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| OB/GYN Patient Management |
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• Co-pay information is available in the system for easy
access at check-in and check-out
• Ability to color code appointment status types to track patient flow through
office from check-in to check-out
• Patient eligibility verification available from selected carriers
• Tracks patients with specific diagnoses who have not rescheduled
• HIPAA compliant “recalls” generated by system to notify patients to make
appointments
• System displays patient schedule with balance due status
• Query module generates new patient and “no show” letters for patients and
referring physicians
• Check-out module allows data entry for charges and payments at time of visit
• Claims processed same day of visit with no batching required which means
quicker turnaround of claims for billing to patient
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| Electronic connectivity is increasingly important in today’s
fast-paced healthcare environment. QualityConnectMD’s Electronic Data
Interchange (EDI) solutions make it easier to optimize and speed reimbursement. |
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| OB/GYN Electronic Data Interchange (EDI) Solutions |
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• Electronic claims filing and remittance posting available for hundreds of
carriers
• Direct connectivity in some states at no cost
• Claims status and eligibility for certain carriers in some states is
available from several locations within the software
• HL7 data exchange standards for clinical system connectivity
• Collection agency connectivity
• Satisfies all HIPAA standards
• Has the ability to correct the contract number or copay from remittance
posting
• Interfaces with selected laboratories for transfer of demographics
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| Other Special Features: |
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| Pre-Paid Services Module |
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• Allows users to post money for OB global payment without
creating a credit balance on account
• Pre-paid services payment due shown separately from other patient balances on
monthly statement
• Tracks pre-paid services money separately, thus providing a true picture of
OB accounts receivable
• Ability to generate report that shows accounts with pre-paid services total
due, amount paid and balance remaining
• By recording OB prepaid services separately, the system allows users to
credit the appropriate physician at the time of delivery
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| Patient Demographics |
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• Flow of data entry is intuitive and easy to follow
• Allows users to search for patients in various ways including name, account
number, contract number, social, phone number, date of birth and more
• Transcription can be accessed when clients subscribe to the
Qualitescribe®
Electronic Dictation Management System
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| Appointment Scheduling |
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• The “first available” appointment search cuts down on
scheduling mistakes and overbooks
• Separate scheduling templates for each provider allow for variable
appointment lengths for each appointment type
• View schedules by single provider, multiple providers, multiple days, etc.
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| Tags and Flags |
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• Users can create and customize tags to track accounts for
medical or financial purposes
• Tags can be used to stop scheduling or statements and to monitor and report
collection accounts
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| Claims |
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• The system archives insurance, allowing users to refile old
dates of service to the correct insurance company
• The claims module walks users through the entire process of filing daily
claims
• The system can print EOBs on demand and collate them with secondary insurance
claims
• Eliminates the need to pull and copy EOBs
• Rejections reduced by pre-submission review of claims
• Can hold claims in suspense for refilling
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| Remittance Posting |
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• Post payments by line item
• Checks the account number vs. the contract number
• Warns users if credit balance is created on account
• Payment reason codes are attached to each line item for easy reporting
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| Refund Module |
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• Displays patient accounts with line item credits by dates of
service and physician
• It’s easy to move a patient into a refund request status
• Checks can be cut from the system
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| Reporting |
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• Unlimited detailed reporting that should alleviate the need
for generating manual reports from other software such as Excel
• Custom reports are available and easily generated
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| Forms |
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• Superbills, patient demographic forms, and labels are
printed from the system and can be modified at any time to add or remove
information
• Custom letters can be created in the system eliminating outside printing
costs
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| Check Out Module |
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• Utilizes an on-screen version of the provider’s superbill
allowing front-desk staff to enter CPT and ICD-9 codes
• Generates a personalized patient receipt that includes charges, payment and
follow-up appointment information
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| Coding |
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• The system utilizes ALPHA II coding module to search and verify
CPT and ICD-9 codes
• ALPHA II is electronically updated quarterly, eliminating the need to
purchase coding books
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| Unsurpassed Technical Support |
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• An on-line help desk can be accessed with the touch of one key
from the user’s keyboard
• This “chat-based” system allows the user to talk to a technical support
representative without having to use the phone
• Clients always talk to a “live” support representative when calling by phone
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Training |
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• QualityConnectMD OB/GYN is easy to learn and simple to use even for employees
who have never used a Windows-based product
• Practice staff attend classes at MedManagement’s Birmingham headquarters
• On the “go live” date, QualityConnectMD staff will be on-site to ensure a
smooth transition
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Affordable Solution
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• QualityConnectMD OB/GYN is reasonably priced with upfront
costs based on the number of providers in the practice
• Monthly technical support fees are based on the number of users
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