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835 Claims Processing Made Easy
Manage split and reversal payments by selecting the 835 claim type in the Claim Types window.
Accurately Calibrated Medicare Fees
Use the new Medicare tab to add, edit, and configure standard Medicare fee sets and initiate Medicare pricing for applicable claims.
Customized Check Formats for Printing
Set up check formats to meet bank-specific requirements and conveniently print them through the Print Check Run pane.
Enhanced Security with 2FA
Add another layer of protection to your system and data by enabling the SMS-based two-factor authentication (2FA) feature.
Precision
Address claims pricing issues by viewing new MMR, RNF, and TAC pend codes in the Pend Code pane of the Claims submodule.
Check if the fee schedule is available when viewing the pricing details of a claim service line.
You can also verify the standard calculations, such as the RVU-based PFS, anesthesia base units, ASP, DMEPOS, and clinical lab rate calculations in the Fee Schedule Calculation section.
Efficiency
Manage split and reversal payments by selecting the 835 claim type in the Claim Types window.
Precision
Ensure that correct rates apply to services. Set up Medicare fee sets in the Medicare tab. After the configuration, check pricing calculations in the QC Medicare Rates Lookup pane.
Apply the P5 - % Fee Schedule option for optimized pricing in the Extended Fee Schedule pane, Carrier Locality Source for Standard Medicare section, and Service Pricing subsections.
Improved Experience
Get validation alerts when editing an existing Medicare fee set or adding a new set in the Fee Schedule pane.
Use the new Medicare tab to add, edit, and save standard Medicare fee sets and initiate Medicare pricing for applicable claims.
New Automation
Generate new offset and adjusted claims automatically for paid or reversed claims by enabling the Create Offset Claim if Payment/Reversal Is Received for the Paid Claims parameter in the Trading Partner Parameters window.
Automate 835 claims processing as soon as you receive payments. View error messages in the Rejection Messages window of the Claims Payment Listing tab for failed claims.
Improved Experience
Access Provider and Member Query Condition boxes in the Batch/Automation Configuration window. Compare Status Reason descriptions, and enable the option to send English letters for non-mapped languages in the Advanced Search window.
Custom Configuration
Set up custom check formats for applicable banks in the Print Check Run pane under the Claims Payment Processing submodule.
Enhanced Protection
Select the Dynamic SMS Access code checkbox in the User Master pane for easy login with the added security of two-factor authentication via SMS.
SOC Certification Achievement
MedVision has successfully met the criteria outlined in the SOC (System and Organization Controls) audit for service organizations. This certification demonstrates MedVision’s adherence to rigorous standards for security, availability, processing integrity, confidentiality, and privacy.
As a service provider managing sensitive data and overseeing critical functions on behalf of clients, this certification underscores MedVision’s commitment to maintaining high standards of operational excellence and data security.
HITRUST Risk-Based 2-Year Certification Achiever
The Health Information Trust (HITRUST) is a standards organization dedicated to security, privacy, and risk management. They developed the HITRUST Common Security Framework (CSF), which assists organizations in maintaining a comprehensive and secure approach to HIPAA compliance and managing risks. HITRUST is widely recognized as the benchmark in data security and privacy.
Certified Member of HCAA
The Health Care Administrators Association is the nation's largest nonprofit trade association for third-party administrators, stop loss insurance carriers, managing general underwriters, audit firms, medical managers, technology organizations, pharmacy benefit managers, brokers/agents, human resource managers, and health care consultants. HCAA has spearheaded the change of self-funding for more than 35 years.
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LINKS
GET IN TOUCH
3233 N. Arlington Heights Rd.,
Suite 307, Arlington Heights, IL 60004
Phone :
847-222-1006
Fax :
847-222-1066
STAY INFORMED
Subscribe to our blog updates!
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