Comparative Listing of Medical Billing Software
Transcription
Comparative Listing of Medical Billing Software
Comparative Listing Of Medical Billing Software Packages Comparative Listing of Medical Billing Software Packages Searce Healthcare Shamik Parikh Hardik Parekh September 04 Comparative Listing Of Medical Billing Software Packages TABLE OF CONTENTS Introduction ....................................................................... 3 AdvancedMD – by AdvancedMD Software, Inc.................... 5 Altapoint – by Altapoint Data Systems, LLC........................ 10 Centricity – by GE Healthcare Systems ............................... 15 ClaimGear – by XGear Technologies, Inc. ........................... 19 elligence – by Data Strategies, Inc. .................................... 22 Healthpac – by Healthpac Computer Systems, Inc. ............ 28 NDCLytec – by NDCHealth .................................................. 31 MedicsElite – by Advanced Data Systems, Inc. ................... 35 NDCMedisoft – by NDCHealth ............................................. 39 The Medical Office – by SoftAid, Inc. .................................. 46 Comparison ........................................................................ 52 Conclusion.......................................................................... 53 References ......................................................................... 54 Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 2 of 56 Comparative Listing Of Medical Billing Software Packages Introduction Healthcare industry in the United States is undergoing rapid changes with a continued emphasis on privacy regulations like HIPAA (Healthcare Insurance Portability and Accountability Act). This coupled with the ever-increasing stress on improving the efficiency of healthcare operations to minimize the healthcare costs is forcing the providers, insurance companies, clearinghouses, and billing companies equally to evaluate alternative processes and systems. Medical billing is a very important portion of the whole equation affecting the healthcare industry. Medical billing firms ensure that the right payment is routed properly from the right patient’s insurance company/companies to the practitioners/hospitals in a timely manner. Medical billing has become a complex endeavor due to the sheer number of diagnostic codes, procedure codes, and other requirements that change year after year increasing the chances of billing error. There are several hundred medical billing software packages, which try to make the billing process more efficient and generate electronic claims. Medical billing software also helps providers manage financial information and reduce errors on claims submitted to over 3000 insurance companies and the Medicare. Medical billing software can be a standalone function or integrated with other aspects of medical practice such as patient medical records, appointment scheduling system, etc. Several practice management packages are increasingly eyeing for a vertical integration in terms of offering billing, patient scheduling and medical records including the patient history etc. Since billing firms are mostly independent entities handling the claims processing for the practitioners, it is becoming more and more necessary to have a seamless flow of data from the software package used by the practitioners to the billing package used by the billing firms. Having several hundred software vendors in the industry does not help to this problem and indicates a definite need for further consolidation in the industry and a spread of interoperability standards among existing packages. This will reduce the switching cost when the practitioners want to move to a different medical billing vendor and will increase the overall efficiency of billing operations. In this paper we have attempted to compare several popular billing packages in terms of their features, technical capabilities, cost and interoperability compatibility. This paper is an attempt to provide useful information for small and medium medical practices, which would allow them to make suitable selection of software depending on the fluid needs of their client base. The following packages were included in the evaluation: 1. AdvancedMD 2. Altapoint 3. Centricity 4. ClaimGear 5. elligence 6. Healthpac 7. MedicsElite 8. NDCLytec 9. NDCMedisoft 10. The Medical Office Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 3 of 56 Comparative Listing Of Medical Billing Software Packages The paper describes each of the above software packages in detail and a combined comparison chart is included at the end of the paper. Sample screen shots are included to get a real feel of the software user interface and capabilities. Important as well as unique features of all the packages are noted. The information presented in the paper is collected from varied sources including but not limited to company website, brochures and other marketing material, direct interaction with company executives, support professional etc. Billing software can be a stand-alone solution or a part of the larger practice management package. In either case, the industry trend is toward more powerful interactive financial tools that fully integrate with practices' administrative and clinical software and databases. However we strongly recommend that prior to implementing any new technology, practices should evaluate their technology and processes to determine how they are related before making any changes to either. Technology is a great means to manage operations, but only if the operations support the technology. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 4 of 56 Comparative Listing Of Medical Billing Software Packages AdvancedMD – by AdvancedMD Software, Inc. Overview AdvancedMD Software, Inc is a privately held company with headquarters located in Salt Lake City, Utah. The company has been in web-based practice management software business for the last 5 years. AdvancedMD has numerous users working with more than 1,400 healthcare providers. According to company records, each year, some 98% of the active clients renew their services. AdvancedMD offers a billing and practice management software that is 100% web-based. All one needs is an ordinary computer and a broadband Internet connection. This software contains all the general features included in practice management software like Appointment Scheduling, Patient Data management, Electronic Claims capabilities, Reporting & Accounting for practices of various sizes. Key benefits to small mid-sized practices • No need to install or manage software servers • No hassle with upgrades or backup tapes • Always available anywhere (work, home, road) • Always up-to-date information • Always secure and encrypted • Always backed up Features Patient Data • Easy-to-use tabs organize data on a single screen • Scan an insurance card or referral at one location, view it everywhere • Custom fields let you store specialized data • Ticklers, memos, and alerts keep staff up to date • Intelligently helps eliminate duplicates Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 5 of 56 Comparative Listing Of Medical Billing Software Packages Insurance Billing • Customized online charge slips (superbills) allow providers to “point-and-click” a screen that's just like a paper charge slip. The online slip can be entered on any in-office computer, or on a handheld PocketPC or tablet, eliminating costly errors and saving data entry time. • The Quick Charge Entry screen allows “heads-down” rapid charge entry when required. • A Unique visit tracking number is assigned to each appointment. This number follows the patient through the whole transaction including the insurance claim form and the EOB. • AdvancedMD's charge review function allows new posted charges to be queued up and reviewed by a biller prior to posting. • All charge data entered is instantly updated to the front desk, so when the patient checks out, the patient portion is already calculated and the return visit information is available. Scheduling The Scheduler offers tight integration with additional patient details including • Alert memos for outstanding balances • Co-payment amounts & checkout • Referral information • Potential duplicate appointment information Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 6 of 56 Comparative Listing Of Medical Billing Software Packages Reporting & Management • Over 100 reports come standard with the system, including many ways to target outstanding balances. All reports can be exported to MS Excel for further analysis. • Ability to configure system for viewing aging by date of service or date of entry. • Collections or other MS Word letters can be created that automatically import patient-specific data • Download full sets of data in MS Access any time for backup purposes, or for more sophisticated analysis. eClaims & eRemittance • Faster reimbursement through electronic submission • Efficient processing with batch processing • Efficiently manage rejections and errors with online reports • Full HIPAA compliance • Rapid online reports for each claims submission batch • Denials management reports • Electronic auto-posting (ERA) of payments directly back to charges EMR Solutions • Document scanning and management • Dictation/Transcription module • Custom data fields for collection of vital signs, labs, prescriptions, etc. right within the patient's online record • Tablet/ PocketPC solution: Remote charge capture in a Tablet or PocketPC • Full HL-7 and XML web service connectivity options Collections • AdvancedMD Collections automates the process of "working" the collectionsoriented reports with a customizable workflow, increasing staff productivity by helping them work on the most important tasks. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 7 of 56 Comparative Listing Of Medical Billing Software Packages • • Patients are automatically tracked throughout the collections process. Staff can create patient and payer task lists and automated reminders for follow-up actions. Billing managers define worklists that group accounts based on aging, family or insurance balances, carriers, etc., so that the right collectors are working the right accounts. Technology A Web-based practice management & billing system like AdvancedMD eliminates the need for having a server in the office. All the features of the application can be accessed through internet explorer web browser and a broadband internet connection. The data resides behind an enterprise-class firewall to prevent unauthorized electronic access. PC Requirements • • • • • • • All workstations must meet the following minimum specifications: o Pentium III class or better o 256 MB RAM or higher o 800 x 600 screen resolution or better o Windows 2000 or newer desktop operating system (NT 4.0, Server 2003 not supported) Internet Explorer 6.0 or above with 128-bit encryption is required for each workstation Internet Explorer configured to (1) allow the AdvancedMD web site as a trusted site, and (2) accept and use ActiveX controls. Adobe Acrobat Reader installed for each workstation printing reports Licensed copy of Microsoft Word 2002 (XP) or higher for each workstation printing HCFA claim forms and/or statements High-speed Internet data connection to the PC (see below for specifications) Optional: Analog modem line and dial-up Internet account (as a backup Internet access method) Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 8 of 56 Comparative Listing Of Medical Billing Software Packages Internet Access Requirements Number of concurrent users (sharing this connection) 1-5 concurrent users 6-10 concurrent users 11-20 concurrent users 21-30 concurrent users Recommended Tested Speed Download Upload 256 Kb/s 256 Kb/s 512 Kb/s 256 Kb/s 768 Kb/s 384 Kb/s 1024 Kb/s 384 Kb/s Pricing For 1 physician Practice Management System Application $250 Electronic Claims submissions (unlimited) $49 For 5 physicians Practice Management System Application $1125 Electronic Claims submissions (unlimited) $245 For 10 physicians Practice Management System Application $1875 Electronic Claims submissions (unlimited) $490 Pricing includes Practice Management System maintenance/support and Offsite Data Backups. Contact AdvancedMD Software, Inc. 2795 Cottonwood Parkway, Suite 120 Salt Lake City, UT 84121 801-983-0880 801-983-0898 (Fax) http://www.advancedmd.com info@advancedmd.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 9 of 56 Comparative Listing Of Medical Billing Software Packages Altapoint – by Altapoint Data Systems, LLC. Overview Altapoint Data Systems, LLC has been in the healthcare software business since 1996. Douglas Lyman who heads Altapoint, has been in this industry since the early 1990’s and he is the original creator of Lytec, a medical practice management package, now owned by NDC Health. AltaPoint has nearly 3000 installations and over 7000 users in all 50 States across U.S. as well as few other countries. Altapoint provides integrated practice management software and an interface for mobile handheld devices for a variety of healthcare practitioners. AltaPoint is an integrated electronic medical records (EMR) billing and PIM software solution that complies with new federal standards for medical records privacy and security. Altapoint is available in three modules - Medical, Vision, and Chiropractic to better fit the needs of individual practice. General practices and a wide variety of specialty medical practices, ophthalmic, optometric, podiatric, chiropractic, physical therapy and other practice types use the AltaPoint billing and practice management software. Features AltaPoint combines billing, inventory, scheduling, reminders, clinical records, and many other features in one system. Patient & Insurance Billing AltaPoint streamlines and simplifies the work of insurance billing and allows printing of insurance claims on pre-printed forms or on plain paper. • Patient balance, family balance, and last payment are displayed on the patient form (no command or operation necessary to view). • Appointments tab - view future appointments and quickly make new appointments. • Ledger tab - Quickly view all patient transaction history directly from this tab. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 10 of 56 Comparative Listing Of Medical Billing Software Packages • • • You can even choose to view recent payments only. Also, you can create a new bill or estimate by selecting a single button. Reminders tab - view and edit unlimited recall entries. Instant access to guarantor record. Advanced options for maintaining and tracking insurance vs. patient responsibility. Electronic Claims Processing AltaPoint electronic claims allow users to process and track insurance claims quickly and efficiently by eliminating the long waiting period involved in paper claims processing. Speech Recognition for Narrative Dictation AltaPoint takes advantage of state-of-the-art technology that allows the physicians to dictate notes directly into their patient records. The system converts this dictation into text as they speak. Store Pictures, Radiographs and other Images Use a scanner or digital camera to capture and store pictures of patients, contacts and employees. One can also scan and annotate an unlimited number of clinical or treatment related photographs and radiographs per patient. Palm OrganizerTM Support Using the Palm organizer, AltaPoint extends the access to important practice information. One can add and edit patients, record patient encounters with billing detail, view and update appointments, add tasks, addresses, and even detailed notes. Powerful data synchronization utilities allow the user to enter information on the desktop computer and Palm organizer independently. Custom Statements that You Design Patient statements can be customized as per the needs or can be selected from the available templates. These statements can include a variety of information including: aging of accounts; special and dunning messages; estimated insurance and patient responsibility of charges; up-coming appointments and reminders; patient instructions for specific procedures - and many other options. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 11 of 56 Comparative Listing Of Medical Billing Software Packages Appointments & Tasks Use AltaPoint to record and manage all of the appointments and tasks. Set up repeat appointments and special days as well as add alarms and notes. View appointments by day, week and month. Management Reports AltaPoint comes with a complete set of accounting and management reports. In addition to the reports that come built into the system, it allows design of an unlimited number of customized reports and forms. All reports support Microsoft Windows fonts and can be previewed on the screen before printing. • • • All fields and files available for reports Script based reporting with powerful logic and conditional printing. Calculate sub totals and grand totals on column-based reports. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 12 of 56 Comparative Listing Of Medical Billing Software Packages • • Print logos, graphics, pictures, and x-rays on statements, invoices, and other reports. Direct data links to Microsoft Office (including Word, Excel, Access); Star Office; and WordPerfect. Inventory Control It allows tracking of inventory items and maintains desired stocking levels and reorder points with the ability to track the revenue, and cost of goods sold for each product in inventory. Reminders AltaPoint simplifies and streamlines the tedious task of generating reminder notices. An unlimited number of recall entries, reminders, and alerts can be entered per patient. Task Management It allows tracking of important tasks by date, patient, and provider. Letters, Labels, and Post Cards AltaPoint’s integrated report writer allows creation of any number of custom letters, file labels, mailing labels, and post cards. Referral Tracking AltaPoint allows tracking of referrals by doctor, patent, media, as well as other sources. "Smart" Word Processing Interface AltaPoint can be integrated with existing word processor, since Microsoft Word can read AltaPoint data files directly without the need to create separate “Mail-merge” files. AltaPoint also interfaces directly with Microsoft Excel, Microsoft Access, Visual FoxPro and many other popular programs. Phone Dialer Integrated phone dialer allows the computer to dial any client or contact phone number with the press of a key or the click of the mouse. Spell Correction Integrated spell correction is available when entering patient notes, administrative notes, and all other areas in AltaPoint designed for free-form text. Compound Codes Compound codes can save time and keystrokes when entering invoices. With this feature, several procedure codes can be combined as a single command. Technology System Requirements For Client: A workstation or stand-alone machine that can efficiently run Windows NT/2000/XP Pro. A Pentium II 300 MHz or better is recommended with at least 128 MB of RAM. Windows XP Home and Windows ME are not recommended. Windows 98 is no longer supported by Microsoft and, although it has worked with AltaPoint in the past, is no longer recommended for general office use. For Servers: Servers should effectively run Windows NT/2000/XP Pro, Novell 4/5, or Linux Distribution with a 2.2 Kernel or higher. A Pentium III 500 MHz or better is Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 13 of 56 Comparative Listing Of Medical Billing Software Packages recommended with at least 256 MB of RAM. Please specify the server's operating system at the time of ordering. For Printers: Most standard laser, inkjet, or dot-matrix printers will work with AltaPoint. Xerox Printers and most multi-function printers are not recommended for use with AltaPoint. For Digital Imaging: A digital camera or scanner that can produce Windows BMP and JPEG files. For speech recognition: Dragon NaturallySpeaking v5 or later, Pentium III, 512 MB RAM recommended. A ScanSoft approved sound card USB input device required. Pricing AltaPoint AltaPoint AltaPoint AltaPoint AltaPoint AltaPoint Model Medical Single-User Medical Multi-User (5 users) Medical Client/Server (2 users) Medical Client/Server (5 user) Medical Client/Server (15, 25, 50 or more users) for the PalmTM organizer (Palm sold separately) Price $995 $1495 $1,295 $2,495 CALL $295 Optional Products and Services ENS Electronic Claim Submission Services (Setup) $179, $49 (Monthly Per Provider) Extended Telephone Support $499 (Annually or $299 for Six Months through AltaPoint) AltaPoint for Palm $295 (Per Provider, Palm PDA/Hand-Held Device Not Included) ICD-9 and CPT Codes for Import into AltaPoint $295 (2003 Set Currently Available) Basic Data Conversion Services $195-$495 (Basic Conversions from Many Old Systems) Form Customization for Statements, Superbills and Others $75 (Hourly) Contact AltaPoint Data Systems, L.L.C. 1100 East South Union Avenue Midvale, UT 84047 Toll free: 1-888-ALTA-LLC (1-888-258-2552) Local: 801-569-9401 Fax: 801-569-9370 http://www.altapoint.com sales@altapoint.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 14 of 56 Comparative Listing Of Medical Billing Software Packages Centricity – by GE Healthcare Systems Overview Since its inception in 1993, Centricity Physician Office Practice Management was built from the ground up as a 100% pure Microsoft-based solution. The Centricity system, now installed in more than 3,000 office-based physician practices, automates administrative functions, such as scheduling, patient information, billing, insurance claim processing, accounts receivable and collections, managed care, and inventory control. Each month, more than 3.6 million transactions are processed for more than 12,000 physicians with the use of GE’s Centricity™ Physician Office Practice Management system (formerly called Millbrook Practice Manager). Centricity Physician Office - PM is built to interface with thousands of other Windows applications, which allows easy integration of custom features. Centricity works with practice sizes of 1-150 physicians and is capable of handling over 70 specialties. Currently it is being used in 50 states all over US. Features Centricity Physician Office - PM offers tools to manage everything from scheduling to collections to financial analysis. These are some of the capabilities: • Resource-based scheduling that accommodates multiple providers in multiple locations • Patient information management accessible from any screen • Fast, accurate billing for any payer, including any kind of managed care contract • Built-in electronic claims, remittance, statements, and eligibility • Accounts receivable and collections tools for better cash flow • Flexible reporting, including both built-in reports and compatibility with Microsoft Excel, Microsoft Access, and Seagate Crystal Reports • Inventory control • Scanning for insurance cards, lab reports, and more • Compatibility with dozens of EMRs, appointment reminder systems, and other specialty software Because Centricity was built on the Microsoft Windows platform and the HL7 standard, it is compatible with any other Windows-based software. Centricity runs on Microsoft/Intel-based computer hardware. It takes full advantage of industry standard protocols to move data between disparate systems like outside labs and internal equipment. It uses HL7, for example, the standard for communicating health data among disparate systems. This lessens the need for expensive, proprietary interfaces. It is accessible to Microsoft Word, Excel, and Access, and to Crystal Reports, and further to other reporting tools using ODBC. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 15 of 56 Comparative Listing Of Medical Billing Software Packages Centricity offers support for a number of claims clearinghouses as well as direct interfaces to Medicare, Medicaid, and Blue Cross for many states. Appointment Scheduling and Tracking • Schedule and view office visits for multiple doctors, treatment rooms, and special equipment • Customize time schedules and restrict time slots • Appointment slots are color-coded for quick reference • Easily book recurring appointments • Track workers' compensation, industrial and personal injury • Search ahead in increments of time (days, months, etc.) to future appointments Office Management • Automated recall notices • Automated reminder notices Patient Information Management • Identify guarantor and/or insured party(ies) for each patient • Unlimited insurance carriers/insured parties per patient • Attach scanned images to each patient file • Assign financial class per patient • Assign billing codes per guarantor • Designate primary and referring physicians • Track level of coverage and patient's responsibility at every step of the process • Add patient notes, appointment notes, and/or billing notes Filing Claims and Reporting • Electronic Data Interchange (EDI) • Electronic eligibility verification • Electronic claims status • Insurance paper claims (HCFA-1500 and UB-92) • View claims activity for a specific visit Payment Posting • Distribute payments by exception for quick entry • Automatically calculate alloweds and withholds • Transfer monies between insurer and patient • Post unlimited payments, adjustments and transfers at the same time • Set up your system to replicate your Explanation of Benefits (EOB) • Automatically attach predefined notes to payments, adjustments, and transfers • Print receipts at the time of a visit • Attach scanned images of EOBs to payments Accounts Receivables and Collections • Track amounts charged, expected payment, amount paid, adjusted, or refunded, and any balance due • View summary of all outstanding receivables and "drill down" to review line item details such as payments and adjustments • Group insurance carriers for collection purposes • Automate collections letters Financial Management • Custom charge sets for fast and easy entry of commonly used diagnoses/procedure codes; append charge sets on a single visit • Unlimited fee schedules for easy tracking of fees, costs and allowed amounts by procedure; unlimited managed care fee schedules • Easy entry of modifiers, place of service (POS) and type of service (TOS) codes Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 16 of 56 Comparative Listing Of Medical Billing Software Packages • • • Capitation accounts management Copy fee schedules; effective/expiration dates on fee schedules Attach transcription notes to each visit Inventory • Track an unlimited number of directory items • Charge tax where applicable Reports • Over 100 reports ranging from patient lists to financial analysis • Print statements and claim forms on demand • Print reports one at a time or tag and print in a batch (all at one time); use filters to limit report printing based on various criteria (e.g., date range, facility, doctor, company, etc.) • Transaction-based aging reports can be run at any time • Easily customize reports with integrated designer • Merge letters and mailing labels • Use custom report capabilities with ODBC applications such as Microsoft Excel, Microsoft Access, Microsoft Word and Seagate Crystal Reports • User-modifiable receipts, statements, HCFAs, UB-92s, Superbills and patient profiles Technology Minimum System Requirements Processor RAM Free Hard Disk Space Other Hardware Workstation Pentium 233MHz 64 MB 200 MB Server Pentium IV- 1 GHz 1.0 GB 1.0 GB or 4x Database size (whichever is greater) Mouse (or trackball) Network Interface Card Mouse (or trackball) Network Card CD-ROM Modem Operating System Windows XP Professional (SP1 or later) Windows 2000 (SP3 or later) Other Software MS Word 97 or later MS Internet Explorer 6.0 (SP1) Windows XP Professional (SP1 or later) Windows 2000 (SP3 or later) Microsoft Small Business Server 2000 (SP1 or later)* Windows 2003 Server** Microsoft SQL Server 2000 (SP3 or later) MSDE (SP3 or later) MS Internet Explorer 6.0 (SP1) * Small Business Server SP1 includes Windows 2000 SP3. ** Windows 2003 Server 64-bit is not yet supported Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 17 of 56 Comparative Listing Of Medical Billing Software Packages Contact GE Healthcare Systems 3000 N. Grandview Blvd. Waukesha, WI 53188 Phone: 262-544-3011 http://www.gehealthcare.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 18 of 56 Comparative Listing Of Medical Billing Software Packages ClaimGear – by XGear Technologies, Inc. Overview XGear Technologies, Inc. was founded in January 1999 by CEO Douglas A Kegler. With the need arising for a cost effective, efficient and flexible medical billing and practice management system, ClaimGear, an Internet-based practice management solution, was introduced. By now, Claimgear has been in the market for over 6 years with a current database of 500+ accounts spread out across 46 states. Features New features in the latest version of ClaimGear include the ability to enable tracking and editing of patients' information, claims data and scheduled/canceled appointments. The system also employs a time-saving Payer address base that allows clients to easily load payer addresses and contact information with simple, searchable functions. These features are expected to significantly reduce the time previously needed for these functions. The ClaimGear software is a Practice Management Software program designed to operate with the speed of a local PC application and the flexibility of a Web browser application. The software is based on Java technology and the Internet to provide physician offices and billing services better efficiency and adaptability. Below are some of its unique features: • • • • • • • • • • • • • • • • • • • Exclusive Claim Tracking Software saves hours tracking denied and unpaid claims Full featured Appointment Scheduler Electronic Submission to Over 1,200 Payers HCFA 1500 Claim Form HIPAA Ready Automatic Posting of Electronic EOB Electronic Patient Statements All CPT and ICD Codes Patient Statements Electronic Patient Eligibility Over 40, Easy to Generate and Read Reports Accounts Receivable Aging Reports Daily/Monthly Charges and Payments Reports Preview Reports on Screen Before Printing Multi-User and Multi-Level Security Automatic Claim Transmission Automatic Data Backup Secure, Real-Time Connectivity 128-bit SSL Data Encryption Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 19 of 56 Comparative Listing Of Medical Billing Software Packages Fig 1: Scheduler Fig 2: Claims Billing Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 20 of 56 Comparative Listing Of Medical Billing Software Packages Fig 3: Eligibility Check Technology Strict security measures are utilized to protect the data from unauthorized access including firewalls, 128-bit SSL data encryption, and passwords. The use of a RAID system, battery backups, and tape backups prevents system downtime. Minimum System Requirements • • • • • Windows 98, NT, 2000, Me, or XP computer with a Pentium, Celeron, or AMD 400Mhz or higher Minimum 56K Internet connection, but a cable or DSL modem is suggested 128MB RAM. Less than 128 MB of RAM will cause the program to operate slowly Screen resolution should be at least 800 x 600. At a lower resolution, you can still use ClaimGear but it will not display correctly 36MB of disk space Pricing The cost for ClaimGear is not based upon users or of providers. It is just a one-time setup fee (ranges from $199.00 - $599.00). The Support, maintenance and updates are included in the one-time setup fee for the lifetime of the program. Contact XGear Technologies, Inc. 1506 Lake Highland Drive Orlando, FL 32803 Toll Free: 877-252-2208 Local: 407-228-6111 http://www.claimgear.com/ sales@xgeartech.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 21 of 56 Comparative Listing Of Medical Billing Software Packages elligence – by Data Strategies, Inc. Overview Founded in 1982, Data Strategies, Inc has been a provider of technology solutions in the healthcare industry. Based in San Diego, Data Strategies is the developer of CompuMedic, The Resource Scheduler, and elligence. Nearly 1,000 health organizations across the U.S. form their loyal consumer base. elligence is the "next generation" of CompuMedic - the management software system for physician practices offered previously by Data Strategies. elligence is a scalable, secure, and compliant healthcare management system, designed for practices, clinics, and billing service providers of virtually any size. Features Patient Folder • Review all aspects of a patient's demographic profile and financial history with the practice - including insurance coverage(s), archived insurance, notes, recalls, accounts receivable and unapplied credits (patient credit balances). • Link to Appointment History screen to show upcoming, past, cancelled, and no-show appointments. • Access patient's ledger from the folder. • Family billing - easily identify a guarantor and/or insured parties for each billing account. Each patient is assigned a unique account number, even if the patient is linked in a Family Billing account. • Generate unique patient account numbers automatically, or the practice can assign their own account numbers. • • • Assign financial class for each patient. Designate primary (assigned) and referring physicians. Track encounters, and associate them with diagnoses, referring doctor, authorization number, and the like. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 22 of 56 Comparative Listing Of Medical Billing Software Packages • Enter patient notes, reminders and collection notes easily. Co-Payments • Apply co-payments at the time of service, with a few keystrokes. • Co-pays that are collected at the time of service can be applied to the applicable E&M charge once the charge is entered, or may be applied to the visit if the patient is a member of a capitated plan. Ledger • Instantly review Open (unpaid), Closed (paid), and Unapplied (over-paid) transactions, on a line-item basis. • Show charges on a line-item basis, along with all payments and adjustments associated with them. • Insert notes to reflect insurance information, collections, on-bill notes, and internal memos. Notes are displayed in chronological order, interwoven with the transactions/dates of service to which they have been attached. • Modify transactions, or "drill down" for more information, just by doubleclicking on the item. Fee Schedules, Capitation & Contract Management • Unlimited fee schedules for easy tracking of fees, costs, and allowed amounts by procedure. • Unlimited fee schedules for managed care. Charge Capture • Automatically identify allocation of financial responsibility at the point of service, so the patient portion can be collected before the patient leaves the office. • Patient credit balances (unapplied credits) can be applied easily to co-pays and charges at time of service or at any point during the billing cycle. • Procedures, diagnoses, modifiers, authorization numbers, notes and other transaction-specific information are entered on a line-item basis. Collections & A/R Management • Implement an effective in-house collections effort, improve receivables and Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 23 of 56 Comparative Listing Of Medical Billing Software Packages • reduce the need for outside collection agencies with a comprehensive set of collections and A/R management tools. Archive statements, so that you can reprint them or view them on the screen exactly how they looked on paper to the patient - reduces the time it takes to resolve statement-related issues with patients. Payments & Receipts Management • Post insurance and patient payments, as well as adjustments to a patient's account - on line-item basis. • Balance batches easily by using running totals and totals by batch. Batch report may be printed at any time. • Automatically calculate allowed amounts, based on Fee Schedules. • Post multiple payments, adjustments and transfers of financial responsibility simultaneously. • Attach notes to payments, adjustments and transfers of financial responsibility. • All unapplied credits on file are identified on a per-patient basis on an easilyaccessed report; hyperlinks in the report take the operator to each patient's Ledger, so each credit can be processed. Document Designer • Customize and design your own insurance forms, statements, superbills, recall notices, marketing mailings, surveys and other documents and correspondence. • Work with a number of pre-defined documents, including the CMS 1500 (formerly HCFA 1500), UB92 and a gallery of superbills and patient statements. • • Templates can be created from pre-formatted templates that come with elligence (e.g., a standard 1500 or UB-92 form), based on other templates the practice has already created, or from scratch. Use custom report capabilities with ODBC applications such as Microsoft Excel, Microsoft Access, Microsoft Word and Crystal Reports, so you can export data from elligence to templates in other software programs. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 24 of 56 Comparative Listing Of Medical Billing Software Packages EDI Overview • Manage the flow of electronic healthcare transactions to and from your practice, through a unified, centralized system. • Verify the validity of all outgoing and incoming EDI transaction files. • Transmit and process files, just by pressing EDI Manager's "Send/Receive" button. • Maintain all EDI transactions specifications and requirements, to ensure strict ongoing compliance with HIPAA. Electronic Claims Submission • Build an electronic claims file, based on user-defined selections, of charges that have been entered into the system. • Based on a library of rules that is pre-defined in elligence, an Exceptions Report is displayed that flags claims from which information is missing or inaccurate. • Hyperlinks in the Exceptions Report take the user to the exact place in elligence where the data must be corrected. • Pre-Processing Report displays all charges that will be billed electronically. • Claims are processed, then placed in the EDI Manager's Outbox for transmission. Electronic Remittance Advice (ERA) • Replaces the time-consuming process of manually posting multi-page EOBs with an automated, streamlined method - more effective personnel utilization. • Enables significantly faster updating of accounts receivable. • Automatically posts payments, maintains a history of allowed amounts and adjusts write-off amounts. • Highlight any patients and/or charges that have any claim or charge adjustment codes, as reported by the insurer. • Claims that do not meet expected payment amounts, or have other errors that cannot be corrected immediately from the Exceptions Report, can be posted manually later. Electronic Statements • Generates a batch of statements, and then transmit it to the statements processing service bureau. • Create a back-up copy of the statement batch in HTML or PDF format, so you can retrieve the statements at a later time and address inquiries by the patient. • The service bureau will send an acknowledgement report, indicating they have received your batch, the number of statements included, etc. • The file is processed, data is double-checked, and addresses are bar-coded. • Your statements are printed. • Undeliverable addresses are separated & corrected. Technology elligence is designed specifically for Microsoft Windows, and other Microsoft technology (such as SQL Server 2000). Data for all programs is stored in standard Microsoft SQL Server 2000 for easy transfer of information. The application is deployable on a Local Area Network (LAN), Wide Area Network (WAN), Virtual Private Network (VPN). Also, it may be deployed on a peer-to-peer network for fewer than five concurrent users. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 25 of 56 Comparative Listing Of Medical Billing Software Packages System Requirements Data Server – This computer hosts SQL Server and exposes a shared folder (“GlobalFolder”) for all App Servers (see below) to write and read shared files. There will always be only one Data Server in any single installation, regardless of the number of locations, users, etc. Requirements are: Component Minimum Requirement Processor 1.2GHz RAM Hard Drive 512 MB 20 GB Microsoft Windows 2000 Server / Advanced Server TCP/IP; File and Print Sharing to App Servers 100mbps to all Application Servers SQL Server 2000 (or free MSDE if under 15 users) Backup software / system of some kind that is capable of holding all databases + the GlobalFolder contents MUST NOT expose this server to the internet by assigning it a public (internet) IP Address or by routing the SQL Server TCP/IP port into it from another computer which has a public (internet) IP Address. OS Net Protocols Net Bandwidth Additional Software Additional notes Recommended Fastest currently available processor 1024 MB RAID-5 Array Application Server – This computer hosts the elligence server application. There will be one Application Server for every 30 users of elligence. Requirements are: Component Minimum Requirement Processor 1.2GHz RAM 512 MB 20mb free space; 1GB free space for Windows memory management Microsoft Windows 2000 Server / Advanced Server TCP/IP; Client for Microsoft Networks to Data Server 100mbps to the Data Server; 128kbps per Workstation IIS 5.0 (comes with Windows 2000 Server) Firewall if any server applications are “listening” over any public IP Address. SSL Server Certificate, VPN, or another architecture capable of providing 128-bit or higher encryption if elligence accessed from outside the Local Area Network. Because all App servers must have file sharing access to the GlobalFolder on the Data Server, it is required that all App servers reside on the same private TCP/IP network as the Data Server Hard Drive OS Net Protocols Net Bandwidth Additional Software Additional Notes Recommended Fastest currently available processor 1024 MB Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 26 of 56 Comparative Listing Of Medical Billing Software Packages Workstation – These are the computers on which end-users will actually run elligence. They run the elligence Workstation software. There will of course be at least one of these for each concurrent user. Requirements are: Component Minimum Processor RAM Net Protocols Requirement 333MHz 128mb 10mb free space for program files; 100mb free space for Windows memory management Windows 98 SE / ME / NT Workstation / 2000 Pro / XP Pro TCP/IP Net Bandwidth 128kpbs Video Card 4mb able to run 800x600 at 256 colors Hard Drive OS Recommended 500 MHz 256mb Windows 2000 Pro / XP Pro 512kbps “Peak” ability for Reports, Billing 16mb able to run 800x600 at 16-bit color Contact Data Strategies, Inc. 9645 Granite Ridge Drive, Suite 230 San Diego, CA 92123 800-875-0480 858-514-1210 (Fax) http://www.elligence.net sales@elligence.net Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 27 of 56 Comparative Listing Of Medical Billing Software Packages Healthpac – by Healthpac Computer Systems, Inc. Overview Healthpac Computer Systems, Inc, with corporate headquarters in Savannah, Georgia, has been in the market for 23 years with clients in over 30 states across the U.S. Healthpac Computer Systems, Inc. offers their software package H2000 that is HIPAA ready and has many powerful features such as: full patient billing, electronic claims filing, electronic remittance posting, and extensive insurance claims "scrubbers". Features H2000 is a quick, easy medical billing software system offering fast tracking of demographic background, and insurance information. Healthpac can be used for a large multi-user system, or a single-station full management system, or simply to process and file claims electronically. Through the use of user definable "rules tables," H2000 can be customized to the requirements of individual practice. Like all Patient Information and Insurance Claims Processing systems on the market, H2000 is also designed to do the basic functions of: • • • • • • Reducing the average age of receivables Improving cash flow Automating insurance claims, rejections, re-filing, and follow up procedures Providing a better in-house collection system Identifying bad debt situations before they happen Capturing and controlling all information relative to the patient and all services rendered Healthpac offers a package that can operate on Client/Server as well as ASP software architecture. An Application Service Provider (ASP) version of Healthpac H2000 is available for a low monthly cost per workstation. Under this plan, all a client needs is a PC connected to the internet. Healthpac maintained programs and client data are available 24 x 7 via a secure internet connection. This feature is a good option for new startup Billing Companies, doctors’ offices and small DMEs with 1 or 2 workstation requirements. Healthpac H2000 comes with the following features Patient Information: • User Defined “Claim/Data Entry Edits” by Doctor, Insurance Company and Procedure Code • Ticklers Available Each Time You Make a Note on An Account For Follow Up • Scanning Linked By Account/By Line Item • Can Automatically Load Fee Schedules That Are In ASCII/Excel Format • The system can scan insurance cards, driver’s license, PHI disclosure release and other documents and fed directly into the system for future reviews. Insurance Billing: • Supports Direct Filing Formats • Verify Correct Reimbursement at the time of Payment Posting • Automatic Rebill of Claims as Defined by User by Insurance Company Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 28 of 56 Comparative Listing Of Medical Billing Software Packages • • • • Automatic Letter Writing By Denial Code For Appeals One Screen For Update of Patient Information, Rebilling Claims, Checking Notes Hash Number Totals for CPT/Dx Codes, Policy Numbers, Social, Account Number The pre-programmed "checks and balances" system forces the crossreferencing of data thereby verifying the accuracy, before filing the claim. Security: • The system is set-up for user specific log in and password-protected entry. Every movement is stamped with the user, date and time information. Every transaction can be tracked and reported. • The system can be set to auto-log off users after a determined period of time. This is called a "sleep mode" and the user must log back into the program with their password upon return. This is another step in HIPAA compliance. • User access can be defined locally by management/administrator. With a simple “yes” or “no”, management can allow a user to have access to demographics but not all of them the ability to view financial/account information and more. Practice Management: • The system has the ability to "scrub" the claims before they are submitted, verifying that the required information is on the claim necessary for processing and payment. • The system automatically prints an (computer generated) EOB from the primary payment to send with the claim to the secondary. As the HCFA forms print, any secondary claims will have an accompanying EOB - sorted. • One can scan the posted EOB for future retrieval and review. The system is designed for the user to stay at their station, recalling or printing whatever they need to be as efficient as possible. It is also possible to auto-post an electronic EOB. • System handles multi-tiered pricing for each CPT Code to permit automatic posting. • Ability to suppress claims based on CPT Codes for procedures not covered by insurance. • Group CPT Codes for reporting and analysis Reporting: • Use Ad Hoc Report Generator to export data into Excel or Other Programs • Compare Current Year Month End to Prior Year Month End totals using Healthpac’s Practice Management Reporting, which displays on screen, your requested information with additional pie or bar chart that can be used to create impressive presentations. • Practice Management Reporting allows managers to analyze production information by “drilling down” to supporting data by clicking on the figures being analyzed. • The Employee Production Report provides for the analysis of detailed Employee Information supporting educated personnel related decisions Technology Operating Environment – H2000 runs on Windows, NT, and UNIX systems. Clients requiring LINUX should call Healthpac to discuss support options. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 29 of 56 Comparative Listing Of Medical Billing Software Packages Interfaces to Client and Third Party Systems - H2000 is an “Open System” utilizing a powerful database design supporting Open Database Connectivity (ODBC), and as such will seamlessly integrate and pass data back and forth with most popular databases including SQL Server and Oracle. HL7 Compatible – H2000 exchanges data with all systems requiring HL7 compatibility. Hardware Requirements (1 to 10 User – In-House Server System)– Windows 2000 Server – Pentium III, with 550 MHz Processor and up– 512 MB Main Memory (1GB Preferred)– 40 GB Hard Drive– 10/100 MB NIC Card (10 Users and Up – In-House Server System)– Windows 2000 Server– Pentium 4, with 1.5 GB Processor and up– 512 MB Main Memory (1 GB Preferred– 40 GB Hard Drive (RAID or Mirrored Disk Preferred)–10/100 MB NIC Card (Workstations) Windows 2000 Professional or Windows XP Professional (Scanners)Full Page – for EOB, CMN etc – Fujitsu 4220 series ADF Duplex Drivers License & Insurance Cards – Scan Shell 8 Implementation Description IT Provider assistance in configuration Customer installation and configuration Training Description Some training recommended - some training from the IT Provider/Reseller may be helpful. Support Description E-mail support - questions can be sent directly to a support staff for review. Telephone support - calls can be placed directly to a support staff. Technical support is available in a variety of packages, from hourly consulting services, annualized support agreements and ongoing, 24x7 management services. A toll-free support line is available, as you require it. Software support agreements are available after the one-year warranty is over. Contact Healthpac Computer Systems, Inc. 1010 East Victory Drive Savannah, Georgia 31405 Toll Free: 1-800-831-9419 Local: 912-341-7420 Fax. 912-233-4370 http://www.healthpac.net Sales@healthpac.net Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 30 of 56 Comparative Listing Of Medical Billing Software Packages NDCLytec – by NDCHealth Overview NDCHealth has been a provider of health information solutions since 1977. NDCHealth Corporation serves more than 90% of the U.S. pharmacies, 100% of Canadian pharmacies, more than 30% of UK pharmacies, greater than 20% of the nation's hospitals, more than 180,000 physicians, over 1,000 healthcare payers representing over 4,000 payer plans and more than 75% of pharmaceutical manufacturers. Since 1989, NDCLytec has been used by about 100,000 healthcare professionals to operate their practices. Lytec is a Windows based application capable of administering medical practices, managing accounts receivables, filing electronic claims as well as efficient reporting of different business parameters. Features Insurance Billing & Reimbursement • Stores billing information for any health insurance plan and assures accurate payer information with the NDC Carrier Import option • Helps track and manage all insurance claims • Prints standard HCFA-1500 claim forms • • • Easily applies insurance payments with the payment wizard. Or, processes payments automatically with NDC Remittance Processing Tracks past-due payments to maintain timely and accurate insurance billing Interfaces with NDC Electronic Claims Processing for faster claims processing and improved reimbursement Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 31 of 56 Comparative Listing Of Medical Billing Software Packages Patient Accounting • Adds efficiency with all account information for each patient on a single screen for convenient access, entry, tracking, and retrieval • Simplifies daily book balancing using patient daysheets • • • Easily applies patient payments with the payment wizard Manages patient receivables with aging reports Tracks insurance authorizations and reminds you when the authorized visits have run out Practice Management • Identifies the trends of your practice through diagnosis and procedure code analysis • Tracks the profitability of your referring physician network • Summarizes information about the financial status and service performance of the practice • Analyzes the managed care costs for services provided against the insurance reimbursement received through contract services • Compares the difference between charges billed to an insurance company and the amount reimbursed from the insurance company • Tracks the number of inventory items you sell Scheduling Appointments • Schedules, moves, or cancels appointments quickly and easily • Views appointments according to your office setup — by day, week, or resource • Prints superbills • Allows multiple bookings to minimize missed appointments • Alerts staff of patients’ co-payments and balances due Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 32 of 56 Comparative Listing Of Medical Billing Software Packages NDCLytec Professional gives you the same functionality of NDCLytec with some additional programs to help the larger office be more productive. • NDCLytec Code Import saves time and reduces data entry errors by importing the latest ICD-9, HCPCS and other medical codes into your NDCLytec program • Encoder Pro helps you select the correct diagnosis and procedure codes, greatly reducing claim rejections • NDCLytec Medical Port makes it easy to import or export data to and from NDCLytec and other software programs • NDCLytec Scheduler Professional gives extra functionality to the scheduler in NDCLytec, further increasing productivity Some additional features of NDCLytec – HIPAA Features • Entry of HIPAA required standard identifiers for use in the Provider and Address screens: National Provider Identifier Number (NPI) or the Employer Identification Number (EIN). • Protects the sensitive data with the auto logoff feature. The system will automatically log off after a specified period of idle time. • Backup of data files through the new backup feature. Automatic prompts remind the user to backup each time the system is exited. • Keep track of the history of patient consents and authorizations. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 33 of 56 Comparative Listing Of Medical Billing Software Packages Timesaving Features • Use up to three user-defined insurance categories to help generate claims and reports quickly and easily. • Reduce data entry errors with the new zip code feature. Fill in the zip code and Lytec will automatically fill in the city and state. • Store additional phone numbers, fax numbers, and e-mail addresses in the new Contacts tab, which is available in the Patient, Provider, and Address screens. • Flag claims to be updated and included in the next batch of claims. • Enter 2 digits for the year and Lytec will automatically convert it to the correct 4-digit year. The Pop-up calendar (within any date field) makes searching for the right date even easier. • Easily manage multiple sets of data with the database list feature. This allows the user to easily access data files that may have been stored in various locations. Technology Single User System Requirements: Pentium/233 processor or higher, 200 MB of available hard disk space, 32MB of RAM, 256 color display, Microsoft Windows 98/2000/ME/XP/NT 4.0 (with latest service pack) or higher. Workstation System Requirements: Pentium/233 processor or higher, 200 MB of available hard disk space, 32MB of RAM, 256 color display, Microsoft Windows 98/2000/ME/XP/NT 4.0 (with latest service pack) or higher. Server System Requirements: Pentium /233 processor or higher (Pentium II/500 processor or higher recommended), 200 MB of available hard disk space, 64MB of RAM (128MB of RAM recommended), 256 color display, Microsoft Windows 2000, or Windows NT 4.0 (with latest service pack) or higher. Pricing NDCLytec 2004 Single-User NDCLytec 2004 Multi-User NDCLytec Dental NDCLytec 2004 Training CD’s & Video Bundle Interactive training All 5 CD’s Interactive training CD’s sold separately Video Training Bundle $1,629 $2,249 $1,199 $499 $369 $79 $279 Contact NDCHealth Physicians Services 5222 E. Baseline Road, Suite 101 Gilbert, AZ 85234 800.735.1991 http://www.lytec.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 34 of 56 Comparative Listing Of Medical Billing Software Packages MedicsElite – by Advanced Data Systems, Inc. Overview Advanced Data Systems, Inc based out of Maywood, NJ has been a provider of practice management software since 1977. More than 30,000 physicians of every practice size and specialty use software solutions provided by Advanced Data Systems. Individual providers, group practices large and small, hospital billing departments, practice management firms, networked providers, billing companies, and many others handle the automation of their practices with the help of Advanced Data Systems. MedicsElite™, a Windows-based practice management software system, is the latest product by ADS, introduced in the market about three years ago. MedicsElite was under development for more than six years prior to its initial release. To date, over five hundred medical practices utilize the MedicsElite system. Features • • • • Patient Information Management Patient and Insurance Billing Financial Ledger Practice Reports Like many other software packages, MedicsElite includes modules that enable users to manage patient information including demographics, insurance, appointments, contacts, referrals, notes and other case management details. It displays the insurance plan details, claim status, and ensures automatic verification of appropriate Procedure-Diagnosis codes as well as automatic generation and recreation of Insurance & HCFA forms. The financial ledger enables computation, tracking and reporting of accounts receivable and collection activities. Optional Modules – • Appointment Scheduler • Electronic Billing Module (EDI) • Medical Practice Management Reports • Prescription Writer Module • PalmPilot MobileAccess Capabilities can be enhanced with the help of these modules that allow users to create, modify appointments, create user-defined reports, easily view managed care issues such as capitation, referral tracking, co-payments, number of allowable visits, utilization and outcomes. Mobile review and entry of data through PalmPilot synchronization and customization from the desktop is possible via the MobileAccess module. Fast and easy electronic claims submission and Electronic Data Interchange (EDI) can be carried out to handle most sophisticated billing requirements. Patient Information Management • Comprehensive patient information including demographics, insurance, appointments, contacts, referrals, notes, case management details, and more • Fast patient registration with alert messages including duplication warnings • Case specific records: insurance plans, hospital stays, A/R classes • Patient and guarantor account retrieval by numerous search criteria including patient and/or guarantor name, date of birth, SSN, phone number, insurance policy number, account number, transaction number, medical record number, Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 35 of 56 Comparative Listing Of Medical Billing Software Packages • • • • and user-definable fields Procedure and diagnosis code tracking with auto recall for immunizations, mammography, annual check up, etc. Patient and insurance company balances displayed in every patient-related view Budget billing plan specific to the individual patient Custom fields available for user-defined information Patient and Insurance Billing • Detailed insurance plan information screen • On-screen insurance claim status (insurance claims pre-submission report, insurance unpaid claims report, automatic claims re-submission and claims tracking) • Procedure-diagnosis code linkage: helps ensure claim acceptance by automatically verifying that an accurate and appropriate diagnosis code is attached • Automatic cascading: sequential billing of an unlimited number of carriers per patient • Automatic claims resubmission (user definable by insurance carrier) • Unlimited insurance-specific fee schedules • Multiple insurance holders per patient • Multiple insurance coverage and effective dates Financial Ledger • Comprehensive transaction information with easy mouse click drill-down capabilities • Accounts receivable and collection activity: complete computation, tracking, and reporting • Insurance and HCFA forms: automatic generation and recreation • Recording of check numbers with the associated procedures for easy posting reconciliation • Dynamic formats and flexible customization features • Full audit trail • Open item posting: automatic disallowance, withhold calculation, automatic write-off • Verifies accuracy of insurance payments based upon the insurance fee schedule • Multiple statement formats Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 36 of 56 Comparative Listing Of Medical Billing Software Packages Reporting • Robust set of system reports: • Transaction listing • Aged trial balance (user-defined patient/insurance aging categories by date range for itemized charges) • Recall report (selected by patient name, account number, birth date, provider, recall reason, last service date, or procedure selection) • Demographics reports • Reports may be sorted/filtered by any combination of A/R class, department, insurance, place-of-service, provider, referring doctor, plus date range (daily, weekly, monthly, quarterly, annually, and for any date or date range) • Screen-preview and printing of all reports, statements, receipts, immunization record, insurance forms, encounter forms, and letters • Laser Forms Software (optional module) for patient statements and receipts, encounter forms, HCFA 1500 forms Word Processing • Built-in word processing, seamlessly integrated with other system modules • Mail-merge for automation of single letters or letters to groups of patients, providers, insurance companies, attorneys, etc. • Letter creation based on: date of service range, diagnoses, procedures, birthday letters, operative reports, dunning and pre-collection letters, request for insurance information, patient labels, referring physician labels • Free-form letters and documents supported, both stand-alone or generated by merging information from the system database • Mail-merge label printing • Integrated spell-checker Technology • • • • • • Microsoft Windows client-server architecture — industry standard & easy-touse Realtime relational SQL database — fast, powerful, flexible Developed with object-oriented C++ code — consistent Graphical User Interface (GUI), fast, reliable ODBC and HL7 compliant — open, extendable ADS's own Extended Multiple Document Interface (XMDI) — simplified concurrent access to multiple windows for an individual patient or multiple patients (using linked windows) Windows 98/2000/XP client, Windows 2000/NT server or AIX® server for Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 37 of 56 Comparative Listing Of Medical Billing Software Packages • IBM® RISC System/6000® All mouse functions have keyboard equivalents Contact Advanced Data Systems 255 West Spring Valley Avenue, Maywood, NJ 07607 Local: 201-368-2001 Toll-free: 800-899-4237 www.adsc.com info@adsc.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 38 of 56 Comparative Listing Of Medical Billing Software Packages NDCMedisoft – by NDCHealth Overview In more than 17 years since NDC MediSoft was first released, over 170,000 systems have been installed for healthcare practices and billing services. NDCMediSoft software is used for insurance claims printing, electronic claim submission, accounts receivable tracking and practice management reporting in healthcare practices and billing services. Medisoft comes in three versions: Basic, Advanced, and Net Pro. Each version extends its functionality to fit the size of most practices. Medisoft Basic/Advanced Patient Accounting - designed for 1 user only. Medisoft for Networks - designed for up to 3 users with a Windows 98/ME based server. Medisoft Network Professional - designed to handle up to 1000 users with the proper Advantage database license. Features NDCMedisoft comes with basic features for medical billing like appointments scheduling, insurance claims billing, accounts management and reporting. The software enables users to easily create and modify patient appointments, enter transaction data in user-friendly manner and create custom claim forms through the Report Designer. The Patient Ledger shows all accounting activity on a patient account while the Contact Log tracks conversations with insurance carriers, pharmacies and others. The practice analysis report summarizes charges, payments and account adjustments; easily pinpoint the progress of the physician’s practice and provide indications for areas of improvement. NDCMedisoft Basic comes with the following features: Patient Appointments Scheduling • Allows multiple bookings to minimize missed appointments • Provides flexible templates and wait lists in the Office Hours Professional option • Alerts staff of patient's co-pay and account balance information Insurance Billing • Prints standard HCFA-1500 claims forms or customizes according to user’s needs • Tracks and manages all insurance claims • Assists in accurate CPT and ICD-9 billing with Codes on Disk option • Assures accurate payer demographic information with NDC Carrier Import option • Send claims with MediSoft Electronic Claims for error-checking that reduces rejections and speeds payment • Verify a patient’s eligibility status, deductibles & co-payments in a healthcare plan Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 39 of 56 Comparative Listing Of Medical Billing Software Packages Patient Accounting • Allows all account information for each patient to be entered, accessed, tracked, and retrieved on a single screen • Balances books daily by using Patient Day Sheet • Manages patient receivables with aging and account balance reports by provider • Instantly view outstanding payments with pop-up patient ledgers that give detailed patient account activity. • Automatically match charges to payments using Payment Application • Store and recall up to 26 prices for each procedure • Mark procedure and diagnosis codes as HIPAA approved Practice Management • Close a day’s accounting quickly and accurately with the Patient Daysheet. • Summarize charges, payments, and account adjustments with the Practice Analysis Report • Pinpoint referral sources for tracking and/or acknowledgement with the Patient Referral Report • Automate appointment scheduling with included Office Hours software • Assign a security level for each employee for control of activities and protection of Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 40 of 56 Comparative Listing Of Medical Billing Software Packages • • data Track conversations with insurance carriers, pharmacies, or others with the Contact Log Automatically log off users after a period of being idle in accordance with HIPAA NDCMedisoft Advanced has following functionalities in addition to NDCMedisoft Basic: Quick Ledger and Quick Balance • View the entire patient ledger at a glance as well as find the account balance for each patient or family account in a flash. • User-defined color-coded transactions for credit balances and patient payments Sophisticated reports • Assess the financial health of your practice and show productivity trends; track activities by insurance carrier, physician, service and facility for analytic comparisons and insights Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 41 of 56 Comparative Listing Of Medical Billing Software Packages Comprehensive multimedia • Store x-rays, insurance cards, photos, sound and video for richer patient records accessible across your network Instant communications • Quick, convenient messaging on your network puts users in contact, regardless of their location • NDCMedisoft Network Professional lets you manage patient accounts across an unlimited number of users and patients at different facilities. Your practice may also want to take advantage of NDC Electronic Claims Processing for significant additional value The following exhibit provides a feature comparison matrix for all the three versions of Medisoft: Medisoft Standard Medisoft Advanced Medisoft NetworkPro OPERATING SYSTEM CAPABILITY Main Computer/Server (Windows 98,Me) √ Main Computer/Server (NT,Win2000, XP) Workstation (Win98,ME,NT,Win2000, XP) n/a √ √ √ n/a √ NETWORKING Network (Multi-Users) √ User License Included 1 1 additional Maximum Number of users 1 1 1000 True Client Server Technology √ DATA ENTRY Checks for Duplicate SSNs √ √ √ Assigned and Attending Providers √ √ √ Procedure and Diagnosis Code Storage √ √ √ Patient Quick Balance/Ledger Pop-Up √ √ Deposit Tracking By Date Deposit Slip Information Based on Payments Medicare Allowed Amount Tracking √ √ √ √ √ √ New Style Transaction Entry Screen √ √ Multiple Fee Schedule √ √ Custom Case Designer √ Treatment Plan List √ ACCOUNTING Formatter Allows Customized Statements √ √ √ Support Multiple practices √ √ √ Patient Portion Billing √ √ Calculation of Finance/Billing Charges √ √ Track Unbilled Patients √ √ INSURANCE Fills Out HCFA 1500 Claim Forms √ √ √ 3 Carriers Per Patient √ √ √ Number of Visits Tracking √ √ √ Expanded Superbill Features √ √ Add-on Medicare Direct Module √ √ Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 42 of 56 Comparative Listing Of Medical Billing Software Packages Medisoft Standard Medisoft Advanced √ Medisoft NetworkPro √ Deductible Tracking √ √ Capitation Analysis √ √ Add-on Medicare Auto Pay E.R.A. UB-92 Compatibility √ SPECIAL FEATURES HIPAA Compliance √ √ √ Security (Password Protection) √ √ √ Automatic Backup Option √ √ √ Patient Recall System √ √ √ Computerized Appointment with Search √ √ √ Online Updates √ √ √ Customizable Tabs and Data Fields √ √ Payment application √ √ Activity by operator/user √ Send Messages between computers √ REPORTS Prints Standard Patient Statements √ Reminder Statements √ √ √ √ Print Patient Birthday List √ √ √ Day Sheet √ √ √ Insurance/patients Aging Report √ √ √ Analysis - Practice √ √ √ Analysis - Billing/Payments Status √ √ Analysis - Insurance √ √ Analysis - Referring (providers/Source) √ √ Audit Report Tracks Changes and Deletions √ √ Remainder Statement billing √ √ Patient Referral report √ √ Extra Patient Screen √ √ Open Item accounting √ √ Multiple Fee Schedules √ √ Physician referral Report Billing / Payment Report Insurance payment comparison √ √ √ √ √ Production by Insurance/Provider/Procedure √ Activity by Insurance/Provider/Procedure √ Activity Summery by Day/Week/Month √ Insurance Payment Avg Comparison Report √ Production Reports √ Audit Reports Store Photos, Videos, Sounds in Patient Case Patients Remainder Billing √ Patients Remainder Billing Summery √ Activity By Facility √ Guarantor Quick Balance List √ √ √ Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 43 of 56 Comparative Listing Of Medical Billing Software Packages Medisoft links to electronic medical records (EMR) such as ChartingPlus through the X~Link interface. Medisoft also compliments the e-prescribing online program OnCallData as well as automated appointments through Appointment Call. Medisoft comes with built-in support for electronic claims through a clearinghouse. MedUnite and other clearinghouses can process all commercial carriers as well as Medicare, Medicaid, etc. Additional modules are available for sending directly to Medicare without going through a clearinghouse. Technical Information Medisoft uses a SQL based database engine. The Advantage Database Server is a scalable, high performance client/server RDBMS for networked, stand-alone, Internet and mobile database applications. The Advantage Database Server supports the Windows NT/2000, NetWare, and Windows 95/98/ME operating systems. System Requirements MediSoft or PractiSoft® Advanced Patient Accounting 233 MHz Pentium II or greater processor, 64 MB RAM, 1 gig hard drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows 98/ME/NT(4.0)/2000/XP operating system. Faster systems are recommended for better performance. MediSoft or PractiSoft® for Networks Workstations: 233 MHz Pentium II or greater processor, 64 MB RAM, 1 gig hard drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows 98/ME/NT(4.0)/2000/XP operating system. File Server: 400 MHz Pentium II or greater processor, 128 MB RAM, 1 gig hard drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows 98/ME operating system. Network Hardware: Fast Ethernet (100mbps), 100 base network components (hub and cards), Category 5 cable. MediSoft or PractiSoft® Network Professional Workstations: 233 MHz Pentium II or greater processor, 64 MB RAM, 1 gig hard drive, mouse or compatible pointing device, CD-ROM 2X or faster. Microsoft Windows 98/ME/NT(4.0)/2000/XP operating system. File Server: 400 MHz Pentium II or greater processor, 128 MB RAM, 1 gig hard drive, mouse or compatible pointing device, CD-ROM 2X or faster. Windows NT (4.0)/2000/XP operating system. Network Hardware: Fast Ethernet (100mbps), 100 base network components (hub and cards), Category 5 cable. Training Description Some training recommended - some training from the IT Provider/Reseller may be helpful. Support Description Web site support - product support questions, knowledgebase, are available at the company Web site. E-mail support - questions can be sent directly to a support staff for review. Telephone support - calls can be placed directly to a support staff. On-site support - a representative from the IT Provider/Reseller can come to the customer site. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 44 of 56 Comparative Listing Of Medical Billing Software Packages Pricing MEDISOFT VERSION 9 Product Price Medisoft Advanced Patient Accounting- Single User $869 (call for special pricing) Medisoft Advanced Network Professional (for speed, $1,757 Server software plus performance, and advanced data protection - for Client Licenses: $285 for 2 networks- Requires Windows NT, 2000 Pro, or XP users; $415 for 3 users: Professional) $700 for 5 users; $1,320 for 10 users, $1,985 for 15 users, $2,870 for 25 users Insurance Carrier List $149 Electronic Claims Clearing House Startup Kit $99 Direct Electronic Claims Module- ALL PAYER $825 Direct Electronic Claims Module- SINGLE PAYER $675 Direct Electronic Claims Module- REGIONAL $525 Medisoft Electronic Remittance Advice (ERA) $499 Billing Codes - PER SPECIALTY $199 Billing Codes - ALL CODES $549 Medisoft Training Videos (set of 4) $279 Medisoft Training DVD's (set of 5) $279 Medisoft Training CDRom's (Set of 6) $349 Training which explains how to setup and use Medisoft. Medisoft Office Hours Professional Scheduling Program $329 - Single-User Medisoft Office Hours Professional Scheduling Program $439 PLUS Client Licenses: - Client Server (see a description several paragraphs ($285 for 2 users; $415 for above explaining Client Server Technology and how it 3 users; $700 for 5 users; can protect your data files better. $1,320 for 10 users, $1,985 NOTE: The client licenses are the same for Office for 15 users, $2,870 for 25 Hours and Medisoft Advanced, you do not need a users separate license for both. Medisoft Final Draft Word Processor $169 Contact NDCHealth Physician Services 5222 E. Baseline Rd., Suite 101 Gilbert, AZ 85234 Support: (800) 334-4006 Fax: (480) 892-4804 http://www.medisoft.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 45 of 56 Comparative Listing Of Medical Billing Software Packages The Medical Office – by SoftAid, Inc. Overview SoftAid, Inc, which started with office management products, has been developing medical billing software for over a decade. SoftAid maintains corporate and training facilities in Miami, Florida. After developing MS-DOS based systems for some time, they eventually released their first Windows application in 1995. In 1996, SoftAid released the first version of their medical software, The Medical Office Suite, is composed of several applications offering a variety of medical billing software solutions. These 32-bit, Windows 98/NT systems are among the popular practice management software programs available today. Features The Medical Office enables healthcare providers to automate their office procedures and reduce their operational expenses. The Medical Office provides competent practice management and medical billing solutions for healthcare organizations of any size, and can be customized to meet a practice’s specific needs. This HIPAA-ready software enables practices to maintain complete patient information; file electronic claims; manage patient, physician and resource scheduling and includes 340 customizable reports. Each system works in a wide area network and can accommodate multiple providers, payers & simultaneous users. The Medical Office serves a variety of healthcare providers, including: • • • • • • • • • Physician Practices of All Specialties Home Healthcare Providers Medical Billing Companies Medical Equipment Companies Clinics and Hospitals Management Service Organizations Rehabilitation Facilities Independent Practice Associations Professional Services Organizations The Medical Office enables healthcare providers to easily manage vast amounts of critical information from a single computer or across an entire network. Since different size companies require different features and functionality, Medical Office is available in several editions in order to provide medical professionals with the specific tools. THE MEDICAL OFFICE: STANDARD EDITION The Standard Edition contains all of the basic features and functionality needed for a single user office or medical billing professional. THE MEDICAL OFFICE: PROFESSIONAL EDITION The Professional Edition is ideal for small- to medium-sized practices and billing agencies. It includes all of the features found in the Standard Edition, but with multi-user capability. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 46 of 56 Comparative Listing Of Medical Billing Software Packages THE MEDICAL OFFICE: ENTERPRISE EDITION The Enterprise Edition provides a powerful practice management system for healthcare providers of any size, and includes all of the features and functionalities. The software includes numerous customizable options, a versatile infrastructure, and multi-level security for the safety of your critical data. THE MEDICAL OFFICE: ENTERPRISE SQL EDITION The Enterprise Edition of this practice management software built around a SQL database is a good option for large group practices and clinics. The Medical Office includes: • Applications to automate a variety of healthcare facilities • HIPAA-ready electronic billing platforms • Security features to protect patient and billing information • Flexible infrastructure that is scalable to any size • Customizable features to meet the unique needs of your organization • Robust reporting and interactive functionality that provide a high return on investment Core Features: • Pre-installed ICD-9, CPT, HCPCS and anesthesia codes • Automatically add or search many data fields with shortcut buttons • Save time-stamped notations about patients, billing issues and more • Multi-level security settings comply with HIPAA's security provisions • Set recall notices concerning patient-related issues, billing, scheduling and more • Quickly access menu options using your mouse's right-click button • Required data fields are color-coded • Interface with other Windows-based applications Practice Management: • Multimedia patient files track demographic and multiple insurance provider information • Create and edit an unlimited number of fee schedules Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 47 of 56 Comparative Listing Of Medical Billing Software Packages • • • • Upload documents in a variety of saved formats, including images, movie, audio, and Microsoft Office files Track referrals, claim authorizations, patient charges and remittance histories Establish claim defaults on a patient-by-patient basis Manage claim authorizations and insurance eligibility Billing and A/R: • Send HIPAA-compliant electronic claims directly to carriers or through a clearinghouse • Multiple forms of payment posting into patient files, including automatic posting, payment register and manual entry • Claim scrubber reduces rejected submissions by checking claim for incomplete or invalid information • • • • Create EDI claim remittance notices based on carrier Establish uniform charges for commonly used procedure codes Set parameters for moving unpaid visits into collections Generate patient invoices and statements Scheduling: • Schedule patients, physicians and resources, including equipment, exam rooms and specialty staff • Create and print customizable encounter forms / Superbills for each patient • View schedules by day, week, month, year, and physicians • Rules-based scheduling prevents appointments from being scheduled if they conflict with office-set criteria, such as the availability of resources or a physician off-site day • Quickly find next available time slot Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 48 of 56 Comparative Listing Of Medical Billing Software Packages • • Copy and paste appointments Identify appointments by assigning color code Reporting: • Over 340 customizable reports are pre-loaded • Generate aging reports on past due accounts, or produce credit balance reports • Generate patient ledgers by individual or multiple patients • • • • Report on billed HCFA 1500 and UB92 claims Customize reports and sort information based on a variety of data options Preview reports on-screen before printing Create labels and form letters Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 49 of 56 Comparative Listing Of Medical Billing Software Packages Technology Recommended System Requirements Business Workstation Processors: Operating System: 1.8Ghz processor or better Windows 2000 professional SP2, Windows XP Professional 56k modem 256MB - 512 MB (for Windows 2000 & XP) 40GB 7200 RPM Intel 10/100 base T, 100MB Fast Ethernet preferred 16MB PCI or AGP video card or better Modem: RAM: Hard Drives: Network Card: Video: Dedicated Server Processors: 1.8Ghz or dual processor system for more than 15 users Windows 2000 Server SP4 512MB SDRAM for up to 5 users; 756MB SDRAM for up 10 users; 1GB SDRAM over 10 users 36GB SCSI LVD 160MBPS 10K RPM or 15K RPM Drives (Raid 1 and 5) 1GB Fast Ethernet Preferred 100 MBPS 8 Port (5 Users), 16-24 Port Managed Switch with 1 GB Uplinks (10-25 Users) 4MB AGP video card or better Operating System: RAM: Hard Drives: Network Card: Switch: Video: Minimum System Requirements Stand Alone PC Processors: Operating System: RAM: Hard Drives: Network Card: Modem: Video: 800mhz or better Windows 98 2nd Edition or later 256MB PC133 20GB Intel 10/100 base T, 100MB Fast Ethernet preferred 56k modem 8MB PCI or AGP video card or better Operating Systems: It is not recommended that companies use operating systems older than Windows 98 Second Edition. SQL Server: For companies interested in using a SQL database, SoftAid requires that Microsoft SQL 2000 be used. Network: Networks should be equipped with UPS, data back-up capabilities, switch, 100-1000mbps throughout, including network cards. TCP/IP protocols. Cat. 5e network cable. Remote Networking: SoftAid recommends Windows 2000 Server with Terminal Services. Remote Communications: pcAnywhere is required for online training and online support from SoftAid. ProComm Plus 4.8 is used for EDI communications with payers. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 50 of 56 Comparative Listing Of Medical Billing Software Packages Contact SoftAid, Inc. 16291 N.W. 57th Avenue Miami, FL 33014 USA Phone toll free: 1-877-SOFT-AID (1-877-763-8243) In Miami: 305-949-0970 Fax: 305-621-1030 http://www.soft-aid.com information@soft-aid.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 51 of 56 Comparative Listing Of Medical Billing Software Packages Comparison The following matrix provides a detailed comparison of the features for all the selected practice management software applications: AdvancedMD Altapoint Centricity ClaimGear elligence Healthpac Lytec MedicsElite Medisoft Medical Office Software Released In 1999 1996 1993 1999 2002 - 1989 2001 1986 1996 Year of Company Inception 1999 1996 1876 1999 1982 1981 1977 1977 1977 1992 User Base 1400 7000 12000 500 1000 3000 100000 30000 170000 5000 Patient & Insurance Billing Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Schedule Appointments Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Features General Information Basic Capabilities Patient Demographics Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Electronic Claims Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Standard Yes Yes Standard Yes Standard Yes Standard Maybe Yes Graphs No Yes Maybe No No Yes Yes No No Maybe Export Data to other formats Yes Yes Maybe Maybe Yes Yes Yes Yes Yes Yes Account Remainder Statements Yes Yes Yes Yes Yes Yes Maybe Yes Yes Yes Daily Sales and Receipts reports Maybe Yes Yes Yes Yes Yes Maybe Yes Maybe Yes Compound codes Yes Yes Maybe Maybe Maybe Yes No Yes Yes Yes Customizable Fields Yes No Yes Yes No Yes Yes Yes Yes No Reporting Capabilities Customizable Reports, Forms, and Statements Special Features Spell Checking No Yes No No Maybe No No No Yes Maybe Inventory Control No Yes Yes No No No Yes No Yes No Speech Recognition No Yes No No No No No No No No No Yes No No No No Maybe No Palm Organizer support Stores Pictures, Radiographs and other images Yes Yes No No No Only For Anesthesia Practices Yes Yes Yes No No Yes Auto Backup & Restore Yes Yes Yes Yes Yes Yes Yes No Yes Yes Auto Write Off No No No Maybe No No Yes Yes Yes Maybe Authorization & eligibility tracking Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Auto Log-Off No Yes No No Yes No Yes No Yes No Remote Access Yes Yes Yes Yes Yes Yes Maybe Maybe Yes Yes Software Architecture Stand Alone Yes Yes Yes Yes Yes Yes Yes No No Yes Client/ Server No Yes Yes No Yes Yes Yes Yes Yes Yes ASP Yes Yes Yes Yes Yes Yes Yes No Yes Yes Peer-to-Peer No Yes No No Yes No Yes No Yes Yes Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 52 of 56 Comparative Listing Of Medical Billing Software Packages Conclusion The healthcare industry has evolved greatly with the advent of medical billing software as now more and more claims are being submitted electronically. The software helps providers manage financial information and reduce errors on submitted claims. It facilitates better accounts receivable management, improved business analysis and efficient medical practice. It is easy to link patients’ insurance data, x-ray reports, laboratory test reports and other information to their medical records with such software. All the applications have the standard features that are essential in medical billing software, with some additional features that differentiate each from one another. Some software packages are based on Client/Server architecture, some Application Service Provider (ASP) based, while some are available in more than one models. If one package has extensive scheduling facility, then the other has better reporting capabilities. Nevertheless, all these applications fit into the bracket of solutions for small and medium business practices with low to moderate price range. Overall medical billing software industry is currently in a highly segregated state with over 500 players offering competing packages. Most of the medium to large players also offer complimenting packages to serve medical practices’ ancillary needs. In the near-term future we foresee a trend of greater consolidation in the industry with a couple of major players offering comprehensive software packages to meet the needs of a medical practice. Already many of the compared packages above offer modules for appointment scheduling, billing, invoicing, patient data management which are seamlessly integrated with each other. As the industry evolves to a higher maturity level, there will be a higher vertical integration in terms of some of these packages acting as MERP (Medical Enterprise Resource Planning) packages and will offer the clearinghouse services as well. One of the other forces pushing the healthcare software community towards consolidation would be the rapid globalization. There will be an increased need for an intra-package seamless sharing of patient data to meet the needs of an evershrinking world as the patients move from state-to-state and eventually from country-to-country and medical practices at different geographical locations be able to share these critical pieces of life-saving information. It will be upto the industry regulatory bodies to enforce the standards that would allow an error-free data transfer from one package to the other. Some of the technologies like eXtented Markup Language (XML) already exists which makes it feasible to transfer the data from one-package to the other; Its only time which will make it practical to use such and other emerging technological standards to make the industry more efficient and the world more healthy. This paper aims to provide a reference for choosing an appropriate billing software for a medical billing enterprise which is under a constant pressure to serve several medical providers who in-turn use different practice management packages. Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 53 of 56 Comparative Listing Of Medical Billing Software Packages References • • • • • • • • • • • • • • • • • • • • • • • • • Knowledge – The Enterprise Software, Hardware, Services, and White Papers Resource http://knowledgestorm.com AdvancedMD – Medical Billing and Practice Management Software http://www.advancedmd.com AdvancedMD Medical Software – Supplier information and free request for quote service http://www.buyerzone.com/software/mpm/brochures/advancedmd.html AdvancedMD Software, Inc. Company Summary – KnowledgeStorm http://www.knowledgestorm.com/prov_summary_49190.asp Altapoint Practice Management Software – Practice Management for Medical, Dental, Vision, Chiro http://www.altapoint.com Altapoint Medical Software http://www.ywdtech.com/emr/altaemr.html AltaPoint Medical Practice Software Palm Features http://www.itoversee.com/AltaPoint/MedicalPalm.htm AltaPoint Practice Management Systems - AltaPoint Medical and Dental Software, Demo and Pricing http://www.ambanet.net/altapoint.htm Altapoint http://www.appconnections.com/Altapoint/altapoint.htm Elligence http://www.elligence.com Data Strategies Points of Interest - Winter/Spring 2002 http://www.e-dsi.com/news/newsletters/article.asp?id=69 Medical Billing and Practice Management http://www.healthpac.net HealthPac Computer Systems, Inc Company Summary – KnowledgeStorm http://www.knowledgestorm.com/prov_summary_50434.asp Practice Management Software for Medical Billing and Claims http://www.claimgear.com System News: XGear Releases an Updated Version of its ClaimGear Software http://sun.systemnews.com/articles/65/2/Healthcare/10320 Medical Billing -- MediSoft Patient Accounting Software, http://www.ambanet.net/medisoft.htm Medisoft Software - Article Insider, http://medicalsoftware.articleinsider.com/68955_medisoft_software.html Medisoft Patient Accounting - Feature Comparison Chart, http://www.everything99.com/comparison.htm NDC Medisoft's Corporate Web Site – Entrance http://www.medisoft.com Medisoft http://www.brightok.net/medical/medisoft_advanced.htm NDCLytec Official Web Site http://www.lytec.com Lytec Features http://www.claimtek.com/lysofta.html Lytec Medical http://www.stephensassociates.com/lytecsys.htm Softaid - Article Insider, http://medicalsoftware.articleinsider.com/91658_softaid.html SoftAid Medical Management Software Systems http://www.soft-aid.com Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 54 of 56 Comparative Listing Of Medical Billing Software Packages • • • • • • • • Soft-Aid, Inc. - Company Report - Fast Company, http://knowledgestorm.fastcompany.com/search/viewrpt/fastco/company/492 33/index.jsp www.millbrook.com – HOME http://www.millbrook.com Company News – News Releases http://www.gemedicalsystems.com/company/pressroom/releases/pr_release_ 8582.html Information Technologies http://www.gehealthcare.com/it_solutions/clinical/physician_office.html Advanced Data Systems - The Ultimate in Medical Practice Management Software – MedicsElite http://www.adsc.com/medicselite.asp MedicsElite - The Ultimate in Medical Practice Management Software by Advanced Data Systems – KnowledgeStorm http://www.knowledgestorm.com/sol_summary_61744.asp Doctor's Shopper article - Advanced Data Systems - A Profile in Stability and Reliability http://doctorsshopper.com/ds_a_advanced_data.htm Electronic Medical Billing Software: Hospital Billing Software, Hospital Management http://www.capterra.com/medical-billing-software Tel: + 1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com Copyright © 2004 Searce. All Rights Reserved. Page 55 of 56 Comparative Listing Of Medical Billing Software Packages Privacy Policy and Disclaimer All Rights Reserved. No part of this document may be photocopied, reproduced, stored in a retrieval system, or transmitted, in any form or by any means whether, electronic, mechanical, or otherwise without the prior written permission of Searce. The information contained herein has been taken from sources believed to be reliable. Searce disclaims all warranties as to accuracy, completeness or adequacy of such information. Searce shall have no liability (including liability to any person by reason of negligence) for errors, omissions or inadequacies in the information contained herein or for any interpretations thereof. The reader assumes sole responsibility for selection of these materials to achieve its intended results. Searce reserves the right to change details in this publication without notice. Copyright © 2004 Searce. All Rights Reserved. 36 Compton Court, Basking Ridge, NJ 07920, USA Tel: +1 908-758-0782 Fax: + 1 908-349-3339 Email: info@searce.com www.searce.com