Page 28 - HME Business, December 2017

THE RIGHT TOOLS FOR THE JOB
control, enhanced security, same or similar check and patient eligibility all using an SQL database. The ow control system allows for customization of all aspects of patient les from the initial intake through claim adjudication on multiple product lines at one time. The enhanced ow control system, as well as document tracker and patient eligibility lets providers follow a predetermined, streamlined path to more ef ciently process a patient from conception to completion.
SystemOne
QS/1
www.qs1.com/systemone
(866) 925-8356
Year Founded: 1977
Number of installed systems: 663
Type of System: A stand-alone system installed on-site or a A hosted, web-based/SAAS system
Technology Used: Proprietary
LatestSystemsUpdatesandEnhancements:QS/1has continueddeveloping its software and services with an eye on giving providers the edge in a competitive HME marketplace. SystemOne is an HME management system provides a compre- hensive approach to HME, enabling providers to better manage every aspect of their business, including accounts receivable, point-of-sale, shipping, rentals and sales. Our latest enhancements provide tools to electronically organize, attach and store documentation within SystemOne. Paired with QS/1 Document Management (QDM), SystemOne receives documents via scan, le upload, cloud fax or email attachment, auto-populates forms for submission to Medicare and Medicaid and quickly retrieve them during an audit.
TIMS Software
Computers Unlimited
www.timssoftware.com/medical
(406) 255-9500
Years Founded: 1978
Type of System: A cloud-based hosted solution or a stand-alone system installed on-site
Technology Used: Microsoft SQL Server 2014 C# (C sharp) using WPF, WCF with .NET 4.5
Latest Systems Updates and Enhancements: With the current reimbursement challenges HME providers are facing in today’s highly competitive and regulated business climate, TIMS aims to give providers software and support they need to survive and succeed. The latest release of TIMS Software, provides the most compre- hensive and integrated business management software available for HME providers. TIMS offers rules-based, revenue-qualifying patient intake including work ow and document management. Updated software features include denial management and A/R collections worklists, e-purchasing, e-drop shipping, asset tracking, inventory management, mobile delivery, and business intelligence.
Accounts Receivable
These are systems that help providers maximize collection of patient payments, such as co-pays.
CollectPlus
A/R Allegiance Group LLC
www.arallegiance.com (913) 338-4790
Year Founded: 1999
Type of System: A hosted, web-based/SAAS system,
Technology Used: Microsoft SQL Server 2005 or above – SSIS packages, SQL, and standard DB objects: Tables, Views, Procedures, Functions; ASP.Net, VB.Net, C#; VB and VB
Latest Systems Updates and Enhancements: By bundling more services, A/R Allegiance focuses primarily on prevention of patient AR by making sure medical providers have obtained the appropriate credit information from their clients. CollectPayLIVE – ARA’s online payment portal is now more fully integrated with COLLECTPlus and creates an unmatched communication system for medical providers to communicate with their customers. New Offering - TouchCLAIM – Slow payments by third-party (commercial) payers require costly staff for follow up. Extensive eld testing demonstrated an alternative method of requesting payment is needed.
Audits
Claims audits are obviously a massive challenge for providers that is on par with competitive bidding. These systems help providers manage their audit response, claims documentation requests, and appeals.
RxCloud9
Rxcloud9 LLC
www.RxCloud9.com
(954) 376-5788
Year Founded: 2014
Type of System: A hosted, web-based/SAAS system
Technology Used: Asp.Net 4.5, C#, Javascript , JSON, Microsoft SQL Server
Latest Systems Updates and Enhancements: A newcomer to the HMEB soft- ware directory, Rxcloud9 was designed to be a centralized, ground zero for all payer audits regardless of appeal level. RxCloud9 is for any company that is frustrated with managing Medicare’s miscalibrated contractor audits and is looking for a better way to handle the work ow. RxCloud9 aims to simplify the audit process by organizing where the provider is in the process and what is needed to get their audit packaged for a successful submission. Whether it’s an initial response to an audit or an ALJ appeal, the system manages the process the same way. The software func- tions as a single audit station, eliminating any external tracking.
Billing/Claims
These are systems speci cally looking at claims and management processing. While many of the HME Management systems began as billing and claims management systems before evolving to cover the entirety of HME business management, these systems remain focused squarely on billing and claims.
Reimbursement PRO
RemitDATA
www.RemitDATA.com
(866) 885-2974
Year Founded: 2000
Type of System: A hosted, web-based/SAAS system Technology Used: Java, JavaScript, Microsoft SQL Server
Latest Systems Updates and Enhancements: TITAN Designed to simplify
the reimbursement and reconciliation process with reimbursement and utilization reports, analysis and work ow tools. Reimbursement PRO provides an executive dashboard overview, custom reporting, denial management and appeal forms, and can work in conjunction with any practice management or billing system. Security standards are monitored and updated on a regular basis. Appeal forms are added and updated based on customer needs.
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