Charge Capture and Electronic Claims Processing from SmartMD

Streamline your patient accounting processes with charge capture, collections, and more

Page Topics
Capture Charges and Manage Payments or Adjustments
Process Electronic or Paper Claims with Live Claims©
Increase Cash Flow with Improved Collections Processes
 
Manage your practice's finances using the charge capture, ICD/CPT coding, and payments and adjustments features available within SmartWorks PMS Professional, our best in class medical billing software. Reduce your average turn-around-time for reimbursements by managing ANSI X12 HIPAA Compliant transactions for electronic claims processing and automatic EOB posting.




Screen shot of the charges, payments, and claims
support available in our medical billing software.

Capture Charges and Manage Payments or Adjustments
Fast and accurate billing is paramount to increasing your bottom line. In addition to supporting all the features of SmartWorks PMS Standard, SmartWorks PMS Professional lets you collect patient co-payments, capture charges with ICD-9 and CPT coding, print patient statements, and more in a very easy-to-use package. It's what you would expect from your medical billing software solution.
  • ICD-9 and CPT charge capture. Simplify your medical billing processes with automatic linking of procedures performed and their associated ICD-9 codes to help your practice reduce denials. Furthermore, SmartMD maintains the ICD-9 and CPT master lists transparently with its automatic software update technology, allowing you to work with the comfort of knowing your codes are always kept up-to-date.

  • Accurately collect payments or make adjustments. Our payment and adjustment register lets you collect insurance or patient payments and apply any necessary adjustments to your patients' account, while ensuring that payments are properly applied to existing transaction charges.

  • Seamless creation of claims. Claims can be easily created with charges, payments, and adjustment information, making it extremely easy for your medical billing staff to manage accounts receivables from claims submission to reimbursement.
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Process Electronic or Paper Claims with Live Claims©
Create claims the old fashion way with newer technology. Live Claims© lets you create claims using an interactive and electronic CMS 1500 form and send your claims electronically using secure ANSI X12 837 Professional transactions. Our staff of medical billing software specialists, clearinghouses, and medical billing services partners are also here to assist you with any questions or concerns you may have.
  • Send claims electronically or print paper claims. Decrease your average turn-around-time for reimbursements by sending patient claims electronically. Our solutions support all ANSI X12 transactions for Electronic Data Interchange (EDI), including X12 837 Professional, X12 997 Functional Acknowledgement, and X12 835 Claim Remittance Advice. You may optionally print paper claims for mailing to non-EDI capable carriers, such as auto insurance carriers.

  • Automatically post payments from Explanation of Benefits (EOB). Our support for X12 835 Claims Remittance Advice automatically posts payments received from carriers to your patients' accounts, saving billing staff valuable time on processing electronic claims reimbursements.

  • Resubmit challenged or rejected claims. Resubmit rejected or challenged claims with the same window used to manage transactions, payments or adjustments and minimize the number of screens your staff requires to efficiently complete tasks.

  • Create claims interactively. Fill out patient claims with an interactive CMS form that saves all changes back to the patient's medical billing records. This unique features saves time by allowing you to create or edit patient claims the way you're accustomed to, but with the increased accuracy and efficency of automation.



Live Claim© allows you to edit CMS 1500 forms in real time
and saves all your changes back to the patient's medical records.

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Increase Cash Flow with Improved Collections Processes
Late payments and past due balances decreases your available cash flow and interrupts the seamless operation of your practice. The medical billing software available in SmartWorks PMS Professional offers enhanced collection features that helps you enforce timely and accurate payments for your services.
  • Detailed collections reports. Past due reports help you identify slow-to-pay patients or insurance carriers. You can use these reports to determine beforehand whether acceptance of certain carriers or patients may result in a slight reduction in cash flow due to slow or late payments.

  • Print and send collection letters. Automatically create collection letters for past due accounts to help increase cash flow and reduce the average turn-around-time for payments. These letters are highly customizable and can be created with your letterhead or any other desirable format prior to printing.

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