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What Programs Can a Medical Manager Use to Transmit E-Claims?

    • Many programs enable submission of e-claims.Secretary at work image by PJGCC from Fotolia.com

      Programs designed to file electronic claims (e-claims) enable medical managers to streamline processes, increase revenue and decrease rejected or unpaid claims. Different programs are designed for small to mid-sized physician offices, hospitals and health care centers. These programs offer a variety of options including patient scheduling, insurance verification, e-filing, claims tracking and reporting. Once a medical manager determines office needs based on practice size and additional options desired, a specific program that addresses those needs can be purchased.

    Ingenix CareTracker

    • Ingenix CareTracker is a web-based system designed for medical personnel in physician practices, hospitals and community health centers. This total practice management system not only allows for electronic insurance claims submissions, but offers a total solution for all aspects of the medical office. Schedulers use the program to make patient appointments, nurses and physicians document patient care, and billing office personnel generate and file claims, track progress, manage denials and pursue unpaid claims. CareTacker account managers facilitate demonstrations, training and system support.

    AllegianceMD

    • AllegianceMD is a web-based software suite that enables medical managers in small to mid-sized physician practices to file e-claims correctly, efficiently and easily. The program enables offices to schedule appointments and then automatically generates reminder calls to the patients. Front office employees can verify patient insurance eligibility and generate electronic statements. The program automatically posts payments to the correct account, generates numerous reports and is HIPAA (Health Insurance Portability and Accountability Act) compliant. E-prescriptions, e-labs and e-faxes streamline the health care process, enabling physicians to concentrate on patient care rather than administrative tasks. The program is PC and MAC compatible, and AllegianceMD offers unlimited training and support.

    GE Centricity

    • Developed by General Electric Healthcare, the Centricity practice management and electronic medical records program combines clinical and financial information. It allows medical managers in all health care settings to schedule patients, document patient care and send claims electronically. It helps to streamline patient visits, allows for e-prescribing, generates reports and reminders, and assists with coding procedures. It is HIPAA (Health Insurance Portability and Accountability Act) compliant and CCHIT (Certification Commission for Health Information Technology) certified.

    SuiteMed IMS

    • Suitemed's practice management and electronic health records program offers scheduling, tracking and billing solutions for medical managers. It manages documents and generates letters thus reducing staffing requirements by providing efficient and streamlined office procedures. When a medical manager submits an e-claim, the claim is "scrubbed," or checked for errors, before being submitted to the insurance company, thus ensuring timely reimbursements and minimal claim denials and rejections.

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