PRODUCTS

 

 

Residential Care

An ideal solution for residential care agencies that provide Medicaid reimbursed services and are submitting claims via HCFA 1500 or clearinghouses.

Selected by many of New Jersey's residential homes for teens, because of it's ease of use and comprehensive functionality, this 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.

Features

Benefits

Costs

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.

Overview

Client - Client information is entered or updated as needed. Certain information is required for claim submission e.g. name, address, Medicaid ID, gender, date of birth, payer, prior authorizations, etc. All information is entered once and reused each time you submit a claim for services and is available for analytical reporting.

Services Plan - To reduce the clerical efforts required to record services, the general attendance plan is stored, e.g. the date the client moved into the residence and the services he or she will receive such as "Room and Board and Therapeutic Services".

Service Verification - A easy-to-use verification screen allows you to verify that the expected services were provided by a simple mouse click

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.

Reports
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 needed with assistance from our support staff, you can create your own customized reporting to meet any unique needs.