MedGateUSA

Medicare Direct Electronic Billing

Details

This module will send all your claims directly to Medicare and you are able to print the audit report for any rejections. This software will work with all three MEDISOFT products. This module supports the new NPI number, CMS 2007 Insurance form format and will support the new HIPAA changes with medicare system. This product can be purchased separately and may be added to your MEDISOFT software. This module will bill Medicare as a secondary carrier.

 
Features
  • Claims may be manually edited before submission
  • Includes communication software to transmit the claims directly to the payors, and allows you to retrieve reports and claim confirmations without leaving the program.
  • Produces compliant ANSI- and NSF-format electronic claims directly from your existing Lytec practice management system.
  • One of the only products available today that can also process secondary and tertiary claims electronically
  • Capable of processing professional and institutional claims for a variety of practices, including physician services, laboratory services, physical therapy, speech therapy, occupational therapy and much more.
  • Medicare billing claims go direct to the payor, eliminating the hassle and expense of clearing house operations. This gives you complete control of the billing process.
     
    More Info
    If you are in the Original Medicare Plan, providers (e.g., hospitals, skilled nursing facilities, home health agencies, and physicians) and suppliers are required by law to file Medicare claims for covered services and supplies that you receive. Medicare claims must be filed within one full calendar year following the year in which the services were provided. For example, if you see your physician on March 22, 2001, the Medicare claim for that visit must be filed by December 31, 2002.

    There is a time limit for filing a Medicare claim. If a claim is not filed within this time limit, Medicare cannot pay you its share. The time limit may be as short as 15 months or as long as 27 months depending on when you received the service or supply. It is important that you ask the Medicare Carrier what the time limit is for filing your claim.