Nursing Homes, Home Health & Assisted Living Facilities
It’s no secret -- long-term care healthcare facilities are unique in the way claims are managed and the frequency with which those are sent to payers. And these facilities require innovative applications to address these needs.

SSI provides effective revenue cycle products through the company’s innovative ClickON® Technology for the long-term healthcare market that streamlines the claims management process. With a payer mix that includes Medicare and Medicaid nationally, SSI delivers superior service through proven products in the healthcare industry. The billing process is automated and claims are sent to payers utilizing the company’s ClickON technology available for both application service provider (ASP) and turnkey platforms.

Scalable Claims Processing Applications
ClickON Technology for claims management and billing is scaleable, meeting the very distinctive needs of long-term care facilities. ClickON Billing is available with either onsite technology and clearinghouse connectivity or direct-to-payer submission or as an application service provider (ASP) product.

Scalable Claims Processing Applications:
Since each healthcare organization is unique and requires different processes, SSI offers different options for claims transmission:

• ClickON Billing: Direct
  Enables your office to submit claims direct to payers, thereby acting as your own clearinghouse.
• ClickON Billing: Remote
  Utilizes The SSI Group's nationally recognized clearinghouse for a per-claim transaction fee
• ClickON ASP (Applications Service Provider)
  Utilizes the Internet to deliver robust functionality without the costs of investing in on-site software for facilities with approximately 2,000 claims or less per month.

Along with SSI core technology for claims editing and transmission, there are a range of vertical products that facilitate and enhance claims management.

Secondary and tertiary claims represent a large percentage of revenue for any type of healthcare enterprise. Billing these claims can be made an efficient process with integration to claims management technology. ClickON Secondary Billing enables secondary and tertiary claims to be produced, along with a one-page Explanation of Benefits (EOB) attachment by posting 835 files (electronic remittances) to claims already in the billing package. Along with 835 files, the Secondary Billing package can post lock box files, payment files produced from the practice management system or host system and the Medicare pending payment files that the Accelerated Secondary Billing and ClickON Claims Status packages produce.

Capturing revenue from those secondary or tertiary claims is vital to the financial success of any healthcare organization, and being able to capture it quickly is extremely important. ClickON Accelerated Secondary Billing provides this capability. This package is an enhanced version of the ClickON Secondary Billing package. Additional functionality enables the posting of pending Medicare payments to the appropriate claims in ClickON Billing after the checking the Medicare Common Working File (CWF) for their status. The entire accelerated secondary billing process allows claims to be billed to secondary payers before the primary payment has been received.

ClickON technology offers enhanced functionality like claims statusing, denial management, cash posting and contract management. These are proven applications designed to improve the revenue cycle and enhance cash flow.

In addition, SSI offers document management and workflow technology. Through the ClickON Document Management System, paper-based documents and workflow can be streamlined, digitized and, in general, made more efficient to help with managing paper and processes that go with providing patient care. ClickON Document Management System is another scalable product enabling the capture, archive, storage, access and reporting on vital data and paperwork. All this is accomplished with intuitive workflow processes that provides further efficiency.

Along with technological offerings that SSI provides, ClickON Business Services offers resources for:

• Billing Services, which accelerates reimbursement through outsourced billing on an interim or ongoing basis.
• Extended Business Office Services, which accelerates the reimbursement of all outstanding revenue through outsourced insurance and self-pay recovery services.
• Paper Claims Editing, Printing and Mailing, enabling the easy and efficient outsourcing of these labor-intensive business office functions.
• Contract Management Services, which assist business offices in reclaiming underpayments and negotiating for more profitable contracts on an outsourced basis.