FINANCE MANAGEMENT

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ORMED MIS™

Finance Management for Healthcare

Client Billing

ORMED MIS Client Billing fully automates the process of billing and collecting receivables from your healthcare plan (the "client" or "guarantor") to significantly reduce manual workload, errors, inefficiencies, and paperwork on both sides.

Seamlessly partners with our Accounts Receivable software, Client 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) or the Ontario Health Insurance Plan (OHIP). We will customize this software to accommodate other healthcare plans as demand warrants.

ORMED MIS Accounts Receivable acts like an engine for Client Billing in that it does much of the work for Client Billing (e.g., setup tables in the Accounts Receivable Manager, Activity Entry, Reporting).  For additional information on our comprehensive Accounts Receivable solution, click here.

From a client billing perspective, Ormed delivers the following powerful features and benefits to radically improve your healthcare plan billing process and help you collect faster and with fewer headaches all-round!

SETUP AND IMPORTS

The ORMED MIS Accounts Receive Manager allows for easy one-time entry of recipient and guarantor information used by Client Billing and other ORMED MIS modules, with default setting for service codes, pricing brackets, and special reports.

Patient Information

• Maintain clear records of patient personal information as HCN, SIN, billing details, employer details, and contacts
• Pertinent information is easily transferable to activity entry screens

Global Setup

• Specify required transmission codes
• Specify file names and locations
• Customize the extent to which your system automatically adjusts claims upon remittance receipt
• User-defined databases maintain ICD and service clarification codes
• Set default printing options to be used by the system unless overridden for a particular transaction or posting

Easy Import

• Quality import updates for fee schedules and billing codes (e.g., ICD, SCC, and explanatory codes)

Guarantor (i.e., your healthcare plan)

• Automatically bring activities into Client Billing for easy, accurate claims

Receivable Type

• Enhance reporting for multi-site healthcare facilities or regions by setting up default receivable and/or revenue facility codes to override activity entry facility code
• Default primary codes for revenue and accruals

Services

• Add multiple pricing brackets per service
• Set up default primary and secondary codes
• Set up optional defaults (e.g., physician, taxes, ICD9 code)

ACTIVITY ENTRY

• Easily create and process activities or credits within batches housing multiple facility combinations
• Edit and print exactly what you need (no more... no less)
• Automatically calculate activity and adjustment totals
• Effortlessly import information from activity or patient information

CLAIMS

Creating and submitting a claim to your healthcare plan couldn't be easier, as all activity information is automatically rolled up into a claim you can submit securely with a click of your mouse.  This claim can contain as many -- or as few -- activities as you wish.

• Easily generate a submission file for your healthcare plan
• 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.  This reduces the need for time-consuming adjustments later on and speeds accurate payment from your healthcare plan

REMITTANCE

• Fully automated receipting process saves time and reduces errors
• The system automatically adjusts activities according to your specifications
• View multiple reports immediately (e.g., paid as billed, adjustment detail, paid with explanation)
• View/reprint the reports at any later time

ADJUSTMENTS

If a claim is rejected or needs to be changed, it's easy to make necessary adjustments then click the mouse to resubmit.

• Easily edit activity or admission information
• Automatically see any changes populate the Claims screen for the next submission

REPORTING

Building and distributing meaningful reports is quick and easy.

• Select any or all remittance reports to view/print at any time
• View/reprint claims reports

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