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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