Customer Support Blog

 Posts Tagged ‘billing’

Therap’s Billing module allows setting up of the Billing Provider with detailed information which includes information such as Provider NPI Number, Medicaid Provider number, Provider address, contact details among other information.

For more information on creating and managing Billing Providers please refer to the following link:
http://support.therapservices.net/display/documentation/Create+and+Manage+Billing+Providers

A Funding Source is a person or entity paying the bills for one or more Individuals. Using the administrative section of Therap’s Billing Module, users will be able to set up their payer (e.g. Florida Medicaid, KMAP, eMedNY, DMAP etc) by creating Funding Source.

For more information on creating and managing Funding Source please click on the following link:
http://support.therapservices.net/display/documentation/Create+and+Manage+Funding+Sources

The administrative section of the Billing Module allow users to maintain a list of Services (e.g. Adult Day Training, Res Hab Supervised IRA, PREVOC, ICF etc) provided by the agency to their Individuals by creating Service Description/Code.

The Service Descripton/Code contains fields such as Diagnosis/Code Pointer, Procedure Modifier, Unit Rate structure with date ranges amoong other fields.

These Description/Code are later used while creating Service Authorizations. Once a Service Description/Code is used, users will not be able to delete that particular Service Description/Code.

For more information on managing Service Description/Code please click on the following link:
http://support.therapservices.net/display/documentation/Create+and+Manage+Service+Description+or+Code

Users working with Institutional Claim will be able to use ISP Data as method of data collection for billing.
For Institutional Claims, when creating Service Authorizations with Method of Data Collection as ISP Data, there should be an existing ISP Program for the Individual.

For more information on ISP Billing in Institutional Claim, please click on the following link:
http://support.therapservices.net/display/documentation/ISP+Billing+in+Institutional+Claim

Therap’s Billing Module provides a Reconciliation Report which contains information such as TCN/ICN number, Claim Tracking Number, Paid Date amount among other information.

For more information on Reconciliation Report please click on the following link:
http://support.therapservices.net/display/documentation/Reconciliation+Report

Therap’s Billing Module provides Billing Summary Report, for users to do ad-hoc reporting by selecting different output columns (e.g. Authorization Number, Funding Source, Service Description/Code, Status among others) to be included in a report and export the results to Excel for further statistical analysis.

For more information on the Billing Summary Report, please click on the following link:
http://support.therapservices.net/display/documentation/Billing+Summary+Report

Therap’s Billing module’s Utilization Report charts the utilization percentage of the
total units of a Service provided.

This report can be generated for two duration lengths; Yearly and Monthly.

For more information on Utilization Report please click on the following link:

http://support.therapservices.net/display/documentation/Utilization+Report

A new field Is Billable ISP Program has been added under the Other section of the ISP (Individual Service Plan) Program form. If this option is selected as ‘Yes’, the corresponding Billable field in the Other section in the ISP Data form will be automatically selected as Yes.

What this means is that users will have to worry less about remembering to check off a service record as billable while entering service data from which billing information will be generated.

Link: Generating billing data from individual service plan data

Therap 2012.0 release introduces several enhanced Billing module specific features. The following list provides an overview of general Billing module specific release features.

• A warning message will be shown for blank Funding Source in Service Authorization form
• A Claim Form link column has been added in Reconciliation Report
• Number of Cost Center type ‘Options’ have been increased.
• ISP Billing introduced in Institutional Claim
• Transaction Records can be searched with the Claim Tracking ID as a search parameter
• ‘Payer’ field introduced in search forms
• Denied Claim Report will not be generated for Manual Claims.
• A remittance file with the same name cannot be uploaded into the system.
• A new field ‘Is Billable ISP Program’ has been added under the Other section of the ISP Program form.
• A new checkbox field, ‘Status’ have been added under the Output Columns section of Billing Summary Report.

For more information on billing module specific changes please click here.

Its time for another release, which will take us to version 9.2 of Therap Applications. In this release there will be usability enhancements as well as new features like the support for Pre-Vocational Services in Habilitation Checklists for users from New York and support for the new HIPAA standard 5010 that will affect how agencies do billing. To learn more about the new standard, you can refer to this blog post on ASC X12 version 5010 compliance.

Please read through the Release Notes to learn more about all the updates.

Conferences:
Our conferences are great opportunities to learn about the newer features and the updates first-hand. We are holding two in the coming month of December, one at Florida (Dec 6-7) and California (Dec 7-8).

The big one, is also near, the National Conference for Provider Administrators between Febraury 7-9, 2012. This is a chance to meet the majority of the Therap team, including all the support staff and a few of the chief developers, as well as other folks from the ID/DD industry. Apart from training sessions, there will be lots of discussions, feedback sessions, brainstorming and presentations from users. Learn more about the sessions, the schedule, and register online from this page.

We’ve also added an extra day for Government Administrators, which is February 6, where we’ll describe and discuss the part of the System for State and County officials in charge of administering and supervising ID/DD services in their regions.