Still using an EMR that does not have a built-in RCM?

Created by industry experts, Lightning Step’s fully integrated suite for treatment facilities of all sizes removes the pain of using multiple billing platforms.

No More Entering the Same RCM Information Over and Over Again

1

With an RCM that is fully-integrated with its EMR, all information collected during patient intake to perform a verification of benefits will carry over to the EMR and RCM.

2

With non-integrated systems, the same information must be manually re-entered into multiple systems. This repetition of data entry is inefficient and can lead to errors.

3

Interfacing disparate systems can be costly and increases the possibility for interface errors as data is transferred from one software system to another.

4

Having a CRM, EMR, and RCM integrated into one database allows single-point data entry. The information seamlessly flows from patient intake to multiple points within the workflow for maximum accuracy, data integrity, and efficiency.

Ready to take the next step with Lightning Step?

Schedule your free demo today.

Ability to
Auto-generate
Charges

An integrated system auto-generates charges based on each unique patient from data it pulls from the EMR. With a non-integrated system, census information is typically handed over to the billing department and then is manually entered into the RCM.

An integrated system prevents billing errors, such as missing billable sessions or days of stay.

For outpatient services, charges are auto-generated based on attendance.

Easy-to-perform
Billing Audits

An EMR and RCM integrated in one database prevents missed billing opportunities and partially billed authorizations by ensuring that all billable items are accounted for and then actually billed.

A fully integrated EMR automatically feeds authorization numbers from Utilization Review to the RCM. System controls ensure that authorizations that do not match admission records are red-flagged when claims are submitted.

Easy-to-implement
Patient Billing

When it comes to patient billing, an integrated system reduces the issues that come from disparate software systems. Different systems for patient payments and insurance payments obscure a company’s full financial outlook and are inefficient. A fully-integrated EMR and RCM streamlines these processes and eliminates redundancies.

Generating patient account statements is no longer a manual process from disparate systems.

It’s time to turn your heroes into superheroes.

Schedule your free demo today.

RCM Software Features

1 Process

  • Supports HL7 interface and can port demographics and insurance information from Lightning Step or other EMR systems
  • Claims are auto-generated in batches
  • Ability to bill both UB and 1500 claims
  • Claims are sent to insurance companies at rack or specified rate, and aging has the ability to reflect the contract rate.
  • Auto-set follow-up dates and send alerts to the billing team member for follow-up
  • Month-end close process confirms all charges and cash posted
  • Ability to detect payer reimbursement errors such as out-of-network reimbursement to in-network providers or facilities
  • Contains patient ledgers and can research all claims and payments concerning one given patient
  • Export to your GL software (such as QuickBooks) with changes to your GL accounts
  • Ability to configure specific billing requirements by payer and NPI
  • Payment posting flexibility
  • Maximum automation of cash receipts cycle by processing EFT payments from payers, receiving ERA files from payers, and parsing them into the patient ledgers to automatically post cash receipts.

2 Reports

  • Report on unbilled days out of EMR
  • AR Aging
    I. Can run historical data that does not change
    II. See summary and claim-by-claim data
  • Percentage of claims pushed to patient
    I. Sort by insurance company by day, week, or month
  • Percentage of claims that are denied and by reason
  • Average attempts at filing a claim before it is paid
  • Number and percentage of claims with stale follow-up dates
  • Claims worked by representative by day/week
  • Average days to collect
  • Percentage of AR by bucket
  • Total claims billed in a monthly period

Other Features

  • Administrative role-based access restricts unauthorized personnel from viewing sensitive data
  • Portal for patient contribution collections and viewing statements
  • M. Portal for patient payments

It’s time to step up with Lightning Step.

Schedule your free demo today.

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