Integrated Solution
A great way to free up valuable time and effort is an integrated billing solution. Having a separate solution increases the risk of errors, claim denials, and slowdowns in processing payments.
Clinical notes captured in the EHR flow into an Electronic Super Bill (ESB). Billing staff can then quickly review/audit all service charges in one central place and amend charges before sending them off to payers.
Insurance Verifications
Patagonia Health’s integrated EHR, Practice Management, and Billing solution connects to over 3,000 government and commercial insurance payers including Medicaid, Medicare, LME/MCO, Blue Cross Blue Shield, United, and more.
Included Clearinghouse
Our included clearinghouse connectivity expedites claim submissions and payments. Claims can be submitted either in real-time or in batches to best suit your chosen workflow requirements.
Transaction Formats
Our system allows for insurance verification, sliding fee scales, unit billing, and claims remittance. The system is compliant with all HIPAA transaction formats, including but not limited to 835, 837, and 5010.
Financial Reporting
Our solution features extensive reporting, including:
- Status of all claims reports (submitted, denials, paid, etc.)
- Payment data reports
- Claim-specific reports by provider, payer, payment status, program, etc.
- Accounts receivable reporting
Billing Resources
Webinar: Best Billing Practices
Certified professional coder Debbie McNeil shares her best tips for medical billers learned over her 26 years of experience. She reviews steps for a healthy accounts receivable department, working aging accounts, and the importance of real-time eligibility.
5 Ways to Improve Your Collections Process
In today’s medical billing world of keeping up with regulatory issues (like ICD 10 changes), it is imperative to have the right workflows to support an efficient organization.
Local Health Department Billing Headaches and Solutions
Issues related to billing are some of the most frustrating and time-consuming issues a local health department (LHD) will face. Here are some tips for what to look for when analyzing the billing features of an EHR.
