AutoBilling
Financials Module

AutoBilling™ automates billing and makes collections much easier, and greatly reduces the time spent disputing charges with insurance companies

The AutoBilling™ module is fully integrated with the core laboratory information system, AutoLims®, and enables the laboratory professional to adminster the entire billing and payment aspects of their activities. AutoBilling™ offers a flexible price schedule definition and enables enhanced focus on customer needs.

AutoBilling™ automates billing processing and simplifies collections, thus greatly reducing the time spent on standard flow and allows billing personnel to focus on improving collection of problem cases.

Completeness

• Continuous synchronization with  AutoLims®, including post-completion changes. Shared catalogs remove information management overhead
• Reduce the number of days outstanding receivables through quicker initiation of billing work as data can be completed even on prescheduled (standing) orders prior to activation
• Test to Service mapping allows for accurate billing, while keeping laboratory test catalog clean
• Billing formulae allow incorporating user logic into specific billing cases
• Built-in multiple method support for "Medicare Part-A" invoicing and other capitation agreements including exceptions
• Complete support for clearing houses and collection agencies

Accuracy

• Itemized billing and remittance at the service level increases revenue, improves focus
• Individual service billing code per payer simplifies internal representation while complying with payer requirements
• Flexible pricelists with options for relative definitions including 'carve-outs' for specific services
• 'Expected return' pricelists drive system responses, capture real problematic cases and provide better visibility for expected and actual reimbursement

Automation

• Automatic resolution for billing colliding panels and for AMA panels. No need for lab intervention
  
• Automated travel calculation algorithms identify and select automatically most profitable billing method
• Carrier-based 'exception' definitions ensure clean claims while streaming as many claims as possible
  
• Automatic grouping of services to payer specific panels for payer requirements or special agreements
• Electronic billing and remittance with pre-programmed response to denial codes.

Reports and Invoices

• Client level customizable invoices including balance and charges history breakdown, aging balance, detailed services, etc.
  
• HIPAA 835, 837, HCFA supported. Multiple electronic formats for invoices allow interfacing to client electronic systems
  
• Customizable information completion reports for clients
  
• Managerial reports capture laboratory billing status for payer groups including expected return values for each payer group and state
  
• Sales reports show trends for clients and salespeople
• Expiration reports identify problem claims before time runs out.
  

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