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Encounter Workflow

Capturing and tracking revenue

Timely and accurate charge capture is central to your billing process. That's why Billing Paradise use the world class technology software called Kareo. That software offers convenient tools to track the flow of encounters through each stage of the process and each department within your organization. It helps you maximize physician revenue by capturing every charge and billing clean claims.

Capture Charges

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You can capture charges using mobile devices, scanned documents, or good old-fashioned data entry. We have streamlined the data entry process with various features. Use ticket numbers printed on encounter forms to quickly transfer patient, insurance, provider, and date information from appointments. Use procedure macros, or exploding procedure codes, to quickly enter a collection of procedure and diagnosis codes for common patient visits. Set up billing defaults, such as providers and service location, to save time by eliminating repetitive data entry.

Track Encounters

Use simple, template based encounters to capture patient visits in the front-office. Built-in messaging enables front and back office users to communicate, exchange information, and resolve errors quickly. You can also track the flow of encounters through each stage of the process, from data entry, submission, coding, approval, billing, and collection. It's like having FedEx-level tracking of encounters throughout your billing process.

Scrub Claims and Check Codes

Stay ahead of ever-changing coding standards and insurance reimbursement rules with powerful claim scrubbing technology that eliminates claim denials and rejections. You can perform a real-time code check integrated with your charge entry process, including CCI edit validation, ICD-9 code validation, CPT®/HCPCS code and modifier validation, CPT®/HCPCS code sequencing, and local and national coverage decision (LCD/NCD) validation. You can also access a comprehensive knowledge-base of coding, compliance, and reimbursement rules, including federal register, Medicare bulletins, local coverage decisions, and other payer-specific reimbursement rules.

Manage Copays

Whether your front-office users capture copays upon checkout or your billers enter copays with encounters, you can post copays, automatically apply copays to charges, and track and bill for missed copays concurrently with the insurance billing process.

Handle Special Scenarios

Billing Paradise also provides support for special billing scenarios, such as anesthesia billing, ambulance billing, and unpayable encounters.

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Billing Paradise Features
    Dashboards
    Patient Records
    Scheduling
    Encounter Workflow
    Claim Processing
    Remittance
    Patient Statements
    Payments and Collections
    Document Management
    Faxing Services
    Reporting
    Administration
    Mobile
The Business Value
Revenue Cycle Automation Process
How it Works
World-Class Technology
 
Capture Charges
Track Encounters
Scrub Claims and Check Codes
Manage Copays
Handle Special Scenarios
 
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