Provider Invoicing: Census Driven

 

Claim Submissions

 
A billing module designed to make sure that all your bills get paid on time. Special features to support the unique issues presented in
invoicing for services provided by these Long Term Care providers:

  • Skilled Nursing Facilities (SNFs)
  • Adult Day Care Providers (ADCs)
  • Life Plan Communities (Continuing Care Retirement Communities (CCRCs))
  • State Veterans Homes (SVHs)

Integrated Census Control
Easily manage invoice adjustments with an integrated ADT census that automatically updates billing records and provides detailed
summaries that can be used to verify that all resident days are included in an invoice.

Managing Multiple Payors
Review and correct bills before committing them to history and then bill all paysources at one time without having to process separate runs
for each invoice type.

Medicaid & Medicare Billing
Complies with all State Medicaid billing requirements, including rules for bed retentions (BR) and leaves of absence (LOA).
Also, provides alerts when a resident approaches the LOA and Bed Retention benefit limits.

Coordination of Benefits
Manage deductibles and co-insurance, then automatically invoice secondary third party paysources for services not covered
by a resident’s primary insurers.