Clinicare

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GroupBill 6 - New Features

CLINICARE's GroupBill application provides group practice Medical Billing and the interface of billing to PatReg (Patient Registration) and VisitCare (Scheduling) files. Integrated with VisitCare (Patient Appointment Scheduling) to eliminate lost claims, GroupBill includes billing procedures for all types of claims (Government, Direct to patient, and Third Party) and adapts to any provincial insurance plan within Canada.

An associated module to GroupBill is Stats. Stats provides billing statistics (production reporting) and generates reports by Procedure/Tariff Fee Codes, ICD9 (diagnostic) Codes, Referring Doctor, etc. Stats includes the number of visits and revenue generated.

Version 6 of CLINICARE's GroupBill application has a number of exciting new features which can enhance the financial administration of medical groups.

NEW FEATURES

• Batch capability for:
  • 9,999 batches per month
  • Separating claims from within batches (i.e. Government and Third Party submissions)
  • Re-opening a batch to correct it
  • Removing a claim from a batch
  • Excluding a claim from submission

Claims are no longer automatically written off using the exception basis as within GroupBill 5.3. Write-offs are performed based on the use of Transaction Types, Decision Codes and Reconciliation Rules established by the Practice

A selective purge process allows users to determine when each type of transaction should be purged. Claim input validation has been enhanced to ensure greater input accuracy, and hence greater throughput of claims when they are posted. Claims can be inputed into the next period before closing the prior period (i.e. you can keep a period open to capture hospital charges that always seem to come in late)

• GroupBill 6 provides a complete account history, showing full records of what has been billed and what has been paid or adjusted. All financial transactions are stored until a line item zero balances and has been purged
• Claims History is accessible from Pat Reg, Claims Input and CMR
• The accounting process has been enhanced through table driven reporting features
• More control has been provided for the user to manage various activities (e.g. any number of periods, typically 12 or 13). The user decides when the month-end should be closed allowing additional opportunity for adjustment processing. Transactions are now keyed on Date of Service rather than Input Date, allowing claims to be input for a subsequent month prior to closing the previous month
• Accounting processes utilize a double entry system and provides a Trial Balance of Accounts which can be moved to a General Ledger
• Resubmitted claims are now linked to the original claims
• Stats are now automatically affected by Adjustment Transactions (write-offs do NOT affect Stats)
• A new report, Fee Statistics by Stat Code (ST2), breaks down a Physician's production according to Major and Minor statistical groups assigned in the Health Services Codes master. This allows the Practice to group Fee Codes to obtain sub-totals
• Plus, additional options have been implemented into existing Stats reports

ADDITIONAL INFORMATION

• GroupBill and PatReg are fully Year 2000 compliant