| Home | Demo | About Us | Links | Software Expressions, Inc. |
Managed Care/Capitation Processing
For those who have entered into capitation contracts, Medical Management Software has made special provisions to allow processing and tracking of insurances effected.
Screen Images
System Features:
Capitation payments are automatically posted
Applied capitation items appear on the daily journal
Includes the ability to handle global and contracted procedures
Prints Capitation Reports for insurance companies containing the information previously found on the HCFA form
Generates procedure/diagnosis tracking reports to analyze the plans= profitability
Produces Provider Monthly Procedures reports
Generates reports recapping services by insurance and physician-- for specified date range and paycodes (plus third party codes, if desired) in summary or detail
Summary reports includes quantities, fees, payments and adjustments
Detail reports also include facility, physician, CPT codes and ICD9 codes
Generates analysis reports comparing variances between actual and anticipated care
Generates daily treatment slips alerting staff of expected action based on the care management guidelines
Referral tracking capabilities
Referral forms customized for different insurance plans
Ability to specify approved physicians, procedure codes and authorized number of visits or date ranges per plan
Link to Scheduling system prompts operator to confirm patient eligibility prior to appointment setting
Interfaces with Electronic Claims and Electronic Remittance packages
[ Home | Email | About Us | Links ]
Direct comments or questions to
annev@software-expressions.comCopyright 2000, Software Expressions, Inc., All Rights Reserved