ORMED
MIS™
Accounts Receivable Management for Healthcare
MSP Billing
ORMED MIS MSP Billing fully automates the process of billing and collecting receivables from your out-of-province, WCB, and medical services plans (MSP). It significantly reduces manual workload, errors, inefficiencies, and paperwork. ORMED MIS Accounts Receivable acts like the engine for ORMED MIS MSP Billing in that it does much of the required work (e.g., setup tables in the AR Manager, Activity Entry, Reporting).
ORMED MIS MSP Billing is currently available for hospitals, long-term care facilities, and other healthcare providers that bill and collect receivables from British Columbia’s Medical Services Plan (MSP).
Setup
The ORMED MIS AR Manager enables easy one-time entry of recipient and guarantor information used by ORMED MIS MSP Billing and other ORMED MIS modules. There are default settings for service codes, pricing brackets, and special reports.
MSP Billing Setup
Global setup
- Specify required transmission codes
- Specify default file names and locations
- Customize the extent to which your system automatically adjusts claims upon remittance receipt
MSP Billing Global Setup
Easy Import
- Quickly import updates for fee schedules and billing codes (e.g., ICD, SCC, facilities, explanatory codes)
Claims
Creating and submitting a claim to your MSP couldn’t be easier. As all activity information is automatically rolled up into a claim—containing as many (or as few) activities as you wish—you can submit securely at your convenience.
MSP Billing - Claims
- Easily generate a submission file for your MSP
- Select all or just a few activities to include in the claim
- The system automatically validates all selected activities to confirm that all required information is present, reducing the need for time-consuming adjustments later on and speeding accurate payment from your MSP
- View/reprint claims reports
- Shadow billing claims are fully supported
- WCB electronic billing fully automates the billing and receipting process
Remittance
- Save time and reduce errors with a fully automated receipting process
- Configure your own auto adjustment batches to be automatically generated by the system so they can be reviewed prior to posting, ensuring data accuracy
- View multiple remittance reports at any time (for example, paid as billed, adjustment detail, paid with explanation, etc.)
- Manage your workflow efficiently by working an automatically generated list of rejections
Adjustments
If a claim is rejected or needs to be changed, it’s easy to make necessary adjustments, then just click the mouse to resubmit.
- Easily edit activity or admission information
- Automatically see any changes populate the Claims screen for the next submission
- Create an auto adjustment batch based on an explanatory code for further review and posting; maximize revenue and reimbursements by analyzing rejected items
- Save time by editing the physician, submission code, and/or note for multiple claims simultaneously based on user criteria
MSP Billing adjustments
 go to Accounts Receivable
go to OHIP Billing
return to Accounts Receivable Management
go to Finance Management
return to ORMED MIS
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