Claims Processing Applications Specifically for Physicians Offices & Specialty Medical Centers. Since each healthcare organization is unique and requires different processes, SSI offers various options for claims transmission:

• ClickON Billing: Direct
  Enables a physicians' office or specialty medical center to submit claims direct to payers.
• ClickON Billing: Remote
  Through the company'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.
• National EDI
  This proven software package and secure computer processing center, enables smaller medical practices to electronically submit claims and have complete reporting functionality.
• ClickON® A/R Management
  The SSI Group's A/R product includes a Claims Management System (either National EDI or ASP above). Enables Physicians offices and Specialty Medical Centers to capture & manage account receivable processes

The basic model offers transmission of claims through the company's nationally accredited clearinghouse for a per-claim transaction fee. The applications service provider (ASP) model utilizes the Internet to deliver robust functionality without the costs of investing in on-site software. Then, there's the ClickON Direct Module, which enables a physician office or specialty medical center to submit claims direct to payers.

Paper Claim Delays Still Rampant in Many Physician Offices
More than 125,000+ medical providers still send out paper claims. More than 500,000 "allied" health professionals such as physical therapists and psychologists still send out paper.

This has resulted in a growing need by physician offices, clinics and medical groups to search for a software solution that eliminates paper delays in claims processing, invalid insurance information and slow cash posting problems. To acheive a competitive profit, new ways of improving the bottom line must be addressed.

From Insurance Eligibility Verification to Claims Processing and Cash Posting ,SSI provides proven transaction-driven workflow technology. Dramatically improve cash flow, get greater efficiency in reimbursement and billing as well as validation of upfront charges, copays and deductibles. ClickON® technology has a positive impact on the bottom line of many of America's leading medical offices.

Technology that provides user friendly, cost-efficient answers for automation and revenue cycle challenges are keys to your financial success.

From insurance eligibility verification to claims processing to cash posting
ClickON E-Verify helps the admission/registration process by enabling up-front functions of:

• Pre certification/referrals
• Verifying insurance benefits
• Verifying patient demographics

And with ClickON Net Compliance, users can quickly determine if a procedure is deemed medically necessary. This is based on published rules from Medicare/Medicaid Fiscal Intermediaries.

Claims Solutions for Smaller Medical Practices
National EDI - An SSI Group Company

National EDI offers a way for smaller practices to find an affordable, efficient and secure solution to electronic claims submission and reporting. National EDI provides the necessary software to connect your systems to our data systems via the Web or through Remote Access (Dial-Up). This intuitive process utilizes online aids which make it quick and easy to start submitting electronic claims to your payors.
Visit National EDI's Website for more information>>

ClickON Technology for claims management and billing is scaleable, meeting the needs of individual healthcare facilities to large healthcare enterprises. In fact, ClickON Billing is available in either an onsite solution with either clearinghouse connectivity or direct-to-payer submission or as an application service provider solution (ASP). 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 an integrated claims solution. 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 just that solution. This package is an enhanced version of the ClickON Secondary Billing package. Enhanced 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.

Tying the steps of the billing cycle together into a seamless, integrated process provides for major advantages. For instance, billing secondary claims before the primary claim is billed can result in an eight-to-ten day collection advantage. The ClickON Claims Status Module is one solution that brings together multiple activities for working claims and providing detailed reporting. This advanced claims management system works directly with the ClickON Billing package to status Medicare claims using the Medicare Common Working File (CWF) as well as claims submitted to any other payers that provide the 276 and 277 claims status transactions.

Unique Challenges Require Innovative Answers
Of course, because ClickON Technology is scalable and modular in design not all functionality may be needed. Claims management and billing applications may only be required and these are available in different platforms.

Because no revenue cycle solution ends with simple claims management and transmission, ClickON technology provides additional modules to help with managing contracts, auditing claims and posting of payments and information.

Viewing the details of changes made to claims during the billing cycle is a necessity in these days of HIPAA and automated workflow. The ClickON Claims Audit Module is an add-on module that documents all system and user changes made on claims in ClickON Billing down to the transaction level, even viewing a claim. Anyone who views or makes a change to a claim can be tracked.

Posting applications can aid claims tracking by adding notes directly to the collection comment area of a patient accounting system, thereby facilitating reporting as well as revenue recovery. Remit/cash posting can be an automated process of posting 835 files to the accounts receivables system. With ClickON Remit/Cash Posting, remits are retrieved electronically from participating payers and posted to the individual patients’ accounts in the AR system automatically. Ensuring the HIS is updated with information provided by the carrier for claims marked as rejected can be accomplished through the ClickON Reject Note Posting module. Automating the posting of electronic payer confirmation reports to the notes/comments section of a facility’s information system is accomplished through the ClickON Confirmation Note Posting. By posting the actual bill date for each claim billed into a facility’s mainframe and/or collection system automatically improves data management capabilities. ClickON Bill date posting enables users to post the actual bill date for each claim billed in the ClickON Billing application into a facility’s mainframe.

ClickON OnePoint Packages
Comprised of many of SSI's most popular products, ClickON OnePoint is an all-inclusive claims processing solution addressing claims editing, secondary billing, electronic remittance advices, claims statusing, claims auditing, even document management. The results are improved support, seamless integration and improved efficiencies.

Document management 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 solution enabling the capture, archive, storage, access and reporting on vital data and paperwork. All this is accomplished with an intuitive workflow solution that provides further efficiency.

ClickON Document Management System includes:
Imaging and SAN Utilization: This is the basis for all other document management functionalities. Retaining documents digitally and indefinitely, Imaging offers secure, remote access to information through applied archiving and retrieval technologies.

Enterprise Report Management: This application provides for the input and storage of computer print files. Enterprise Report Management eliminates substantial and recurring printing costs and is applicable to any function within a physician office, clinic or medical center – business office, human resources, general accounting and medical records.

Optical Character Recognition (OCR): Reading scanned images and extracting editable text information, OCR allows documents to be automatically indexed, data to be automatically posted and workflow management processes to be started.

Workflow Management: As an innovative tool for creating efficiency and reducing costs for information handling, this process-oriented solution is specific to the unique needs of healthcare Once information has been captured digitally, Workflow Management provides document management, routing, workflow and tracking capabilities that follow a specific document or documents through all steps needed to complete information processing.

Along with the technology, SSI’s ClickON Business Services provides 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.