Medisoft 16 New and Enhanced Features!
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New Flexible Grids for Claim Generation
Medisoft Version v16 introduces new user interface windows to
better address different insurance filing requirements. This new layout
gives you the flexibility to easily configure your setup to address
various requirements when generating both print and electronic claims.
The new implementation provides a flexible environment that you can
quickly customize to reflect your claim processing needs by setting up
different grid entries for insurance carriers, providers, your practice,
or your data requirements (NPI, legacy, etc.) that you can apply and, if
needed, quickly modify. These changes support creating as many custom
scenarios that you need to successfully file claims. This new method
streamlines and consolidates tabs on key windows such as the Insurance
Carrier, Provider, and Referring Provider and moves labs and facilities
from the Address tab to Facility tab. Also the Practice Information
window features a new tab, Statement Pay-To, which is used for Bill
Flash
reports.
The key element of this improvement is the implementation of Practice,
Provider, Referring Provider, and Facility IDs grids. The settings and
selections that you make on these grids, along with settings on the
Insurance Carrier window, are used for claim generation. These settings
are highly flexible, providing greater breadth and depth to address your
particular office’s billing needs. The inherent flexibility in this
implementation means that you can enter limitless scenarios for any
combination of insurance companies, insurance categories, facilities,
referring providers, providers, and your practice to address different
carrier filing requirements.
Another important change for electronic claims involves the logic of
group and individual filing moving from the EDI Receivers window to the
Provider window. You now bundle claims by creating provider filing rules
using the Group or Individual buttons on the Provider IDs grid instead
of sending via a group EDI receiver or an individual EDI receiver;
however, if a carrier requires further refinement, you can create/use
multiple submitter IDs to separately batch by submitter ID.
New Electronic Claims,
Eligibility Verification and ERA Processing
Eligibility
Medisoft v16 introduces new eligibility data entry and processing
logic that gives you greater control and the ability to manage you
Payers IDs (the enhanced payer ID management also applies to insurance
payer IDs, not just those used for eligibility verification). The
flexible implementation lets you define when you check for updates and
gives you the ability to update a Payer ID, which reduces potential
downtime and increases your ability to address eligibility verification
issues.A key element of this change is enhanced system
performance--eligibility does not automatically check for updates,
avoiding kicking off an unintentional update cycle. Also when you
installed Medisoft v16, the application included an initial payer ID
data set which also avoided a longer delay between the time you install
the software and the time you use it. And when you do check for updates,
the new logic only pulls updated/changed information, saving you more
time.
Adding to the performance enhancement is the new Payer ID lookup window
which deploys enhanced search filters with the ability to add, edit, and
delete a record (user-supplied Payer IDs) with no template editing
required.
Payer IDs supplied by initial installation of Medisoft and subsequent
updates are now labeled as System, which in turns provides a simple way
to filter the Payer ID window. Payer IDs that you enter are labeled User
which also provides a quick filter option. System supplied payer IDs are
read only—you cannot edit or delete them. You can, however, edit and
delete entries you create (user), and the new logic will deploy a
user-defined payer ID before a system ID. The new logic does not allow
duplication of user-supplied Payer IDs; however, you create a duplicate
of a system supplied payer ID as a user-supplied ID, which means you can
edit it on the fly and make timely
updates if needed. Medisoft v16 also streamlines eligibility security
and access by making eligibility security assignments part of
insurance—that means that the rights you assign (add, edit, delete) for
insurance are the same for eligibility. With the new security addition,
your settings/available records match the logged in user.
For more information on this feature, see Payer ID Lookup Window and
Eligibility Verification Overview.
New Enhanced DVD Install for Medisoft
Medisoft v16 drastically improves the ease of installing
Medisoft . The new, DVD-based installation contains all you need to
install Medisoft v16 Client Server and Medisoft —all on one disc. Using
the new type of media reduces the amount of application discs since
Medisoft v16 and Medisoft are on the same disc and reduces the
installation time and your involvement by deploying greater automation
in the setup of Medisoft. The number of screens that need user
intervention (select a path, directory, file, etc.) is greatly reduced.
The new installation was re-engineered to enhance the flow and ease for
installing Medisoft v16 Client Server, the Medisoft server and database,
and the Medisoft client. The standard Medisoft v16 installation was also
re-engineered. Though this install is still CD-based, the new
installation improves the install process and provides a more robust
platform for future enhancements.
New Interface
Medisoft v16 introduces a completely new and updated look. The user
interface retains the logic,structure, and order of previous releases,
but implements new colors, icons, window controls, etc. to enhance the
user experience. The new design, influenced by the user interface
changes that Microsoft introduced with Office 11, uses new icons on the
toolbar and menu commands. The updated colors along with the new image
and sizing of icons provide improved navigation and movement through the
user interface. Importantly, none of the keyboard hotkey shortcuts (for
instance in the Transaction Entry window press F2 to open the Multilink
window) changed or the location of functions.
NOTE: the shortcuts available from the menu in Office Hours have
changed. To access a window from the menu, click the ALT key and click
the underlined letter in the menu title, for instance clicking ALT + F
would display the File menu. To select an option from a displayed menu,
press the underlined key, for instance press O to display the Open
Practice window.
Streamlined Security for Medisoft Reports
Medisoft Reports and Medisoft Reports Professional now use the standard
Medisoft security model. You
do not need to create or maintain users specific to the reports feature
only (Medisoft Reports user); the
application uses your existing or newly created Medisoft users instead.
You can now assign and limit
access to the Medisoft reports engine and specific reports (Advanced and
Network Professional) using
the new Medisoft Reports Permissions window (click File and select
Reports Permission) based on user
level. For more information, see the topic Medisoft Reports Permissions
Window.
NOTE: Permissions for most statements and other reports using the .MRE
format, however, are set in the
Medisoft Security Permissions window.
