Receivables Master
Medicare Claims Tracking

All current software approaches Medicare billing in batch mode. It creates your claims, bundles the critical information, and sends them off to your fiscal intermediary for payment. This is batch mode claim processing. Batch mode was designed for fee-for-service, the previous Medicare system. Batch mode doesn't work today. Under PPS, your lifeblood is cash flow. You simply cannot afford to bundle up your claims, send them off and hope for the best.

Knowing the status of all your claims, all the time

In today’s world you have to stay on top of all of your claims, daily. Under PPS, the claims process is fluid. Claims that are considered payable today may be terminated tomorrow. There is no way for your billing software to know when a claim is terminated or why, because it is not connected to your FI.

Most agencies work around this by assigning staff to manually check the status of their claims. Checking your claims online is tedious. It is fraught with opportunity for errors and misinterpretation and it quickly becomes a bottleneck for your agency.

Receivables Master teams up with your billing software

Eliminating the bottleneck is where Receivables Master comes in. Receivables Master, home care's first intermediary reporting service, teams up with your billing software to create a fluid claims processing system. With a fluid claims processing system, you see the complete picture. You know exactly what is going on at the FI because your information is pulled directly from their system, allowing you to reconcile your billing system, understand those cryptic RAs and fix problems before they cost you money. With Receivables Master, you have the information you need to make critical business decisions daily, without the tedium of logging onto your FI.