ATTN: Provider Services
Now that the new millennium
is here, there will be some sweeping changes
in the Health Care Provider Community. Not the
least of these , will be the in depth reporting
requirements for all patient encounters.
As I am sure you are aware,
The Health Insurance Portability and Accountability
Act of 1996 has mandated that The Secretary
of Health and Human Services implement a NEW
NATIONAL STANDARD for Electronic Data Interchange
(EDI) for all health care transactions by the
year 2002. While this new standard of health
data transfer is much needed, it still does
not address the problem facing many Payers.
And that is 'The Data Point of Entry' . Ideally,
Health Care Data should be input into a EDI
system at the point of service. Which in many
cases means data entry by the fieldwork teams
and Independent Health Care Contractors.
The fact that these individuals
are the keys to the concept of total automation,
demands that the issue of 'Point of Data Entry'
be resolved right along with the NEW NATIONAL
STANDARDS implementation. Heretofore, the barriers
to arming the field personnel with 'Point of
Service' reporting equipment was two fold; 1,
lack of standardization in reporting requirements,
and 2, No user-friendly , One Time Entry, Accounting,
Record Archiving, Claims & Encounter EDI software
available, that the Field Divisions or Independent
Contractors could cost justify.
Well . . . the barriers have
been removed ! !
The Secretary of Health and
Human Services has removed the first barrier,
and ELECTRONIC SERVICES
TECHNOLOGIES has removed the second.
The amazing part is that you
can thrust your organization ahead of the implementation
process because the software is available now,
and usable now.
Here's how it works . . . .
it takes approximately 40 SECONDS to prepare
a claim or encounter for electronic transfer.
At the same time, the details of the services
rendered are archived for instant report retrieval.
And any financials are automatically updated
to the built-in Electronic General Ledger (the
Independent Contractors would love this ....
no books to keep).
The claims and encounter information
can be transmitted direct to your computer or
it can be transmitted to you Via a Clearinghouse,
at your option, because both methods of transfer
are built-in. The Data format can either be
the current National Standard Format 3.01 or
the NEW NATIONAL STANDARD FORMAT (ANSI X-12).
Again, at your option, because both of these
formats are built-in also. And you don't have
to restructure the data to switch between formats.
I know you are now wondering
how much does all this cost ! ! Well . . . ,
Actually I'm too embarrassed to say ! But I
will say this . . . . . . . it's so INEXPENSIVE,
you might consider giving this software to your
Field Partners, just so you know their EDI capable.
WOULDN'T IT BE NICE TO
SIMPLY DOWNLOAD YOUR WORKORDERS TO YOUR FIELD
PERSONNEL AND HAVE THE COMPLETED WORKORDERS
UPLOADED BACK TO YOU ! !
Oh by the way, did I
mention that this software is YEAR 2000 compliant?
For more details visit our Electronic
Encounter & Referral Intake Section
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