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Managed Care
The ProMed™ Managed Care Module provides comprehensive managed
care functionality. This module, fully integrated into ProMed™,
allows use of up to 9,999 insurance plans with any mix of
fee-for-service and capitated plans. Plans can be grouped by
Payer Class (HMO, PPO, Workers Comp, Champus, Private Insurance,
etc.). Each fee schedule can incorporate any relative value
scale with conversion factors per code or per code category.
Code categories are user-definable - i.e., Evaluation and
Management, Medicine, Surgery, Radiology, Anesthesia, etc. These
features provide the practice with ultimate flexibility and ease
in maintaining fee schedules.
The ProMed™ Managed Care Module implements the "six vital
managed care segments of reporting". The reports included are
designed to meet the challenge of managing the bottom line of a
practice in managed care environments. They help evaluate the
financial status of any practice and provide a starting point
from which to measure the current business status and potential
business opportunity.
Managed Care Reports include:
- Service Analysis calculation.
- Capitation Analysis calculation.
- Fee Schedule and Plan Analysis calculation.
- Expense Analysis calculation.
- Payer Mix Analysis calculation.
- Reimbursement Analysis calculation.
The Managed Care Module includes vital Gatekeeper and
Authorization functions. It provides efficient tracking of
information including a breakdown of visits by category for each
authorization number. When you decide upon ProMed™ with the
Managed Care Module, you have made a wise medical and business
decision for the 21st century.
Quick Payment Posting
The ProMed™ Quick Post feature allows fast and efficient
posting of insurance and family checks to many invoices or
claims across many patient accounts, all from one screen. It
utilizes many features such as "learning" what insurance
companies pay as you post, and allowing secondary billing or
automatic adjustment of balances all from the same screen. This
important feature will save your practice hundreds of vital
labor-hours per year!
Patient Scheduling
The ProMed™ Patient Scheduling Module is the result of ten years
of development work involving scores of practitioners with vital
real-world input. This module can be user configured to provide
a schedule for each practitioner, or a simple blended version
for all doctors. Instant activity graphing provides the visual
presentation that leads to productive patient scheduling. Also
provided is immediate access to the patient treatment entry, as
well as many other daily tasks.
Electronic Claims
The ProMed™ Electronic Claims Module boasts ease-of-use and a
quick learning curve. Our electronic claim implementation
includes direct data transfer which eliminates time consuming
duplicate data reentry.
Add On Modules
- Chiropractic Module
- UB92 Module
- Easy Pay™
- Other Add-On Modules
Independent Ratings
In the AMA recommended HCP Directory of Medical Office
Management Computer System Vendors with Satisfaction Ratings,
ProMed™ is rated 10 out of a possible 10 overall. Hundreds of
software systems are analyzed in this directory, and ProMed™
receives the highest ratings! In the popular SRD Publication
(Satisfaction Rating Directory by Jewson Enterprises) 1997
edition, ProMed™ was rated an "Exceptional 9.3 Overall
Satisfaction Rating" and rated an even more "Exceptional 9.5 in
Breadth of Products and Services Rating." And finally, ProMed™
was rated "Exceptional 9.8 in Product Maturity".
For ordering information
and to speak to a representative, call (405) 751-5300 and ask
for our Medical Software Department |