Intuition Service Billing
Vertex Systems is Officially Certified for 5010 EDI Billing Transactions
Vertex Systems’ units-of-service billing system is a simple-to-learn, easy-to-use, ANSI-5010 HIPAA-compliant system for agencies that provide social services and bill Medicaid and other units of service payers.
This powerful system streamlines the authorization, service entry and billing process for social service organizations. Intuition Service Billing has two key benefits:
- Helping you deliver and bill for all authorized services but not over-deliver services for which you will not be paid.
- Eliminating over 50% of the staff hours you now spend checking documentation, extending hours to units, managing authorizations, preparing the billing, rebilling and applying payments.
Streamline Billing for Services
Reduce by at least 50% the amount of time your billing coordinators spend each month to compile, calculate and submit valid claims.
Is your billing and program staff spending too much time:
- Collecting service hours, verifying them, data entering them, and checking for errors?
- Manually checking to make sure that no overlap of service occurred?
- Entering data into multiple spreadsheets and/or systems?
- Comparing actual units to find over or under utilization of authorized units?
- Fixing errors that caused or would cause claims to reject?
- Manually entering claims into an electronic system for payment?
- Determining if clients have expired authorizations?
- Applying for re-authorizations?
- Keeping multiple spreadsheets for attendance, service delivery, and units for billing?
- Reentering invoices into your accounting system so you can apply cash and run aging reports?
- Making sure that all documentation is in place in case of an audit?
- Writing off revenue for services delivered over the authorized amount?
- Forgoing revenue because you did not deliver or bill for all units/dollars authorized because your manual or outdated systems couldn’t alert you soon enough?
With our Intuition Service Billing solution, your agency gets relief from these time wasters so billing can be done weekly and cash flow improved.
Intuition Service Billing will reduce:
- Hours spent by automating 75% of the billing process
- Hours spent determining authorization balance
- Time spent on re-authorizations
- Units not billed because of not having daily authorization balance
- Claim rejections and correction time
How does Intuition Service Billing actually produce these benefits? The answer: task re-allocation, automation, and interoperability between your systems.
Our system establishes a direct relationship between services and billing activities. Because both accounting staff and DSPs rely on a single system for billing information, there are fewer chances for errors in communication and less time and energy wasted on reporting. Create more control and greater transparency in your billing process.
Benefits of Intuition Billing
Save Time
Our comprehensive billing solution provides your team with more time to focus on your agency and your mission and less time billing Medicaid and other units-of-service payers. Our browser-based claim submission and review technology reduces labor and time to bill for services provided by detecting errors and notifying you before you submit.
By using electronic remittances your billing staff won’t have to spend time processing paper checks again. Payments and denials are automatically posted the instant a check is released, with absolutely no data entry required. If there happens to be a denied claim, they can simply correct and re-submit.
Decrease the Denials
When you are dealing with multiple claims, you’re billing team increases the likelihood of typos and other human-related errors in your claim submissions. Our system is set up to make sure redundant typing and excess data entry is eliminated, ensuring that your denials are reduced. And because automatic software-assisted claim reviews are in place, you’ll prevent more denials before they are even submitted. This takes the average denial rate for customers of Intuition Service Billing below 2%.
Improve Cash Flow
Because the claims process is easier and claims are submitted faster, your billing team is able to ensure your organization is being reimbursed for services at a much faster rate. This prevents any cash flow problems that can cripple many agencies.
By switching from paper to electronic remittances, in conjunction with direct deposit, your staff can trim their payment cycle by weeks.
Comprehensive Billing
We believe that billing Medicaid and other units-of-service payers to be more efficient when the billing staff doesn’t have to fight against multiple, disparate systems. Your agency’s client documentation, attendance, and payroll data flow seamlessly into the proper structure in the Intuition billing module. So there's no duplicate entry; your staff on the floor or in the field enter data once, which is formatted into the appropriate HIPAA structure for transmission.
Intuition Service Billing processes and transmits the following X12 HIPAA EDI ANSI-5010 in the 837I and 837P file formats as well as the 835 claim responses to provide you with the following details:
- Claims
- Eligibility
- Referrals
- Remittances
- Claim status
Our billing solutions works with all types of Medicaid billing administrators’ EDI submission methods:
- Web Services
- FTP
- Secure FTP
Intuition Service Billing Features
- Generates ANSI-5010, HIPAA-compliant electronic claims
- Integrate with accounts receivable
- Unlimited number of clients and claims
- Unit of measure conversion - services may be billed in hours, days, weeks, months, per incident and flat rate. Intuition Service Billing automatically converts to Medicaid service units
- Get authorization balances in real time
- Get authorization expiring notice alerts
- Service notes matched to billing code
Intuition Service Billing enables your people to manage all aspects of billing Medicaid with one simple solution! We incorporate the entire billing workflow from end-to-end with:
- Checking eligibility in real time
- Computer-assisted claim reviews
- Batch EDI claim submission
- Automatic electronic processing and remittance posting
- Denial and void management
- Excellent audit trail tracking
- Easy reporting and exporting to Excel
Stay Compliant
Our software solution is 100% compliant with state and federal billing regulations.
We continually stay on top of the latest changes to Medicaid and other payer billing procedures and technologies and maintain close relationships with our providers. We strive to ensure our software is always HIPAA compliant and, with your feedback, work to make our billing system the best available solution on the market.
Our system assists your billing staff to ensure they submit only claims that contain all the required information, including: valid recipient IDs, procedure/diagnosis codes, provider IDs, and other vital data required to submit an inbound transaction such as an 837 fee-for-service claims.
Ensure Security
Vertex Systems uses enterprise-level data storage and backup to ensure your sensitive billing information is safe and secure. Furthermore, all your data is transmitted over a secure SSL connection, even within our internal network. We give you control over which employees have access to your billing data.
Enjoy the Best Support in the Industry
We provide quality implementation and the best ongoing technical support to all our customers. Our updates constantly improve our software and will be there for you when you need us. We understand how important your billing process is and aim to protect the integrity of your billing data.
Our goal is provide the most up-to-date, fully-compliant billing software and to support that software with an outstanding professional services staff with over eight years experience, on average. It's Vertex Systems’ job to worry about the ever-changing fee-for-service billing environment so you can focus on your clients and their needs.
Availability
Intuition Service Billing is available as a stand-alone application or as part of an integrated solution for complete Case Management, Individual Service Plans, demographic reporting and outcome reporting.
Efficient. Effective. Innovative.
Intuition Service Billing Webinar - we're always holding special Medicaid Billing webinars - utilizing our state-of-the-art iPad application. Sign up today:
Approved, Certified or In Testing Process for Approval in all 50 states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming 
