Mo-Billing V3: MOH submission files and reconciliation

We have been working hard on producing the third version of Mo-Billing. The application is just about ready for beta testing. This new version has been completely re-designed to include an improved interface and an efficient workflow for both doctors and billing agents, either to use independently or together. Doctors can electronically submit directly to their billing agent using Mo-Billing so they can review the information, make corrections and submit it to the Ministry of Health (MOH). DIY doctors or billing agents may also use the application independently as a standalone billing software for submission to the MOH.

Several exciting new features have been added to V3, including but not limited to real-time tracking of compensation, auto-saving features, stored patient profiles, error detection, but most importantly the creation of submission files for the MOH and the ability to reconcile on Mo-Billing itself!

Get a sneak peak into V3 here!

What is next? Well, as of right now Mo-Billing does require users to use MC-EDT as our application creates MOH submission files which are then transferred through MC-EDT. We are beginning to work on incorporating submission directly to the MOH through Mo-Billing, no longer requiring the use of MC-EDT.

Keep your eyes peeled for V3 of Mo-Billing!

Series on Mo-Billing 2.0 Features: Messaging system

As we continue with our series on Mo-Billing 2.0 features, next we discuss the Mo-Billing messaging system. The messaging system is intended to allow the doctor and agent pair to simply communicate by sending messages attached to a claim through the application. With bank grade security all messages are secure to highest degree. 

Often times doctors use email to ask questions or give directions to their billing agent, however with email's limited security, doctors are taking a risk in sharing patient information. With Mo-Billing, all information is encrypted and protected in a high security data center. Furthermore, there may be confusion in deciphering to which claim the doctor is referring to through email messaging so avoid emails that look like this: 

Doctor: "Can you add A007 to J. A.'s claim?" 
Billing Agent: "Which J. A.? On which admission? What date?"
Doctor: "Well I don't remember because I handed over all my billing record to you!"

Use Mo-Billing so your messages are attached directly to the claim you are referring to avoiding any confusion and delays, subsequently saving time. 

Series on Mo-Billing 2.0 Features: 4 digit pin lock

We will be featuring a new series on our blog focused on Mo-Billing Version 2.0. With a transition from paper billing to electronic billing, many concerns have been raised as our current and future users venture into untouched territory. The goal of this series is to share and explain implemented features so that our users can be at ease as they transition to an automated billing process. 

Considering that doctors use their mobile phone, tablet or PC at the hospital to capture billing data using Mo-Billing, one concern at the forefront of our their minds is the security and privacy of their patient's information within the heavily populated hospital. For this reason, we have implemented an automatically timed log out mechanism into the Mo-Billing application. Previously in version 1.0 every time users wanted to log back into the program they had to type their email and password, we received complaints that this was too cumbersome as they would log in to the program several times a day.


In our newest version of the app, we have implemented a 4 digit pin lock mechanism. This allows the user to easily log back into Mo-Billing several times throughout the day by typing a unique 4 digit pin. However, after 24 hours of inactivity the user is completely booted out of the system and will be required to enter in their email and password to gain access. 

Implementing the 4 digit PIN allows our users to quickly access Mo-Billing throughout the day while still providing protection to their medical billing data, ensuring others cannot easily access their information if they get a glance or a hold of their mobile phone, tablet or PC.

Ending the silence: Version 2.0 of MO-BILLING

Dear Readers,

We sincerely apologize  for the silence over the past 2 months- we have been hard at work in creating Version 2.0 of Mo-Billing. We are excited to launch the new version today in iTunes and Google Play stores. The new version can also be accessed via the web at jsapp.mo-billing.ca for doctors and jsapp.mo-billing.ca/admin for billing agents. The new version is more intelligent and has increased content for both the doctor and the billing agent.

For those of you unfamiliar with the application it automates the medical billing process for doctors and their billing agents. Doctors are able to electronically collect, store and deliver their claims and billing agents are able to electronically receive and store the claims. Soon Mo-Billing will have direct submission capability to the Ministry of Health. Below we share some screen shots of the new application.

DOCTORS

The Dashboard

Organize all your claims, in one location. The bottom tabs on the dashboard allow you to easily switch between your saved, submitted, rejected and paid claims.

Creating a claim

Have the added flexibility of creating claims for more than one specialty. In your profile specify which templates you want available to you when creating a claim. Then when you create a new claim you can choose which template to use.

Simply take a picture of the patient sticker to record their information. Fill in all other required fields, such as hospital, diagnosis and admission date. All your hospitals and diagnosis codes are pre-loaded into the app.

Enter the admission date, first seen and last seen date so Mo-Billing is able to automatically generate your service codes for you. After entering in the information change pages using the bottom tabs.

For consults, you can choose the type of consult, and indicate any special visit and travel premiums. Certain consults have time limitations- Mo-Billing will let you know if you met the time requirement for certain consults. Also, there are limitations to the number of premiums you can use- Mo-Billing tracks this for you so you know if you've reached a limit.

After entering the details, simply click generate to automatically generate your service codes. You can add or delete codes to certain days or add a new day all together.

Simplify communication. If you have any comments regarding the claim you can leave a comment for your billing agent. Likewise they can leave one for you.

BILLING AGENTS

The Dashboard

Organize all your doctors' claims in one location. For each doctor, keep track of which claims are submitted to the Ministry of Health, paid or rejected.

Viewing Claims

Find what you are looking for quickly. Choose the doctor of interest and the status of the claims you are interested in.

To view a claim click edit and see all the details you would normally receive on paper- right on your screen! Simplify communication. If you have any comments regarding the claim you can leave a comment for the doctor. Likewise they can leave one for you. Update the status of the claim so you and the doctor can keep track of everything.

 That concludes the quick run through of the application. We are continuously working to improve and add content to Mo-Billing to better suit the needs of doctors and billing agents. We are currently working on implementing submission capability to the Ministry of Health. Billing agents will be able to simply review the the information on Mo-Billing and at a click of a button submit it to the Ministry of Health- data transfer to a third party billing software and the software all together will no longer be needed!

Please contact us at info@mo-billing.ca with any questions.

Guest Blogger: George Themelis

George Themelis will be our featured guest blogger this week. Any blog by George will be considered of great value as his billing company, GeoMed OHIP Billing Service, has a combination of over 25 years in the health care sector and over 30 years in general business management.

The GeoMed team believes in exceptional customer service, worry-free submissions, and maximum claims revenue. George and his team achieve this by having systems in place to maximize their customer satisfaction and by looking after the physicians' needs first, ensuring daily submissions of OHIP claims and immediate follow up on rejections or errors.

Check out what George shares with us about:

• Subsequent visit code E083

For any medical billing inquiries you can find George's contact information on GeoMed's website: www.geomedbilling.com.

One advice for soon-to-be-graduate family docs

Many new family docs would work in a walk-in clinic before establishing more permanent pattern of work. If you are entertaining this kind of work, make sure you know how to give different kind of injections (IM, SC, Intradermal). It's one thing to know what kind of injections to order but another to actually be able to do it. Many walk-in clinics do not have nurses and the doc has to do it all. (Which also raises an important point that you should ask these things before signing up for the first shift. Do they have a nurse to help you? If they don't, do you feel comfortable to work in that kind of environment?)

Post ICU billing

Content provided by Judy MacAlister

When a patient is admitted to the ward after ICU, there are specific codes that should be used by the hospitalist that is assuming the patient's care for Day 1 and Day 2 post ICU: 

Day 1 post ICU: C142 + E083 
Day 2 post ICU: C143 + E083 

Note that if you see the patient in the unit, you cannot bill  these post ICU care codes.

To clarify let me share an example: The patient is admitted from the ICU to the ward today.  Primary care is with the physician providing care in the unit for that day. You spend a little time with the patient in the unit before they are admitted to the ward and bill concurrent care.  If you provided this care in the unit and billed C101 (patient seen on a visit to ICU, Pg. GP65 in SOB 2014) instead of concurrent care, then you are unable to bill C142 and C143.  Bill concurrent care for the day of transfer only (do not bill the ICU code C101), then you are able to bill the C142 and C143 as applicable.