Client Data System

Revenue Management

• Comprehensive Bill Trace
• Service Test Recalculation Utility
• Robust Reporting
• 837P & 837I Claim Submission
• 835 Electronic Remittance Advice
• Automated Billing Modality and Service Code Assignment
• Superior Billing Suspense Mechanism
• The Anasazi Billing Algorithm

Anasazi Software provides your agency with the most advanced billing system on the market.  Since 1989, Anasazi Software has worked in the industry developing a system specifically designed for behavioral healthcare billing and reporting.

In addition to providing your organization with everything you would expect from a billing system, Anasazi Software took it to another level by adding in superior tools and utilities to actually improve revenue.  Some of the tools you will have at your disposal are the Anasazi Billing Algorithm, Billing Suspense Mechanisms, Client Service Billing Test Recalculation Utility and Robust Reporting.

Anasazi Billing Algorithm
Truly isolates the clinician from the complexities of today’s reimbursement environment. Any reimbursement structure is supported, including; Fee for Service, Medicaid with Waivers, Capitated, Capitated Case Rate, EAPs, Contract, Sliding Scale, Maximum Ability to Pay, and Negotiated Payment Schedule. In addition, The Billing Algorithm allows selection of a service code based purely on the definition of the treatment provided. The Anasazi Billing Algorithm determines the procedure code, units of service, round off rules, usual and customary fee, and expected reimbursement based purely on service information. This sophisticated support dramatically reduces the effort involved in the transaction most commonly performed i.e. service entry.

Billing Suspense Mechanism
Prevents submission of bills in cases where it is known payment would be denied under the current billing status, e.g. no billable diagnosis,  exceeding pre-authorized limits, no progress note, or the service is not on the client’s Treatment Plan. Reporting is provided to clinicians, supervisors, and directors of the services in suspense, the reason for suspense, and the value of the services in suspense. This level of support provides for reduced receivables and improved management of the billing circumstances.

Client Service Billing Test Recalculation Utility
Allows the user to go back into the system’s history to have the Billing Algorithm recalculate how it would have billed a service had the situation been different.  For example, if a client receives retroactive Medicaid coverage and you know wish the system to backbill for all the services performed.  Another example would be a client who failed to inform you of their Medicare coverage in addition to their Medicaid coverage.  Since these payors use different CPT codes, round off rules and rates, this utility will automatically reprocess all the services and at the time of cross fix everything for you.

Robust Reporting
Anasazi Software provides you with countless reports to make management that much easier.  Here are just a few examples:

• Client 3rd Party Coverage Report
• Accounts Receivable Report
• 3rd Party Billing Suspense Report
• Fiscal Balance Report
• Authorizations Limit Report
• 3rd Party Denials Report
• Aged Accounts Receivable Report
• Journals Audit Report
• Revenue Report
• 3rd Party Payments Report