First Medical Office™ Features

Scheduling

Our enterprise scheduling system serves as an intelligent partner for users, providing context-specific instructions, conflict checking, and solutions for complicated appointment searches. Comprehensive rules-based scheduling features accommodate the needs of each clinician, room, and piece of equipment, optimizing the use of staff and capital resources throughout your organization.

 

Appointments window provides a view of the user's appointment list for both scheduled and walk-in patients. You can display a list of past, present, and future scheduled appointments, and set preferences for displaying the appointment list. The system-triggered events (Appointed, Vitals Taken, Completed) associated with each appointment are shown, in addition to any manually entered events.

 

First Medical Office’s core scheduling components help users find appointments quickly and ensure that you make the best use of available resources:

  • Rules based scheduling engine
  • Point of service features
  • Referral tracking
  • Open access/open schedule support
  • Call center triaging
  • Chart, lab, and radiology tracking
  • Collect co pays and check balance

 

 

Medical Claims Processing

Professional Billing provides comprehensive billing and accounts receivable tools for ambulatory care environments. It helps organizations streamline charge entry, payment posting, and follow up activities while supporting paperless collection processes. Using the necessity checking/claim scrubbing capabilities First Medical Office helps ensure clean claims and minimizes payer denials. It is a comprehensive billing system for ambulatory care, giving financial staff the tools they need to submit clean accurate claims and ensure timely reimbursement.

  • Point-of-service co-pay and prior balance collection
  • Retro adjudication
  • Benefits engine
  • Bank reconciliation
  • Enrollment and benefits
  • Premium billing
  • Utilization management and health plan case management
  • Claims and reimbursement
  • Customer relationship management (CRM)
  • Web integration

 

 

 

Account Receivables

First Medical Office™ handles all of your billing and collections needs—from outstanding claims and accounts receivable to bad debt and patient statements. It presents statement information in an easy-to-read format that both patients and users appreciate. When patients call with questions about their statements, your billing staff can view the statements on screen, in the exact configuration as the hard-copy statement the patient has received. As a result, statement issues can be resolved faster than ever before.

 

First Medical Office™ automatically posts payments, maintains a history of allowed amounts and adjusts write-off amounts. Because the visit number created during the charge entry process is linked to a patient's EOB, posting payments and balancing accounts takes very little time. Users can also create custom reports by user and by batch to verify that payment amounts match.

 

 

 

Claims Edits

Before claims are submitted to payers, First Medical Office™ “scrubs” all claims—searching for errors or missing information and applying the required edits—to ensure that all claims are accurate and complete. Edits are applied either on demand, during check-out or during the billing process.

 

 

 

Collection Features

First Medical Office™ increases the accuracy of every claim you file, resulting in higher claim acceptance rates, increased productivity and improved cash flow.

 

Users can run personalized collection reports, based on virtually unlimited ad-hoc criteria, and then work the list on-screen or from a printed report. The system tracks monthly payments for those patients unable to pay all at once, and Budget Payment System either alerts collectors when commitments are not met or generates context-sensitive letters automatically through Microsoft Word*.

 

 

 

Contract Management

First Medical Office™ maintains payer/provider relationship data, including payer background, type of contract, effective dates, capitation amounts and frequencies, fee arrangements, and utilization information.

 

This wealth of information can greatly assist your practice as it analyzes contracts and renegotiates reimbursement arrangements. First Medical Office™ contract management functions provide the tools needed to negotiate capitation or fee-for-service arrangements with individual payers based on previous utilization, for instance, or identify services previously paid as fee-for-service that could be included in a capitation “carve out” in the future.

 

 

 

Managed Care

First Medical Office™ offers a complete contract management solution that alerts users throughout the appointment scheduling, registration and billing processes when authorization and referrals are required, procedures are not covered, a diagnosis is incorrect or required modifiers are missing.

 

Membership data, including a patient's eligibility for services, can be imported and verified in the system, saving staff time, eliminating rejected claims and improving cash flow. First Medical Office also facilitates electronic referrals and authorizations and can even break down outgoing referrals into specific categories, pinpointing the specialty, insurance plan, geographic location and even foreign languages the provider speaks to ensure your patients always receive the best possible care.

 

 

 

Reporting

First Medical Office’s ad-hoc report writer is designed especially for busy practices. Users can create custom reports and save them for future use or export them to other Windows* applications or HTML.

 

All billing data can be linked to the appointment creation and registration processes, making it easy for staff to monitor accounts. First Medical Office™ alerts users of overdue balances or other payment issues, and automatically generates correspondence to address them. Users can also "drill down" into a patient's account, providing fast access to critical information.