CareFacts Information Systems - CareFacts Billing

Billing is the fully integrated financial gatekeeper to the CareFacts HIS. The module is designed to comply with the Prospective Payment System enacted in October of 2000 as well as the Health Insurance Portability and Accountability Act of 1996. The system is highly flexible and designed to accommodate the multiple billing requirements of various community care agencies. The module fully supports Medicare, Medicaid, and Private Pay Health Insurance rules and can custom design forms for multiple insurers for automated invoice-based billing. Other features include multi-branch, multi-company support, individual invoice tracking, unbilled redundant billing protection, data consolidation and reports by program and discipline.

	CareFacts Billing Features
Electronic Claims	Multi-Branch, Multi-Company reports
Medicare	Track individual invoices by client or payor
Medicaid	Track individual invoices by days outstanding to project cash flow
Private Insurance	Bill clients or payors on different invoicing cycles
Invoices	Complete support for billing services and supplies
UB92	Easy drill down and summary level queries
HCFA 1500	Billing support for DME and Infusion supplies and medication
Custom Invoice Formats	Accommodates mid-month payor changes
837	Standard reporting capabilities/crystal reports (per client)
	Track multiple payor prior authorizations with order certifications