Adult Day Care
An ideal solution for day care centers that provide Medicaid reimbursed services and are submitting claims via HCFA 1500 or clearinghouses.
A software package that has all the features needed to easily prepare, submit claims and track their payment. From original claims to resubmits and adjustments HALO's Electronic Medicaid Billing does it all.
You may record all services provided to all clients. You can only bill Medicaid BUT you can get the reporting you need to bill your non-medicaid services PLUS many of the reports needed to manage your business.
- Record and report on client attendance
- Supports entry and reporting of both Medicaid and non-medicaid services
- Once all services are entered, you can create compliant 1500 professional claim files within minutes
- Supports claim adjustments and voids
- Full Accounts Receivable Tracking functionality
- Import and process of Electronic Remittance Advices (optional)
- Invoicing non-Medicaid payers (optional)
Medicaid Electronic Billing quickly pays itself with reduced costs and since it is a one-time charge it dramatically limits the increase of operational costs that are typically experienced as your business expands.
This one time cost is usually offset by the one-time cash flow improvement and, in most cases, is paid back by reduced costs of claim submission and elimination of clearinghouse charges.
Client - The client information required for claim submission, e.g. name, address, Medicaid ID, gender, date of birth, payer, prior authorizations, etc. is simply entered or updated as needed. Optional information such as diet restrictions, pharmacies, etc., may also be entered and maintained. This enables you to use the HALO database as a central, easily-retrieved depository for often needed client information.
Attendance Plan - To reduce the clerical efforts required to record attendance, the general attendance plan is stored, (for example, the client is expected each Monday, Wednesday and Friday and Medicaid pays for the first two days and the third day is paid by the client.) This information is later used to print Attendance Sheets on which actual attendance can be recorded.
Recording Attendance - An easy-to-use verification screen allows you to verify that the expected attendance occurred by a simple mouse click. Additionally, unscheduled attendance can be entered as part of this process.
Medicaid Billing - The process requires
only a few steps. This simple-to-use process involves a quick review of the completeness
and accuracy of service information. A "Check for Data Problems" feature
assures that the information required for Medicaid exists and complies with Medicaid
rules. Once the data is accurate a simple click of a few buttons results in the
creation of the claims file which is ready for transmission to Medicaid. In addition:
A billing report is displayed for printing
Accounts Receivable records are created
General Ledger transactions are created for later printing and posting to your Financial Reporting system
Accounts Receivables may be tracked within HALO. The function includes the typical features of most Accounts Receivable packages including: Cash Receipts and Aging Reports, Credit Memos and revenue write-off.
Rates, Procedure Codes, etc. - This information is pre-loaded in HALO. You have the ability to add new payer programs and update rates as they change. It is not necessary to be concerned with entering the proper rate and procedure information when you bill. HALO uses this stored information to automatically determine the coding needed for each billed service.
Several types of reports are available. Among them are: Open Receivable, Invoiced Claims, Client lists, Referral reporting, and
Attendance reporting by client and payer.
Additionally, with minimal training and, if required, with assistance from our support staff, you can create your own customized reporting to meet any unique needs.