The PIMSY Billing Feature
The PIMSY electronic billing software feature is a comprehensive, valuable tool designed to streamline the billing process, from invoicing to processing payments and managing insurance claims. By optimizing the billing process, behavioral health providers and administration can focus more on patient care while ensuring financial operations are handled efficiently and accurately.
Billing Module
Integration: Seamless integration with the client management system, ensuring that billing information is always up-to-date and aligned with client sessions and treatments. This includes pulling rendering and supervision directly from the clinical documentation, eliminating manual entry and other administrative tasks.
Electronic Eligibility Verification: Electronically validate and verify client insurance information to mitigate potential issues and ensure accurate billing.
Billing Formats: Supports various billing formats, including electronic HCFA primary, secondary, and institutional billing.
Payment Processing: Integrates with payment gateways to automate payment processing.
Receipts and Superbill: Supports automated receipts and Superbill functionality.
Audit Trail: Maintains an audit trail of billing activities to track changes, updates, and user interactions for accountability and compliance.
Client Statements and Invoicing: The system generates statements with a clear breakdown of charges for patient transparency while automating the generation of accurate and timely invoices to reduce manual processes and the potential for error. In the client portal, clients can easily access their billing statements, make online payments, and have more transparency, improving patient engagement.
Payment Capture: Payments reconcile to ensure proper reimbursement for all procedures, treatments, and other billable services.
Coding and Documentation: Dropdown capability ensures that appropriate medical billing codes are assigned to procedures and diagnoses for accurate billing.
AR based on allowed or expected amounts
Billing Structures: PIMSY accommodates multiple service models and billing structures.
Credit Card Processing: Processing is available with PCI-compliant vendors.
Claims Submission and Tracking
Electronic Paper Claims: Generates electronic or paper claims based on coded and documented information while adhering to the requirements of insurance companies and payers.
Customizable 837 Claim Submittal: Tailor claims electronically to fit specific payer requirements and allow edits at the claim level.
Payment Tracking: Tracks client payments, manages account balances, and generates detailed financial reports. Improve your revenue cycle management with software that tracks all patient payments.
Claims Tracking: Monitor and manage denials, resubmissions, and follow-up activities.
Claims Editing: Modify claims as needed at the claim level.
Authorization Management Module
The authorizations module facilitates efficient tracking of client services by payer guidelines, effectively reducing denials due to unauthorized services. This ensures all provided services are pre-approved, streamlining billing and minimizing financial discrepancies.
Reporting and Analytics
Reporting tools: These tools help users monitor financial performance, track collections, identify trends, and make informed decisions, including regarding AR Aging, Denial, Write-off, Deposit, and Credit. The ability to track different payer fee schedules allows accurate forecasting and reconciliation.
Rolling EOM Accounts Receivable Report
Client Information Capture
Client Demographics: Captures and stores patient demographic details and other relevant data.
Encounter Details: Record the details of each client encounter or visit, including the date, time, provider information, and nature of the visit.
Security and Compliance
- HIPAA compliant
- ONC-Health IT certified
Conclusion
The billing function is the financial backbone and guardian of client trust within mental health agencies. Accurate billing is not just necessary; it is critical to ensuring the success and sustainability of mental health practices.
The PIMSY EHR software’s robust billing feature adds a layer of efficiency and reliability to this pivotal aspect of mental health provider operations. With its user-friendly interface and comprehensive features, PIMSY streamlines the entire billing process and empowers providers and administrators to focus more on client care. With the PIMSY EHR software solution, agencies can navigate the complexities of insurance billing, payments, and revenue cycle management easily, enhance client trust, optimize operational efficiency, and ultimately fulfill their core mission of providing quality mental health services.
