eClaims Practice Management

From queuing claims to resolving scrubbing errors to submitting claims electronically — Claims Management has never been easier.

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Centralized Claims Management

PracticeStudio's Claims Management folder categorizes claims by their status—Queued Claims, Claim Exceptions (Scrubbing Errors), Past Due Claims, Claims with Ineligible Transactions, and Claims History—and displays a wealth of information about each claim listed, all on one grid:

  • Claim number
  • Date the claim was queued
  • Status (Queued 837, Queued CMS, Errors, Sent, Complete, Void, Deleted, etc.)
  • Number of days at the current status
  • Patient name, code, financial class, incident, and provider
  • Carrier, including Primary or Secondary notation
  • Total amount billed on the claim
  • Security user to whom the claim is assigned
  • Scrubbing errors, as well as details about how to resolve them
  • Transaction service date, CPT code, Dx codes, Narrative text, and NDC number
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Charting

Queued Claims

  • Specify the amount of time that must have elapsed since a transaction was posted before it will appear on a claim.
  • Produce multiple claims for the same patient, grouped by transaction date.
  • Attach free-text notes (which can be formatted using a Rich Text Format toolstrip) to any claim.
  • Re-queue unpaid service lines so they can be resubmitted, with or without editing them first.
  • Claims can be organized by date, patient, Claim #, Insurance Carrier, and Claim amount.
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Scrubbing Errors

Verify a total of claims with scrubbing errors and the total amount of the claims with errors.

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Past Due Claims

Instantly review all past due claims to ensure increased time management and efficiency.

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Underpaid/Denied

A detailed list to help keep track of all the Underpaid and Denied claims.

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Claims History

Trace the History of your claims to help documentation and verification records.

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Ineligible Transactions

Ineligible transactions are transactions disqualified from claims processing. The Ineligible transaction grid identifies what caused the transaction to be ineligible rather than being processed on a claim.

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Analysis and Metrics

PracticeStudio helps you measure and analyze the various claim metrics to help increase the productivity of your clinic. (example: Claims without Insurance Payments analysis)

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