Medisoft - New Electronic Claims Solutions

McKesson Corp. has announced this month that they will no longer be producing or supporting their Direct Modules for Claim submission to Medicare and other carriers. These modules will be replaced with a new product for direct claim submission. This "new" product was formerly known as SendClaim. Now a part of McKesson Corp. and rebranded as Revenue Management Direct it is full of enhancements that should be used and appreciated by almost all practices that currently use direct modules.

A quick look at the product shows that it is Claim Submission and ERA posting put together. You will no longer have to buy 2 products to get the complete claims management. The software requires a "connection" for each payor at a 1 time, relatively low fee. Initial purchase of the software includes 1 connection of your choice. This can also be programmed to connect to any insurance carrier that wants an ANSI file submission.

This comes at a time when Medicare is proposing a cut of 27% across the board and may seem to be just another extra cost. However, McKesson Corp is giving you the module for free this year, a savings of $900.00 and throwing in an extra 20% off Medicare v15, up to $400.00 if you are more than 2 versions back.

In an economic time when it is important to not have any interruption in cash flow and to increase cash flow, this product will do both. Since it is a built on the Direct Module basis, but enhanced by integration of Send Claim it should be a smooth transistion as far as software. But this product can help you to increase office productivity and therefore, cash flow. The Reports are much more organized and the ERA posting features give a better preview of what will be posted and the ability to change what will be posted. Even the choice to post some entries and hold or hand post others.

For those Medisoft users who are going through a clearinghouse, including Relay Health, Send Claim has been integrated into a product called Revenue Management Advanced. This one includes the same functionality with an added choice of receiving advanced Global edits. Besides the usual HIPAA edits, you can recieve information such as does the diagnosis call for a different E&M code, perhaps even a higher level of reimbursement. Primary Care and Internal Medicine specialists usually benefit the most from these type of edits but any practice can use this feature.

All in All I think McKesson is providing some quality enhancements to 2 very good products already being used by their customers. If you would like more information please contact me at treo@mbanepa.com with a subject line of RM Questions.

While this is a new combination of existing software, there will be a transitional period learning the new interface but we expect very little or no interruption of cash flow. This is one more thing that has made version 15 one of the better releases from Medisoft, especially in the last few years. We are looking forward to more good things from McKesson Corp.