Billers: Stop wasting time on complicated Medicare processes
Hospice agencies need to keep track of Medicare claims processing, open-ended hospice periods, eligibility, reimbursement, and compliance. The process can be complicated and take hours out of your day.
Put an end to all the manual work and re-work. ABILITY | EASE simplifies the process of checking eligibility and tracking, correcting and collecting Medicare claims. We give you clear, quick identification of unique benefit period information, an automated sequential billing process, and more.
What can we do for you?
ISSUE: I don’t have an easy way to identify problem claims and fix them . . .
Identifying problem claims and fixing them is hit and miss. I have to remember to go in manually and check all my active claims. If I don’t find them and get them addressed, we might miss something that needs attention.
ABILITY ANSWER: With ABILITY | EASE, you receive an email summary report every morning with online desktop views of alerts and status of all Medicare claims. The report highlights issues such as RTP, Paid, Rejected, Denied, Cancelled, and Suspense. Pop-ups explain the problem in detail so you can easily identify the corrective action you need to take. Then, simply click-to-fix the appropriate fields using a UB04 claim form interface and re-submit, rather than having to navigate the multiple claims correction screens in DDE/FISS. Don’t worry about sequential billing — fix the problem claim, and ABILITY | EASE will automatically re-submit the ones that are waiting.
ISSUE: I can’t get all the eligibility and claim history I need -- at least not easily . . .
It’s very difficult to get a comprehensive view of a patient’s eligibility and claim history in DDE. Several sections of DDE need to be accessed to get all of the relevant information. It may require several screen prints — very time-consuming. I’m responsible for multiple NPIs and multiple locations, but I can’t access all that information at one time.
ABILITY ANSWER: With ABILITY | EASE, you can easily toggle between NPIs in one session. Then, view all the relevant information for every patient on a single page, including their current eligibility status and claims history, grouped by episode in chronological order. Now you can more quickly determine what steps need to be taken to get the problem claim resolved without having to navigate multiple screens/sections within the DDE/FISS system.