ORMED MIS™ Accounts Receivable Modules

Accounts Receivable Management - 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).


MSP Billing

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 Global 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

Easy Import

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


MSP Billing - Claims

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.

  • 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


MSP Billing adjustments

Adjustments

  • 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