Transactions Overview

The Transactions module helps streamline charge entry, payment or adjustment posting, and collection activities while supporting paperless claim processes. It is capable of supporting both the CMS-1500 and UB-04 claims. By reducing the amount steps involved in the process of creating a claim and automating a number of these steps, the Transactions module helps ensure cleaner claim and minimize human errors. The interfaces to enter claims data are intuitive and easy to follow.

Accurate and Efficient Gathering of Information

Intuitive and dynamic claim forms allow efficient and accurate gathering of information to produce cleaner claims. It supports both the CMS-1500 and UB-04 claim format. Data input fields are numbered as in the actual claim to simplify the input of the claim information. Procedure and Diagnosis codes can be imported from the clinical modules, to help increase the accuracy of the claim.

Reduce Coding Errors with Cross Coder

Cross Coder helps simplify the matching of diagnosis and procedure codes for CMS-1500 claims. For each procedure code, Cross Coder stores a list of diagnosis codes that would match with the procedure code. When the codes are not matched, a warning message appears to inform you of the mismatch. You can customize the list of diagnosis codes for each Procedure code.

Effective management of CMS-1500 and UB-04 Claims

The Claim Manager manages both the CMS-1500 and UB-04 claims under a single patient’s account. You can preview the claim information in either format. Comprehensive billing reports are available to support follow up activities.