Therap Allows for Seamless Transition to Fee-for-Service Billing

Join our free webinar on Fee-For-Service overview within Therap. It is a prevailing payment model for services in several states. Payments are unbundled and paid for separately, so every time patients have a doctor’s appointment, a surgical consultation, or a hospital stay, these third-party payers are billed for each visit, test, procedure, and treatment provided, even though some of these may not be needed, or supported by evidence-based data.

As the leader in EHR documentation and software solutions for I/DD service providers, Therap has an electronic billing system that will help agencies and providers across the U.S. get up and running with direct-Medicaid billing. Therap has trading partner agreements with Medicaid Management Information System (MMIS) for Medicaid claim submission in several states. Therap is the billing agent for providers in more than 45 states including Virginia, West Virginia and New Jersey.

The Electronic Billing service assists providers funded by Medicaid. Agencies can create and send professional claims for a single or multiple individuals and for one or more of their service lines. Therap’s HIPAA-compliant billing system is based upon point-of-service documentation to ensure accuracy and integrity of service delivery. This allows for all billing claims to have appropriate documentation — backing up every claim that the provider would submit for billing.  

Therap’s Billing Features Include:

  • Calculate billing data from notes and attendance data entered by support staff
  • Track prior authorizations and service utilization
  • Submit claims directly to Medicaid
  • Create, submit and track fee-for-service claims
  • Generate numerous billing and utilization reports

Click here to register for the webinar.

By |2019-01-02T11:04:33+00:00January 2nd, 2019|Categories: webinar|Tags: , , , , , , , , |Comments Off on Therap Allows for Seamless Transition to Fee-for-Service Billing

Billing Setup, Service Authorizations and Unit Calculations

Join our webinar on Billing Setup, Service Authorizations and Unit Calculations on January 8, 2019 at 1:00 PM EST/ 10:00 AM PST.

The webinar will provide an overview on setting up billing within Therap. Users will be able to have a look at setting up service authorizations, including funding sources and description codes. The webinar will also consist of setting up unit calculations by service and setting up templates for seamless claim submission.

Therap Billing system allows for HIPAA compliant submission of professional and institutional claims. The system is capable of producing claims in ANSI X12 837 format.  The Service Authorization allows agencies to list the services that a funding source will cover for an individual with some additional details. A service is configured to generate Billable Units automatically from its Attendance data or ISP data, which are already entered into Therap by an agency.

Therap’s Billing Support uses an integrated approach for the creation of claims/invoices, regardless of whether an agency will submit their claims manually or electronically.

Click here to register for the webinar.

By |2018-12-24T05:31:38+00:00December 24th, 2018|Categories: webinar|Tags: , , , , , |Comments Off on Billing Setup, Service Authorizations and Unit Calculations

Free Therap Webinar for New Jersey Users

Join our upcoming free webinar for users in the state of New Jersey on October 17, 2018, at 1:00 PM (EDT). This webinar will be an excellent opportunity for users in New Jersey to maximize their use of Therap Services. Join us to discuss the latest developments surrounding Fee-for-Service reimbursements in New Jersey. This webinar will also provide an opportunity for users to discuss the latest Therap updates and also changes to regulations in the state of New Jersey.

This session will include:

  • Discussion on recent rate changes and billing
  • UIR feedback
  • Planning for next year

In New Jersey, Therap has been supporting the transition to the Fee-for-Service reimbursement model and has the tools to help providers meet the requirements set forth by the New Jersey Department of Human Services, Division of Developmental Disabilities. Therap’s workflow approach facilitates the development and auditing of FFS claims.

Therap’s billing features include:

  • Calculate billing data from notes and attendance data entered by support staff
  • Track prior authorizations and service utilization
  • Submit claims directly to Medicaid
  • Create, submit and track fee-for-service claims
  • Generate numerous billing and utilization reports

Therap’s billing system integrates seamlessly with other tools like its electronic visit verification (EVV), individual service plans (ISPs), employment services and supports, as well as many other products.

Register now to join us!

Also please visit our New Jersey state page to learn more about us.

By |2018-10-04T10:16:07+00:00October 4th, 2018|Categories: webinar|Tags: , , , , , |Comments Off on Free Therap Webinar for New Jersey Users

Webinar on Keeping Track of Fee For Service in New Jersey, March 6, 2018

Join our upcoming webinar on Keeping Track of Fee For Service in New Jersey on March 6 from 11 AM to 12 PM EST. New Jersey’s conversion to the FFS model of reimbursement has presented challenges for providers and Therap. FFS requires a method of documentation the NJ providers have not used in the past. Therap’s workflow approach facilitates the development and auditing of FFS claims. In addition Therap created a unique rounding factor for DCFS, produced a feature to manage multiple NPI number, produced a feature to manage a variety of Prior Authorization approaches, facilitated the Medicaid eligibility process and responded to other factors that impacted the complex claiming process.

Therap’s workflow approach to billing allows providers to track the billing process from Prior Authorization, to service delivery, to utilization tracking, to claim submission, and reconciliation in a timely and easy to track procedure.

Click here to register for the webinar!

By |2018-03-05T05:02:48+00:00March 5th, 2018|Categories: Rahmeen's Posts|Tags: , , , , , |Comments Off on Webinar on Keeping Track of Fee For Service in New Jersey, March 6, 2018

Free Webinar: Comparing Features of Different Data Collection – Billing Data Generated, June 8, 2017, 12:00 PM (EST)

We are pleased to announce our free Certified Trainer led webinar on ‘Comparing Features of Different Data Collection – Billing Data Generated: A User’s Perspective’ which will be held on June 8 at 12:00 PM EST. Eddie Fung, Director of Therap and Quality Assurance at TURN Community Services, Inc., and Therap Certified Trainer will review Billing Data Input, Billing from ISP Data, and Billing from Attendance. He will also discuss the concept that data can be collected using different modules depending on the desired outcome (T-Logs, ISP Data, Time Tracking, etc.).

Click here to register.

By |2017-05-26T17:14:16+00:00May 26th, 2017|Categories: webinar|Tags: , , , , , , , , |Comments Off on Free Webinar: Comparing Features of Different Data Collection – Billing Data Generated, June 8, 2017, 12:00 PM (EST)

Free Webinar on ‘Using and Verifying your Attendance for Billing’

Certified Trainer, Jennifer Kelley will guide attendees through the set up of Attendance, Practical Submission of Attendance and will displaying how Attendance data is directly used for billing submissions.

The Webinar will be on Thursday, Dec 17, 2015.

Click here to register.

By |2015-12-10T08:55:28+00:00December 10th, 2015|Categories: webinar|Tags: , , , |Comments Off on Free Webinar on ‘Using and Verifying your Attendance for Billing’

ICD-10 Transition: So Far, So Good

The transition to ICD-10 in October had been much dreaded by accounting offices across the Medicaid billing field. The launch was delayed by a year, but it looks like that extra time to prepare paid off, as CMS is calling the first month of ICD-10 billing a success.

For the last year (but especially the last few months), our billing team has been helping to guide providers in the transition to the new coding model for their immediate Medicaid billing.  For the most part, that conversion of general diagnoses for standard services sufficed, and it was easy enough to translate.  CMS is reporting upon initial results that overall since the launch of ICD-10 last month, the percentage of denied claims due invalid codes has been a rather small .09 percent of all rejected claims!   Of the nearly 4.6 million claims reported submitted per day on average under the new coding system, approximately 4,100 were denied due to invalid ICD-10 codes, many more denied claims being rejected for incomplete information.  Considering the specificity of these codes and that general crosswalks weren’t an option with the sturctural differences, new diagnoses and multiple potential new diagnoses codes to match a corresponding ICD-9 code, this is quite an achievement in our field!  T

These new codes should allow for greater reporting, changes in terminology and how injuries are viewed. Many providers spent a lot of time clarifying with physicians just which new diagnoses that very standard prior autism diagnosis in ICD-9 would become in ICD-10. How did that transition process go for your agency, and what did you do to prepare the transition to the new billing codes and rates? Were new diagnoses and clarifications needed at physician visits? Did you address historical injuries and other “history of” diagnoses? CMS anticipates better auditing and reporting with the new detailed data. Does your agency plan any new reporting in relation to the new coding standards?

– Stephen

By |2015-11-10T20:47:54+00:00November 10th, 2015|Categories: billing|Tags: , , , |Comments Off on ICD-10 Transition: So Far, So Good

Overview of Therap Billing for I/DD Services

The design team has recently created a video that provides a comprehensive overview of the Billing applications within Therap. Therap’s billing modules integrate with the ISP (Service Notes or Service Logs) and Attendance modules to provide agencies a choice of how to generate the billing units from the documentation they already have. View the video below to learn more!

Video on Overview of Therap Billing for I/DD Services

Billing Module Set Up: Billing Provider

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

By |2012-04-15T09:46:40+00:00April 15th, 2012|Categories: billing, Malisa's Posts|Tags: , , , , |Comments Off on Billing Module Set Up: Billing Provider