Managing and Supporting Your Office Electronics.

Managed Internet Solutions, Inc

Practice Insight

Practice Insight now offers providers a way to increase their office productivity and cash flow with real time claims management solutions that meet mandated HIPAA compliance.  EDIinsight is an internet based program that is secure and easy to use. Working with your existing practice management system we can accept  ANSI, NSF or HCFA print image files.

 

You will no longer need to worry about the status of a claim.  Every related message from the claim clearinghouse or the payer is electronically attached to the claim thus eliminating the need for paper reports. 

 

EDIinsight offers a suite of real-time electronic healthcare transactions including claims, claim status, eligibility and patient statements.

 

 

Practice Insight

· More than just a traditional pipe-line for claims

· Claim scrubbing for clean transmission

· All claim status messages tied to each claim

· Real time or batch claim status

· Real time or batch eligibility

· ERA’s

Total Claims Management

Phone: 317-863-0703

Fax: 800-643-1748

E-mail: www.misteam.com

· End lengthy phone calls tracking the status of claims

· Track claims by status – pending, rejected, paid….

· Filter and work claims by subscriber, payer, physician, status, batch, dates or patient

· View all payer status messages and any edits made to the claim

· Totally paperless administration (paper reports are always available if needed)

· Automatically generate letters for timely filing, claim appeal or claim status

Claims Follow Up

· Reduce rejected claims with rule based claim management

· Powerful and flexible table driven rules

· Testing rules by payer, provider or practice

· Response rules for claim status

· Substitution rules by payer provider or practice

· Upload statement batches from your practice management system

· Add additional messages to the patient statement

· View previously sent statements

· View all status messages such as statement forwarding information for new addresses

Rules Based Claim Management

Electronic Patient Statements

Practice Insight offers optional clinical claims scrubbing as a part of the EDIinsight solution. The clinical claim scrubber verifies the technical and coding accuracy before your claims are filed by identifying potential problems that will cause claim rejection or reduction in payment.

 

The clinical claim scrubber provides a comprehensive set of coding and technical edits. Each individual edit may be enabled or disabled completely, for a specific claim type or for an individual payer. Some of these edits include:

 

• LMRP medical necessity
• Proprietary medical necessity
• RVU sequencing
• CCI/CCP
• E/M over/under coding
• Correct modifier usage
• ICD-9 validity, ultimate specificity, 

secondary code suitability and V-code

validity
• CPT/HCPCS/ICD-9 current year validity
• CPT/patient gender suitability
• CPT/patient age compatibility
• Assistant surgeon rules
• Add-on/parent code resolution
• Medicare non-covered services
• Statutorily excluded services

Clinical Claims Scrubbing

Managed Internet Solutions, Inc.

 

Click on the button below to request a FREE Practice Insight Demo!