Getting on-line services to streamline your billing
Getting on-line services to streamline your billing
e-MedSoft.com gets a new client
Home Medical of America (HMA), the largest privately held provider of home health care services in the United States, has contracted with e-MedSoft.com of Jacksonville, FL, to improve communication and billing practices for its125 locations and 14,000 employees. According to Ron Wing, vice president of marketing, e-MedSoft is a health care product available through the Internet that provides connectivity solutions to home health providers, physicians, and payers through its application sets. "Essentially what we do is provide a new vehicle for these groups to connect and do business on a transaction basis using the Internet," says Wing. "We provide the application and all the services it takes to get into our environment."
Wing says e-MedSoft significantly reduces the amount of time health care firms spend on book work. "When a nurse or technician is at the (care delivery) site, there are a lot of forms to fill out. They are usually working on a work order prescribed by a physician, and they’re trying to capture data as well as fill out reports for the managed care service. We can provide that electronically, so they can do that within the home with a palmtop or laptop computer. Users can then plug the data into their desktop computers and into the e-Medsoft application. "Our eventual goal is to be able to do that on a wireless remote basis, but right now there are technical credibility (transmission interference) problems if you’re not connected to a dedicated wireless line."
The e-MedSoft core system has the traditional patient registration, transfer discharge features, plus claims submission and processing. System users mouse-click on an icon to request electronically transmitted data from the patient’s records. "We have a back-end claims processing service," says Wing. "You go on the Internet with a browser, mouse, and keyboard. You’re prompted to enter data for a claim. You see the same screen every time, but the edits around that claim will differ between payers. We take care of that editing in combination with the electronic transporter, which is sent back to the payer. So all our clients do is enter data into a simple screen. The back-end processing is all done for them and submitted to the payer for reimbursement."
Wing says e-MedSoft offers eligibility determination on-line and has referral management capability. If a primary care physician is working within the context of a PPO and has to refer a patient to a specialist, there are referral parameters within the plan. The context of the application and the connectivity of the plan will do that for you."
Wing says one of the things HMA wants to do is streamline their processing systems. "Because of the way the company came together, it has multiple processing systems for bill generation, service requests, inventory — all the components of their service cycle. What we’re going to do is integrate all the different offices and connect them into a back end with our system so that they can manage their own inventory, billing, [and] asset management. They can do scheduling out to the sites so they know when they need to send a truck with equipment and when a nurse needs to be there."
E-MedSoft charges a monthly subscription fee for the right to use the application. Fees are based on the number of users, access to applications, and customization required.
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