Thursday, August 21, 2008



  Snap-in HIPAA Transaction Compliance


What's Brewing?

Larger product features that we are currently working on or at least have high on the priority list will be listed in this section. Drop us a line if you have something in mind for this list or want to give us any ideas to help us out.

ERA FEATURES
The ERA viewer isn't adequate for people with a lot of ERAs. The Desktop Edition isn't robust enough to support accounting features, so we are adding some export features so you can get your ERA data out. Currently there is only the print preview and save to PDF options. Please phone or email your suggestions for ERA features and export file formats to us so we can find out what people need.
The Enterprise Edition (multi-user SolAce) uses a relational database and has an accounting subsystem at this point. We have automatic charge posting working, so as you import or enter your claims it will build the accounting entries (for patient receivables only at the moment). We are working on auto-posting the remittance data to the ledger, which means everything will be in one spot and using proper accounting treatment. This makes it very easy to generate real financial reports, extract data for ledger posting, and more.

WEB TRANSMISSIONS
There are less than a dozen connections that we don't have automated because the payer only provides a web site to drop claims off. As of version 2.2.7 we have a framework for automating web site submissions, so we can create automated scripts for all these connections now. Included on the list are Empire Medicare, BCBS Rhode Island, Missouri Medicaid, Partnership Health, and a couple others. Medi-Cal and New Jersey Medicaid are also being added because ERAs are not available from the BBS, only from the web site.

SECONDARY CLAIMS
Secondary claim support is present in the 2.2 series but we just haven't had time to sit down and document it to get the word out. Cross-referencing ERAs to primary claims is one item on the wish list.

DME CMNs and CORRECT CODING INITIATIVE (CCI)
Slated for this winter when things slow down. CCI will be present in Enterprise Edition first, due to memory constraints in the Desktop Edition.

 

 

 
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HIPAA Hot Spots
Official CMS HIPAA site
HIPAA.ORG
Roy Rada's books & toolkits
HIPAAlinks @ HIMSS
HIPAA Readiness Checklist

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