Medical Software

Medical Billing Claim Insertion

• User and Password Entrance.
• Medical Billing Claims permits submission of a NSF layout of the HCFA form from the visitor medical billing system over the Internet through a secure web site, and the site will confirm delivery and allow you to view the HCFA form online.
• File sent using encryption, file is secure and in compliance with HIPAA's standards.
• Logs and identifies all resubmission of rejected claims.
• Site identifies reasons for rejection.
• Transaction Summary shows how many claims were sent, rejected, etc.
• Tracks all submissions into the system, how many of those were electronic, manual, and how many rejections.
• Files Status lists files received, and displays their progress (working etc).
• Report will list rejections in order and error.
• Reports displays all sent files, status, rejected, paid or approved and resubmissions.

Medical Billing Control Center

• Multiple password entrances, one for master admin and another for medical staff or form checkers.
• The reports section will permit the viewing of the number of transactions in the last number of hours, reports from what doctors, errors trying to upload files and by which doctor, batch all un-worked reports, provide a system to auto check HCFA 1500 forms for detectable errors, provide auto flagging of any errors determined, shows all forms on a HCFA view, provide download features that work with clearing house or in a ANSI format that is acceptable by Insurance companies.
• Insurance billing-The ultimate goal of any successful medical billing process is the accurate submission of insurance claims to obtain payment. The claims submission process may include the printing of the HCFA-1500 paper claim form or the electronic submission of claim information to a clearinghouse or the ultimate is electronic submission to the Insurance companies on x-12 secure connections. In either case, the information submitted must be complete and accurate.

Electronic Medical Record Software System

Are you tired of the mountain of paperwork that seems to go hand-in-hand with your practice? Are you sick of having records incomplete, torn, misplaced or lost all together? Is your staff tired of having to spend extensive administrative time just to organize the paperwork? Despite all these drawbacks many physicians maintain these inefficient paper file records because the alternative would be to adopt an electronic format, which many physicians are either uncomfortable or unfamiliar with. This is no longer a problem with Innrech's electronic medical records (EMR) software. Listed below are some highlights of switching to our EMR software.

• Increased access/efficiency
  No longer will you have to worry about thumbing through drawers full of paper records. With Innrech's EMR, patient information is immediately accessible, which can save every doctor time by not having to wait for charts to be delivered.
• Security
  Innrech's EMR can be configured to restrict access to certain areas of the medical record or to have multiple levels for office personnel that are restricted based on job function. Furthermore, our EMR will identify anyone who has accessed or added to the record.
• Improved Documentation
  Test and lab results, EKGs and X-rays can all be entered automatically into our EMR thus reducing the risk of data entry errors or missing the information altogether. Health maintenance prompts alert physicians and office staff to missing or required patient information that has not been completed. Never again will you have to worry about have incomplete notes.
• Quality of Care
  Our EMR can also be used to track patient follow-up activity, patient compliance, and patient progress.
• Increased Resources
  By switching to our EMR you will no longer have a need for those huge filing cabinets. Toss those cumbersome objects away and use the space for other needs, such as more exam rooms or to increase the size of your waiting room. Office staff time will no longer be utilized hunting down records and filing: multi-user access will allow staff to update patient records immediately.

Practice Management Software

The Practice Management Software: Enterprise Edition provides a powerful practice management system for healthcare providers of any size. The system includes all of the features and functionality you require at an affordable price. This enterprise software includes numerous customizable options, a versatile infrastructure, and multi-level security for the safety of your critical data.

Facts About The Practice Management Software

The Practice Management Software is a turnkey medical management system, meaning that Innrech will actively support the installation, training, launch and use of your software. Our standard package includes a dedicated Innrech project manager, product installation assistance, remote training, clearinghouse connectivity, communication software, electronic billing set up assistance, and unlimited support for six months. The system's simple design makes it easy to learn, use and implement in a timely and effective manner.

• The Practice Management Software was designed to eliminate as many time consuming tasks as possible - increasing office productivity and providing a greater return on investment.
• Our practice management systems can integrate with numerous third-party software applications, such as QuickBooks and Microsoft Excel, with our optional Innrech module.

Practice Management Software System Features

The Practice Management Software: Enterprise Edition offers a complete billing and practice management solution. The system enables practices to file electronic claims; manage physician, personal and patient scheduling; and includes over 340 customizable reports. The system can be utilized in a wide area network through a thin client, and can accommodate multiple providers, payers and simultaneous users.

Electronic Practice Management Software

The health care industry has several imperatives to improve quality, reduce medical errors, and lower costs. Technology in all its forms--from information, to Internet, to emerging technologies--is a critical component to achieving these objectives. In short, it's "digitize or die" a slow death of spiraling health care costs.

But in the face of rising costs, how are physicians, health systems, plans, and employers to achieve these imperatives when technology investments are driven by the closed, or proprietary, model of information technology? Indicative of this is Internet technology or other software that requires health care organizations to pay a license fee, plus an annual maintenance fee of approximately 18% of the license fee, custom programming fees, and upgrade fees when new versions of the software are released. These costs add billions of dollars a year to overall health care costs.

In the heyday of legacy systems, one of the most important points in contracting for these systems was access to and control over the source code. System vendors naturally wanted to deliver only compiled and unalterable programs so that they could control not only their proprietary interests and intellectual property, but also the flow of updates and enhancements in a way that would preserve vendor profitability. i.e. M4

The system purchaser, on the other hand, had an opposite set of concerns: What if this vendor goes belly-up after the purchaser makes a large investment? What if there is no support? What if there is a bug that is critical to purchaser but way down on the vendor's to-do list? What if a mission critical enhancement or interface is needed but the vendor ignores the purchaser or gives it a low priority or holds its needs for ransom? The client wants some control and say-so over the use of the source code.

In the past, solutions to this conflict ranged from clients simply following the vendor's wishes - through holding the source code in escrow - to actual client possession and use of the source code. And none of these solutions were particularly satisfactory. Client needs got ignored. Clients were charged sometime larcenous prices for enhancements, interfaces or even fixes. Escrowed software was only a help if one had a large enough and skilled enough internal staff to manipulate it. Clients with complete source control would sometimes alter the programs beyond recognition and still expect the vendor to support them - and vendors who tried to do so went bankrupt.

Now, Open Source is approachable as a serious alternative. The factors contributing to this approach are one part technical and two part sociological. On the technical side, a vast new array of powerful development tools, some proprietary, some themselves Open Source, has exponentially increased the capabilities and productivity of programmers with even moderate skills. The in-house programmer is a much more powerful figure than he or she used to be.

Further, there is the support of the Open Source movement whose effectiveness has multiplied a thousand fold using the Internet for discussion, support, and sharing of locally developed bug fixes and enhancements. Everyone is responsible for its development and upkeep under the guidance of commonly accepted project leaders.

Open Source is growing like wildfire in the general business and health care environments. As an example, the Linux operating system is taking a larger and larger share of the market for business and home users. Other examples of Open Source software include APACHE Web servers that power half of the Internet and the PERL and PHP programming language that is used everywhere on the Net for Common Gateway (CGI) applications. An Open Source email program, SENDMAIL, is the most important and widely used e-mail transport software. And you can get all these applications for no cost.

It is important to recognize these industry trends and to capitalize on them. The program that we are recommending is PHP, Linux and FireBird. All three are Open Source. By using open source products it allows us to use a larger pool of programmers. These Open Source programmers around the world are inexpensive when compared to a US based staff. But they have the skills necessary to execute if properly managed. This outsourced method is effective when the US based project manager understands what he is developing. This is how Innrech operates, for years we have excelled at producing what the client needs by understanding there business use and producing it with the best quality Open Source software and freelance developers. The final product is lower in cost with maximum future flexibility.

EMR Software System

EMR Software

The goal of this project is to provide a state-of-the-art EMR software that can be upgraded and serviced efficiently. The goal is to not 'over-develop, but to identify the core features that make the engine run, then to customize these features and provide a simple system for future upgrades and additional functions.

The Innrech EMR Electronic Medical Record product was orchestrated by medical professionals to automate the entire spectrum of clinical activities from patient history, review of systems and physical exam, progress notes, prescriptions, tests, orders and delivery of results directly to there computer screens.

The core product is a easy-to-use LAN-based patient record system that enhances medical record documentation while enabling reimbursement capabilities.

Today you need an EMR that lets you document patient encounters in seconds, complete with orders, recalls, prescriptions, and HCFA auto-coding - but soon you'll want intra-office mail, automated Preventive care, Recalls, Image management, Practice Analysis...and a long list of other charting tools you haven't even considered yet. To accomplish this goal you need to build a flexible tool that can be updated at a fraction of the cost of an older compiled system. There are over 400 EMR products on the market today. After going through an extensive evaluation of electronic medical records programs for our office (10 physicians) and have yet to find the perfect affordable record, writes one physician.

The EMR is Innrech's compilation of information, data and project management. The time we invested to learn what was the best platform to build a state-of-the-art EMR product, determine the best way to service, customize and upgrade this application in the future, while controlling the cost. We believe we have accomplished the best possible product for 2003.

Our step is to erect an EMR for your clinic are pre defined first we determine your platform specifications, immediately thereafter begin the customization of flexible system that will allow for the future growth of this product.

Electronic Medical Billing Electronically Directly to the Payer

It is important to know that most commercial insurance companies do not accept Direct electronic submission. You, as the provider, need to contact each insurance company to ask if they accept Direct electronic submission and which electronic file format they require.

At the present time most insurance companies that do accept Direct electronic submission use the NSF 2.0, NSF 3.01 or ANSI 837 4010 file format. These are also the file formats most often used by Blue Cross/Blue Sheild and Medicare.

When submitting claims using any of these formats, additional fields (beyond the standard fields of the HCFA-1500) must also be filled out for each patient. It is important to note, each insurance company has their own specific required fields and codes that must be used.

If a provider is submitting claims directly to an insurance company, the provider must contact the Payer's EDI Department to request the following information:

• Enrollment forms for billing electronically
• File Format and Specifications. IMPORTANT: This will determine which export format to use and list the required fields and codes. Ex: NSF 3.01, NSF 2.0 or ANSI 837
• File Transmission Instructions (Sometimes referred to as a Bulletin Board System or BBS)
• Payer EDI web site address if available. (Payer web sites usually provide many useful technical documents)

Once the provider is enrolled with the insurance company, the provider will need the following from each insurance company that will be receiving direct electronic claims.

• LoginID or Username
• Password
• Submitter ID number
• Receiver ID number
• Payer ID number's
• Dial up or BBS Phone number.

Innrech program provides the fields necessary for the data input of this information, we as a software company do not provide the individual codes and payer information required by each insurance company. You must contact each insurance company for their field and code requirements for electronic submission of claims. The process from signing up to certification may take anywhere from one to six weeks.

Again, it is our recommendation that a provider have clear knowledge of not simply billing, but electronic billing, before considering direct submission.

Direct Electronic Billing Using a NSF or ANSI Based Format

The optional Billing Module works with a large number of insurance companies. Below is a list of Export formats the Billing Module can generate. Most insurance companies use the NSF 2.0 or NSF 3.01 (both included with the Billing Module). Please contact the insurance company's EDI department to obtain their EDI specifications.

Billing Electronically using a Commercial Clearinghouse

What is a clearinghouse?

A commercial clearinghouse serves as a transaction processor between provider and payers (insurance companies) much like VISA or MasterCard handles transactions between a store and bank. A provider only has to establish one relationship with a clearinghouse instead of each insurance company. Most commercial clearinghouses use an electronic format called a "Print Image".

Entering data for the Print Image format is a much simpler process than data entry for Direct submission, using the NSF or ANSI formats. A provider prepares a batch file and sends all of their claims to one location (the clearinghouse). The clearinghouse then sorts the claims and sends them on to the appropriate insurance company. The clearinghouse will provide the biller with instructions and any necessary software (may be a charge) for transmitting the batch file to the clearinghouse.

How much does a clearinghouse charge?

Commercial clearinghouses charge the provider for their services. Generally clearinghouses charge a start-up fee, a monthly flat fee and/or possibly a per claim transaction fee based on volume. Clearinghouses are always introducing new features and many now offer other services including eligibility inquiry, claim status and patient billing. Most will also mail claims to insurance companies that do not offer electronic billing options. It is best to shop around for the best pricing to meet your billing needs.

Why use a Clearinghouse?

If you submit claims to multiple insurance companies there are many advantages to using a clearinghouse:

• Simplified data entry
• Claims sent to one location
• No lengthy testing process
• One phone number for transmission questions
• One dial-up number for claim reports

How do I transmit the claims?

There are two options for transmitting claims to a clearinghouse:

• Transmitting via Dial-Up
  If a clearinghouse uses the dial-up method, you can use the built-in modem software EZTerminal, although some clearinghouses will provide you with software to handle the communications between your computer and theirs. Please note that there may be a charge for the clearinghouse software.
• Transmitting via the Web
  Using a web-based clearinghouse is similar to the dial-up option except that the claims are transmitted via the Web. This requires an Internet connection not generally included in the EDI pricing.

Billing Electronically using a Commercial Clearinghouse with the Print Image Format

The optional Print Image Module works with a large number of clearinghouses. Please note that this is a partial listing. The print format will work with most major clearinghouses.

Timesaving software stores all patient information, frequently used codes, and AutoFill libraries allowing the HCFA-1500 form to be completed and printed in just a few clicks of the mouse. The program mimics the layout of the HCFA-1500 form, providing a sense of familiarity when learning HCFA-Helper. All patient and claim data is stored in a standard Microsoft Access database, permitting users to link their patient and claim data directly with other programs such as: Excel, Lotus and Word. Additional features include both patient and claim templates to avoid repetitive data entry.
* HCFA-Helper Basic is required to use any other modules

Print Image Export Module

Allows HCFA-Helper to export claim data to a 'Print Image' file for use with most clearinghouses including WebMD®, ClaimsNet.com, EClaims.com™, Quantum, and others*. * Additional clearinghouse software may be required. Other clearinghouse charges not included.

Direct Billing Export Module

Allows HCFA-Helper to export claim data to a variety of electronic billing formats including the Print Image, NSF 2.0, NSF 3.01 and the new HIPAA ANSI 837-4010 Professional. If you are unsure about your requirements, we suggest using the trial period to submit test claims to determine if your insurance company is compatible.

Note to DME companies: The direct billing module cannot send CMN's (Certificates of Medical Necessity) electronically.

Transfer Module

For use with QuickBooks® Pro & Premier 2002 and higher. Allows HCFA-Helper to transfer claim data to QuickBooks Pro & Premier. The module offers many options when transferring invoices. Visit our website page for more information.
* QuickBooks is a registered trademark and service mark of Intuit Inc. in the United States and other countries.

Multi-User Module

Allows HCFA-Helper to be used by more than one user. Please note that each workstation accessing the database must have an HCFA-Helper Basic Edition license. The Multi-User Module includes a Multi-User guide and a monitoring tool.