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Automated Eligibility Verification – The Most Efficient Way to Perform the Most Critical Step in Medical Billing

If you’re not checking eligibility, you risk not getting paid.

If you’re manually checking eligibility, you’re wasting time on something that can be automated.

Nobody wants to work for free! But that is exactly what happens when a patient is seen, and the claim for services rendered is uncollectible because the patient didn’t have coverage.

The cost of that service extends beyond just the providers’ time. There is also cost associated with the staff that scheduled the appointment and checked the patient in and out. There is also cost associated with the nurses, medical assistants, and billers that took the time to send out the claim. The most critical step in medical billing is verifying patient eligibility before the patient is seen. There is a good, better, and best way to check patient eligibility!

When to check eligibility:

New Patients

When a new patient calls to schedule an appointment, an office should first ask for insurance information and run an eligibility check to verify coverage. It’s not just good for the practice; it’s a matter of good customer service. 

No patient wants to find out after their service that the practice doesn’t take their insurance or that they are out of network. Having information regarding coverage and the deductible allows practices to have up-front conversations with new patients to make informed decisions.

Scheduled Appointments

There are so many factors that can impact changes in healthcare coverage. Lost jobs, employers changing insurance companies, employees selecting a different option offered by their employer, deciding to switch coverage to a spouse’s plan, and on and on.

These changes can come at any time. Because appointments can be scheduled months in advance, verifying eligibility for every appointment a few days prior is best practice. This allows the practice time to address eligibility changes with a patient before seeing them.

And just as a tip- if the appointment falls on the first day of the month, it’s always a good idea to recheck it that day because most plans term on the last day of the month.

The “good/better/best” for verifying eligibility:

Good: Call the insurance company to verify.

The downside of this method is that it can take a lot of staff time. Even if you have a dedicated staff member to make calls for all scheduled appointments, they can’t always get it done. It is common for staff to get interrupted with other duties or get stuck waiting on hold for extended periods. And because of how much time it can take, there is an increased risk that it won’t ever get done.

Better: Verify eligibility online.

Many insurance companies allow you to verify insurance through their website or the clearinghouse. While this is more efficient than calling the insurance and getting stuck on hold, it is still a manual process to go to the site or clearinghouse and key in the information. The impact of this method is the drain on staff time and a high risk that it won’t be completed 100% of the time.

Best: Real-time and Scheduled Eligibility checking directly from Medisoft. 

When you use Medisoft EDI, you unlock the real power of automation because everything is tightly integrated directly into Medisoft.

For example, when registering a new patient, you can enter the insurance information and do a real-time eligibility check with the click of a button. No leaving the window, no making phone calls, and no re-entering the same patient demographic and insurance information over and over! Eligibility information is pulled right back into Medisoft in the patients’ case and in Office Hours.

What about all those scheduled appointments? Medisoft can automatically run eligibility for an entire day of appointments all at once a few days in advance. This way, you know which patients still have coverage and which ones to reach out to before they come. Real-time checks can also be done when scheduling existing patients to verify the insurance on file is up to date.

Are you ready to automate eligibility checks?

Learn how to automate eligibility in Medisoft with this video.

Automating eligibility is so easy, and is super helpful to your practice!

  • Save time by not being on the phone for hours
  • Save the hassle of rescheduling and canceling appointments
  • Maximize profits by avoiding seeing patients for free!

On top of this, check out the 6 Ways the Medisoft Clearinghouse will legitimately save you boatloads of time and money in Medisoft

Read the post here: 6 Ways Medisoft EDI saves you money

Give us a call today!

We know firsthand how scary it can be to switch to a new clearinghouse. Rest assured, we’ve helped hundreds of practices make the switch, and we’ll make it a quick and painless process for you.

Call us today to ask your questions, to get the details, and to discuss the process for moving from your current clearinghouse to the Medisoft Clearinghouse.

Let us help you get to a place where you can enjoy extra time, a streamlined and straightforward electronic claims process, and maximized revenue.

AZCOMP Technologies – the #1 eMDs reseller for Medisoft since 2005.

We are the ultimate source for all things Medisoft. Whatever your question, problem, or need with Medisoft, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as the Medisoft preferred clearinghouse, patient statements, patient payments, appointment reminders, and more.

For more information, visit our website here: http://www.azcomp.com/medisoft/

Be sure to call us at (480) 730-3055 for all your Medisoft and healthcare technology needs.

Medisoft 6610 or 6633 Error Resolution

Medisoft Support Video: How to Resolve the Medisoft 6610 or 6633 Error

Have you ever received Medisoft 6610 or 6633 Errors? When you get either of these errors, Medisoft will lock up, you won’t be able to click off the error screen, and you will need to restart the program or restart your computer. Both errors are the same and are also solved in the same way.

The Medisoft 6610 error occurs on a workstation when it is unable to communicate with the Advantage Database Server.

The Medisoft 6633 error occurs on the server when the server is unable to communicate with the client and the client is on the server.

There is an easy way to keep from getting these errors—watch this video for a few simple steps on how to resolve these issues.

If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video then let us know by giving us a “thumbs up”!

Medisoft 6610 or 6633 Error Resolution

AZCOMP Technologies – the Number 1 eMDs reseller for Medisoft since 2005.

We are the ultimate source for all things Medisoft. Whatever your question or problem or need with Medisoft, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as the Medisoft preferred clearinghouse, or patient statements, patient payments, appointment reminders and more.

For more information, visit our website here: https://www.azcomp.com/medisoft/medisoft-support

Medisoft Help

Get AZCOMP’s Help

If you are having any problem with Medisoft whatsoever, we can solve it for you. Also, if you’d like to get more out of Medisoft…meaning, if you’d like to take Medisoft to the next level and have it become a powerful tool for your practice, we can help you get there!

We can help with speeding up your electronic claims process and help you save time. We can help you streamline your patient statements process, and make it so your patients can pay you online while you sleep. We can set Medisoft up for you to automatically remind your patients of their appointments and confirm their attendance. We can help with more as well.

Please give us a call at 480-730-3055 to talk to a Medisoft specialist and we’ll help you get the most out of Medisoft!

Medisoft Claim Form Alignment

Medisoft Support Video: Medisoft Claim Form Alignment Instructions

Are you experiencing data misalignment that is causing the patient’s information to print outside of the designated areas of a claim form? Though misalignment can result from several factors such as worn gears on an older printer, paper feed errors, or new printer setup issues, simply making adjustments to the alignment of the data fields of the claim form could fix these issues.

Watch this video for step-by-step instructions on how to make those adjustments to the claim form fields.

If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video, then let us know by giving us a “thumbs up”!

Align Claim Forms in Medisoft

AZCOMP Technologies – the Number 1 eMDs reseller for Medisoft since 2005.

We are the ultimate source for all things Medisoft. Whatever your question or problem or need with Medisoft, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as the Medisoft preferred clearinghouse, or patient statements, patient payments, appointment reminders and more.

For more information, visit our website here: https://www.azcomp.com/medisoft/medisoft-support

Medisoft Help

Get AZCOMP’s Help

If you are having any problem with Medisoft whatsoever, we can solve it for you. Also, if you’d like to get more out of Medisoft…meaning, if you’d like to take Medisoft to the next level and have it become a powerful tool for your practice, we can help you get there!

We can help with speeding up your electronic claims process and help you save time. We can help you streamline your patient statements process, and make it so your patients can pay you online while you sleep. We can set Medisoft up for you to automatically remind your patients of their appointments and confirm their attendance. We can help with more as well.

Please give us a call at 480-730-3055 to talk to a Medisoft specialist and we’ll help you get the most out of Medisoft!

The Complete Guide to the Merit-Based Incentive Payment System (MIPS)

Whether you are just beginning or have been participating in MIPS for years, this information will be helpful for you!

AZCOMP is dedicated to providing you with useful and relevant information relating to your business, not just amidst the current novel Coronavirus pandemic. We recently hosted a webinar where we discussed everything you need to know about the Merit-Based Incentive Payment Systems (MIPS).

With the pandemic, as well as the changes and challenges the healthcare industry has faced in 2020, many practices are left wondering what to do with MIPS. Many of our clients have expressed concern over the risk of receiving a penalty as high as 9%, and others are looking to take advantage of the increased incentives this year. Therefore, it’s important to take a moment to decide where you stand and if any action needs to be taken to meet your MIPS goals. In this webinar, we discuss the options available for eligible providers, and the flexibility CMS has implemented to help providers.

Maggie Delcamp, RN, AZCOMP’s own EHR Specialist and MIPS Consultant, hosted a webinar including:

  • MIPS in a Minute Overview
  • Potential Financial Impact
  • 2019 Finalized Scores are In
  • Minimum Requirements for 2020
  • Hardship Application
  • MIPS Training & Assistance Available

Check out the video below!

Interested in more information found in this webinar?

The MIPS Webinar slide deck is now available: Check out the PDF by clicking here!

Additionally, we mentioned in the webinar that if you are a provider who would like to appoint staff as a representative, you can download the .ZIP file here and access a series of PDFs to walk you through the steps.

AZCOMP Technologies Disclaimer:

Disclaimer: Although AZCOMP Technologies, Inc. makes every effort to ensure that information regarding MIPS and other government programs are checked and accurate in both our documentation and training, the Medicare/Medicaid programs are constantly changing and individual providers may have unique circumstances that go beyond the typical guidelines laid out in the respective programs they are participating in. Therefore, it is the sole responsibility of each provider to study, interpret and remain abreast of the Medicare/Medicaid program requirements and deadlines, contacting program administrators directly as needed. Any documentation and training provided by AZCOMP Technologies, Inc. is based on our interpretation of the programs and certification rules published by the Department of Human Services and are subject to change. Information and training provided is “as is” and without any express or implied warranties. AZCOMP Technologies, Inc. assumes no responsibility for any inaccuracies, errors, or omissions, expressly disclaiming liability for damages of any kind arising out of the use of, reference to or reliance on any content provided. Using certified electronic health record (EHR) systems and other certified health IT to provide and attest to meaningful use is the sole responsibility of the eligible provider.

The latest MIPS regulations can be found on the CMS web site at https://qpp.cms.gov/

AZCOMP Technologies – the #1 eMDs reseller since 2005.

We are the ultimate source for all things Medisoft & Lytec. Whatever your question or problem or need with Medisoft & Lytec, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as preferred clearinghouses, or patient statements, patient payments, appointment reminders and more.

For more Medisoft information, visit our website here: http://www.azcomp.com/medisoft/

For more Lytec information, visit our website here: http://www.azcomp.com/lytec/

For more Telehealth information, visit out website here: http://www.azcomp.com/telehealth

Be sure to call us at (877) 959-8292 for all your network and healthcare technology needs.

We Deliver Phenomenal

We Deliver Phenomenal So That Our Clients Can Too!

Our very first core value at AZCOMP is to “deliver phenomenal.” We put our values in order for a reason, and this one’s at the top because it’s the absolute crux of what we do. It helps our culture thrive, makes our clients happy, and, in turn, allows them to make their own clients happy.

Technology is the backbone of most businesses these days. If your tech isn’t working, it’s going to cause all kinds of problems, no matter what field you’re in. For AZCOMP, this tech is most often related to the medical field, so in many ways, it’s even more vital that it’s working correctly because it directly affects the well-being of the patients who are counting on it. That’s why we’re so adamant about making sure we provide absolutely phenomenal service every time.

“…We’re so adamant about making sure we provide absolutely phenomenal service every time.”

– Byron Adams

Just a few weeks ago, we met with a prospective client in their medical offices.

They wanted to switch IT companies because rather than their current company taking care of their IT issues for them, they would instead just tell their client how they could fix the issues themselves. This left us scratching our heads. You don’t see doctors telling their patients how to perform their own surgery. Doctors spend years getting an education and years treating patients so they can directly implement care and treatment because their patients are not equipped to provide their own care. It should be the same with any IT company; we’re trained to do our job, and we should be expected to do it. This client saw the value in having a technology partner who takes what it does seriously and makes sure it’s using that knowledge to give its clients the service that they can’t provide for themselves. In contrast, we had another meeting with a prospective client who was a bit more reluctant to let us do what we do best. This medical professional was handling all of his own IT, from system setup to troubleshooting. The problem is he wasn’t trained in IT practices. so he couldn’t provide himself and his staff the tools and support they needed to run an efficient business. We did an assessment and found that his system likely haven’t been working properly for years. During that time, he has created an environment of frustrated employees, which in turn, led to disappointed patients who weren’t getting the care or services they needed.

This is why delivering phenomenal is so important at AZCOMP. We strive every day to make sure our clients are using the best technology possible because that allows them to deliver phenomenal to their own clients.

“We’re experts at what we do so our clients can be experts at what they do.”

– Byron Adams

But it doesn’t stop there. We work hard every day to make sure we’re also delivering phenomenal within our own walls to our own team members. That’s because providing great service starts with fostering a culture that allows your team to thrive and also inspires them to help others thrive too. We make sure our own systems are running smoothly so we can do the work we’re trained to do, and do it in a way that makes us proud. You’d be amazed at how easily a happy mindset at work translates into providing service that makes your clients happy too.

It takes a lot of practice to figure out how to deliver phenomenal. It doesn’t happen overnight, and sometimes you have to reach out for a little help to really make sure you’re delivering something truly phenomenal. Here at AZCOMP, we work every day to help our clients see the value in reaching out to a technology partner that helps them do their best work.

AZCOMP Technologies – the #1 eMDs reseller since 2005.

We are the ultimate source for all things Medisoft & Lytec. Whatever your question or problem or need with Medisoft & Lytec, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as preferred clearinghouses, or patient statements, patient payments, appointment reminders and more.

For more Medisoft information, visit our website here: http://www.azcomp.com/medisoft/

For more Lytec information, visit our website here: http://www.azcomp.com/lytec/

Be sure to call us at (480) 730-3055 for all your network and healthcare technology needs.

The Complete Guide to Telehealth

The future arrived faster than any of us could have expected. At the beginning of the year, Telehealth capabilities for your practice was a competitive advantage. Now, it is a survival necessity.

AZCOMP is dedicated to providing you with useful and relevant information relating to your business, not just amidst the current novel Coronavirus pandemic. In response to a large number of calls we have received regarding Telehealth, we hosted a webinar where we discussed everything you need to know about Telehealth during this national emergency.

A group of expert panelists discussed the following:

  • Telehealth Waiver Due to COVID-19
  • Telehealth Options Including a Live Demonstration
  • Documentation Tips
  • Telehealth Billing Guidelines during the COVID-19 National Emergency
  • Collecting from Patients Remotely
  • Best Resources for Information

Check out the video below!

Interested in more information found in this webinar?

The Telehealth slide deck is now available: Check out the PDF by clicking here!

Additionally, we invite you check out our blog post: Telehealth Expansion, Billing, and Testing for COVID-19 for updated information, as we navigate through this time of uncertainty.

AZCOMP Technologies Disclaimer:

Although AZCOMP Technologies makes every effort to ensure that information regarding billing guidelines are checked and accurate in both our documentation and training, it should be understood that our expertise is in the software itself and not in billing practices. Therefore, it is the sole responsibility of the user to study, interpret and remain abreast of billing requirements and deadlines, contacting authoritative sources directly as needed. Any claims documentation and training provided by AZCOMP Technologies is based on our interpretation of the rules published by nucc.org and cms.gov and are subject to change. Information and training provided is “as is” and without any express or implied warranties. AZCOMP Technologies assumes no responsibility for any inaccuracies, errors, or omissions, expressly disclaiming liability for damages of any kind arising out of the use of, reference to or reliance on any content provided.

AZCOMP Technologies – the #1 eMDs reseller since 2005.

We are the ultimate source for all things Medisoft & Lytec. Whatever your question or problem or need with Medisoft & Lytec, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as preferred clearinghouses, or patient statements, patient payments, appointment reminders and more.

For more Medisoft information, visit our website here: http://www.azcomp.com/medisoft/

For more Lytec information, visit our website here: http://www.azcomp.com/lytec/

For more Telehealth information, visit out website here: http://www.azcomp.com/telehealth

Be sure to call us at (877) 959-8292 for all your network and healthcare technology needs.

A Message from AZCOMP Regarding COVID-19

As the Coronavirus outbreak continues to expand and news continues to develop, many organizations are considering plans should employees be unable to travel to work.

We at AZCOMP stand by ready and willing to assist. We are mobilizing to serve our customers and fellow businesses. There are various tools available that make working remotely secure and relatively easy to setup. AZCOMP can consult with you on what might work best for your business, to be successful and work off-site.

Our purpose is to empower our customers and we take this very seriously. We will have technical resources on standby should you have questions. We are ready to help and assist any way we can in these times of uncertainty.

If you need anything, give us a call and we’ll see what we can do to help.

AZCOMP Technologies – the #1 eMDs reseller since 2005.

We are the ultimate source for all things Medisoft & Lytec. Whatever your question or problem or need with Medisoft & Lytec, we can help you. AZCOMP can help with sales, training, coaching, installation, support, EHR, add-on tools such as preferred clearinghouses, or patient statements, patient payments, appointment reminders and more.

For more Medisoft information, visit our website here: http://www.azcomp.com/medisoft/

For more Lytec information, visit our website here: http://www.azcomp.com/lytec/

Be sure to call us at (877) 959-8292 for all your network and healthcare technology needs.