for initial and final claims, and debit and credit
adjustments. We give you greater control over your billing
processes, giving you the power to maximize your reimbursements
and speed cash flow.
PPS capabilities include:
Automatically generates RAPs and final claims to improve
cash flow
Adjustment of case mix levels to account for SCICs
(significant changes in condition)
Integrated case mix calculator that automatically generates
the correct episodic rate for billing
Automatically bills based on fee for service for Low
Utilization Payment Adjustment (LUPA) cases
Automatically adjusts non-LUPA cases if desired
Accommodates Outlier adjustments and Therapy Utilization
(down-coding) adjustments
Other capabilities include:
Payments and adjustments applied from the same screen
Detailed adjustment tracking
Easy processing of manual and electronic remittances
Automatic billing of contingent secondary payers
User-defined billing cycles and frequency; immediate,
weekly, semi-monthly, or monthly
Monthly spend-downs prorated over weekly bills
Exports data compatible with most major accounting
packages; accounts payable, general ledger and payroll
Meets HL7 national transaction standards for data exchange
in health information systems–helpful in transferring
patient records from a hospital to home care setting
Integrates seamlessly with your current accounting
systems. More
Line item posting
Electronic Admittance Processing
Experience it
for yourself
Experience streamlined claims submission the Misys way.
Get a demo of
Misys Homecare’s billing and claims submission processes.
Click on the categories below to learn more about Misys
Homecare.
