Frequently Asked Questions:
What type of format does it send claims in? It will produce any type of professional 837 (1500) or institutional 837I (UB04) claim file to any payor that accepts HIPAA compliant ANSI 5010 formats.It does not use print image.
If I already send electronic claims do I need to use AZCOMP’s Easy Claims™? If you like to get paid faster and work efficiently- then Yes you need to use Easy Claims™. Besides making the biller’s work MUCH easier- Revenue Management drastically reduces rejections due to the claim scrubbing. And workflow is much smoother because of the seamless integration Medisoft and Lytec has setup with their preferred ClearingHouse.
Who will it send the claims to? Claims will be sent to AZCOMP’s preferred ClearingHouse or directly to the Payor.
What if I already have a ClearingHouse? You can still get the benefits of Revenue Managment and have it send to your ClearingHouse- You will however miss out on the extra benefits of the complete integration that Medisoft has with its preferred ClearingHouse- as well as the benefit of one source when you need support. Call 855-556-4677 to Purchase Revenue Management Configuration & Training.
How do I know if my Payor/ClearingHouse will accept the claims? Any carrier that accepts an ANSI 5010 (837 or 837I) claim file will accept Revenue Management Claims.
Is Revenue Management available to all Medisoft Users? No. Older versions of Medisoft do not include this feature. Versions 17 or newer have Revenue Management.
Can it Send Secondary Claims Electronically? YES- and it will include the primary payment and adjustment information that was posted so you don’t have to send a paper EOB.
Is there any other Feature that makes Revenue Management Useful? YES- it can also be used to post ERAs (Electronic EOBs) which will save you hours of data entry time.
How much does it cost? There is a one time fee which covers setup, configuration, & training on Revenue Management. There is a monthly fee which covers the ClearingHouse.