The A To Z Of EDI Services - NextGen Healthcare

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Presenter(s):Anthony Kane – Manager, EDI OpsOscar King – Spvr, Customer SupportTopicThe A to Z of EDI Services – How to Save Money NowLevelTuesday, November 13 – 3:30PM to 4:45PMConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

QSI EDI Services Automated Voice Reminders – Reduce your no-show rate with automated voiceappointment reminders! Eligibility Verification – We receive “real time” data from the insurance companiesand provide you with that information electronically. Insurance Claims –Outsource all of your insurance claims submissions and relievethe tediousness of printing, mailing, and posting claims results Electronic Remittance Advice –Explanation of benefits, EOB’s, posted effortlesslywith QUIC’s reporting and posting programs Statements –Improve cash flow and boost professional appearance while utilizingQUIC’s automated statement processing service! Direct Deposit – Payment processing that posts directly to your bank account andsystem without spending hours on data entry! Patient Correspondence – Generate Arrivals using Recall and AppointmentReminder Cards. Increase A/R with Budget and Collection Letters!.Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Automated Voice Reminders Offers Individualized customermessaging in multiplelanguages Recognizes a live person vs.an answering machine Delivers a consistent messageto all patients Reports via QSIConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012 Unlimited Call Windows Manages multiple sites One message per householdnoting multiple patientappointments

Automated Voice RemindersQSIEDI Automated Reminder Calls Operate Using the Overnight. Easy installation Seamlessly integrates the QSIedi Voice Reminder Services with the QSI System Uses data directly from the QSI Schedule and runs automatically behind the scenes(Pulls Appointments from Appointment Lists). Submission/Results Reports Posts Results back to the Appointment List. Customize submission by Events, Locations, ResourcesConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Automated Voice RemindersConsole DemoConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Eligibility VerificationEligibility Inquiry Report Optional Query by ClinicNumber. Optional Query by Date. Summary of patient eligibilityrequests. Can be set-up in theovernight. Program will only verifyEligibility Patients by Practicespecified processing period.Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Eligibility VerificationEligibility Verification Post Posting/Results List each Patient EligibilitySubmission. Lists whether a patient iseligible or not. Provides explanationPrintable Reports are availablevia the overnight spooler.Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Eligibility VerificationPatient Insurance record in ,11 Special Name Symbol ( ) toindicate ineligibility. Patient Eligibility is Indicated inthe comment field.Ineligible Patients are flagged in ,1Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Eligibility VerificationConsole DemoConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Electronic Claims ProcessingFeatures End-to-End IntegrationQSI Claims SupportAdvanced Reporting ofOutstanding ClaimsANSI Compliant Claims, ERA &ReportingBest Selection of ClearinghouseOptionsExtensive Payer ListsStaying Up-to-date with Industry& Payer ChangesConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012BenefitsAccelerate Claims Processing andPaymentDecrease Submittal Errors andResubmissionsIncrease Visibility of Claims Status(Claims Portal)Improved Cash FlowReduce Write-offsLowered Labor Costs Associatedwith Manual Claim Processing.One-Vendor Convenience

Electronic Claims PortalConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Electronic Claims PortalConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Claims VerificationConsole DemoConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

ERA – Electronic RemittanceAdvice PostingWhat is it? A healthcare industry standard forPayers to electronically transmitpayment details Also known as 835 postingWhy use ERA Posting? Eliminate manual labor time spent ontasks associated with postinginsurance checks, such as: Sorting incoming mailPatient/Claim lookupReading/interpreting the EOB toenter the insurance payment andassociated contractual discountsFiling the EOB after postingRetrieving the EOB for viewing laterif the patient has a questionConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

EDI ERA ProcessConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

EDI ERA Scanlink BenefitsBenefits Automated Posting of Payments Improved Reporting Review ERA Data directly from QSI Retain all of the data from the EOBConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

EDI ERA Scanlink ProcessConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Patient Statement Processing Heavyweight, Statement Stock Enhanced Image Practice Logos Custom Statement Options Customized Statement Backers Fast Marketing with StatementStuffers! Remit Envelopes Your Choice of Many BrilliantStatement Standard Stock ColorsConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Patient Statement ProcessingFeatures and BenefitsFully Automated: Patient Statements are Fully Automated and can be Generated andRetrieved Without Human Intervention.Enhances Practice Image: Heavyweight Stock - Brilliant Colors- Practice Logos Custom Messages & Options - Remit Envelopments. A Variety of Format Options.Reduces Billing Errors:QUIC Auditing Functions Check forDuplicate Submissions and Missed Files. Automated Processing Results Confirmedwithin 24hrs of File Processing - Address Corrections Keep PatientRecords Current.Increases Office Efficiency:Reduces Staff Workload – Printing and Mailing ofStatements is Expedited thereby Accelerating the Payment Process- Allows More TimeTo Focus on Patient Care - Ensures Timely Billing Through Automation.Reduces Overall Costs: Days of Dedicated Staff Labor No Longer Needed,Start-up, Implementation, Training, QUIC Support or Cancellation Fees.Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012No

Additional SupplementalStatement ServicesFast Forward: Automated Address Updates Utilizes the USPS NCOA Database Mails Statement to New Address at Time of Printing Electronic Data File Automatically Updates Your Patients’ Demographics Keeps Patient Records CurrentInserts: Send Additional Information/Marketing with Inserts New Statement Inserts Practice Policies Service Marketing Collection Insert Notices (based on aging) We’re Moving AnnouncementsPatient Payment Portal:- Online e-check and Credit CardPayments- e-Statements(emailed statement notification)Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Patient Payment Portal Fast DeliveryGreener SolutionDecreased CostPatients make Payments OnlineAccelerates PaymentsPost Payments directly into EPMConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Patient Correspondence (Cards and Letters) Recall Cards Budget Letters Appointment Reminders Collection Letters “We’ve Moved” Notices Welcome Notes Birthday Cards AnnouncementsConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Patient CorrespondenceConsole DemoConfidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

Any Questions?Confidential—Proprietary Information—For use by authorized QSI NextGen Healthcareemployees only. Not for public distribution Copyright 2012

QSI EDI Services Automated Voice Reminders - Reduce your no-show rate with automated voice appointment reminders! Eligibility Verification - We receive "real time" data from the insurance companies and provide you with that information electronically. Insurance Claims - Outsource all of your insurance claims submissions .