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System PMBOS

Patient Management
Billing Operating

Get PMBOS
reason

Never losing a claim

reason

The best front office
management tool

reason

Robust billing fraud prevention

Appointments can be made in the same medical billing software

Everything starts at the front desk! The appointments screen is one of the features offered that allow providers and their staff to schedule as well as maintain appointments, patient’s data, ledger, authorization and much more:

  • check icon Flexibility to view, edit and print any information on the patient or the visit.
  • check icon Patient profile contains ledger co-pay, authorization information and insurance coverage.
  • check icon Ability to attach images.
  • check icon Color code appointments.
  • check icon Multiple provider displaying options
  • check icon Variety of comfortable features and different type of appointments such as patients, business meetings etc.
  • check icon Create custom reports.
  • check icon Print superbills for appointment with patient information on the form

Medical billing program (PMBOS) benefits:

1 Receive between 98 to 100% reimbursement.
2 Save time on the claim submission process
3 Ability to a attach images.
4 Maintain accurate patient history from the first visit by matching claims billed in accordance to the appointment schedule.
5 Manage deadlines, tasks, claim follow ups and credentialing dates by using the task management system.
6 Forget manual posting, start importing payments electronically.
7 Creates paperless environment and keeps your front desk organized by scanning documents, attaching patient files and checks to claims payments.

Billing process inside of our software for medical billing:

  • clipboard tick The medical billing program follows regulations as well as guidelines of CMS LMPR and HIPAA.
  • clipboard tick Maintains providers' ids, tax id, and network status with the insurance company.
  • clipboard tick View history, resubmit claims, monitor payment and create follow up dates.
  • clipboard tick Creating and managing authorization.
  • clipboard tick The medical billing program follows regulations as well as guidelines of CMS,
  • clipboard tick LMPR and HIPAA.
  • clipboard tick Maintains providers' ids, tax id, and network status with the insurance company.
  • clipboard tick View history, resubmit claims, monitor payment and create follow up dates.
  • clipboard tick Creating and managing authorization.
WCH Service Bureau
Main page: work with claims. This page is used to work with all claims of practices. You can use different filters to find those claims you would like to work with. You can sort claims by practice name, status, date of service, date of submission, insurance name, health plan, paid or not paid and primary as well as secondary claims. When you chose the necessary filters and click "Show," all claims that match the criteria are then displayed in the main window. For example (as shown on the screenshot) Filters: Practice name (WCH Service Bureau), Paid claims, All (primary and secondary) there are displayed 3 claims for Dr. Khabinskaya (this Dr is working under group WCH Service Bureau), with 2 different patients (2 claims for one patient and 1 for another). All billed claims have their claim# starts with NY… You can find specific claim by entering claim# (for example NY340876) in box Claim from.
WCH Service Bureau

Claim Form interface. Use this form to create claims for the selected practice or provider, under the chosen patient. This claim form displays all of the information about the service that was provided for the patient on the exact date by the physician. There are also patient’s insurance information, insurance ID number, diagnosis and procedure codes which were billed. At the bottom of claim form there is all information for provider, including Tax ID, NPI, PIN, billing and service addresses.

WCH Service Bureau

Patient information inlay inside of the claim form. To enter information for a new patient click "Add" the in claim form. To see information for existing patient, click "Modify" in the claim form. There are 6 inlays. Inlay “patient” includes all personal information for the patient, such as their last and first name, sex, date of birth, marital status, SSN number, home address, phone number and employer. Second and third inlay includes patient’s insurance information, for instance, the name of the insurance company, their ID number, effective and termination date, policy holder information along with an address for claim submission. Others inlays are for any additional patient information.

WCH Service Bureau

Patient information inlay inside of the claim form. To enter information for a new patient click "Add" the in claim form. To see information for existing patient, click "Modify" in the claim form. There are 6 inlays. Inlay “patient” includes all personal information for the patient, such as their last and first name, sex, date of birth, marital status, SSN number, home address, phone number and employer. Second and third inlay includes patient’s insurance information, for instance, the name of the insurance company, their ID number, effective and termination date, policy holder information along with an address for claim submission. Others inlays are for any additional patient information.

WCH Service Bureau

Payment information page. When claims are paid, an Explanation of Benefits is received from the insurance company. We are using this page to enter payment information in the PMBOS program. To open this window, you must first click on the "Work with claims" and select at the top" Billing and Payment." A new window will then be displayed. In this window, there is information regarding payment such as where the insurance payment was received from, under which provider and the check number along with the total amount. You must then enter claims that were processed for payment under this check. Claims are submitted under their number and are sent from New York. Within these claims, payment information is included such as how much was approved, how much was paid, if the patient must pay extra and adjustment codes. After payment was entered, claim becomes green in work with claims. The invoice can then be created and sent to the provider for payment.

WCH Service Bureau
Main page: work with claims. This page is used to work with all claims of practices. You can use different filters to find those claims you would like to work with. You can sort claims by practice name, status, date of service, date of submission, insurance name, health plan, paid or not paid and primary as well as secondary claims. When you chose the necessary filters and click "Show," all claims that match the criteria are then displayed in the main window. For example (as shown on the screenshot) Filters: Practice name (WCH Service Bureau), Paid claims, All (primary and secondary) there are displayed 3 claims for Dr. Khabinskaya (this Dr is working under group WCH Service Bureau), with 2 different patients (2 claims for one patient and 1 for another). All billed claims have their claim# starts with NY… You can find specific claim by entering claim# (for example NY340876) in box Claim from.
WCH Service Bureau

Claim Form interface. Use this form to create claims for the selected practice or provider, under the chosen patient. This claim form displays all of the information about the service that was provided for the patient on the exact date by the physician. There are also patient’s insurance information, insurance ID number, diagnosis and procedure codes which were billed. At the bottom of claim form there is all information for provider, including Tax ID, NPI, PIN, billing and service addresses.

WCH Service Bureau

Patient information inlay inside of the claim form. To enter information for a new patient click "Add" the in claim form. To see information for existing patient, click "Modify" in the claim form. There are 6 inlays. Inlay “patient” includes all personal information for the patient, such as their last and first name, sex, date of birth, marital status, SSN number, home address, phone number and employer. Second and third inlay includes patient’s insurance information, for instance, the name of the insurance company, their ID number, effective and termination date, policy holder information along with an address for claim submission. Others inlays are for any additional patient information.

WCH Service Bureau

Patient information inlay inside of the claim form. To enter information for a new patient click "Add" the in claim form. To see information for existing patient, click "Modify" in the claim form. There are 6 inlays. Inlay “patient” includes all personal information for the patient, such as their last and first name, sex, date of birth, marital status, SSN number, home address, phone number and employer. Second and third inlay includes patient’s insurance information, for instance, the name of the insurance company, their ID number, effective and termination date, policy holder information along with an address for claim submission. Others inlays are for any additional patient information.

WCH Service Bureau

Payment information page. When claims are paid, an Explanation of Benefits is received from the insurance company. We are using this page to enter payment information in the PMBOS program. To open this window, you must first click on the "Work with claims" and select at the top" Billing and Payment." A new window will then be displayed. In this window, there is information regarding payment such as where the insurance payment was received from, under which provider and the check number along with the total amount. You must then enter claims that were processed for payment under this check. Claims are submitted under their number and are sent from New York. Within these claims, payment information is included such as how much was approved, how much was paid, if the patient must pay extra and adjustment codes. After payment was entered, claim becomes green in work with claims. The invoice can then be created and sent to the provider for payment.

E-Superbill

E-Superbillments

WCH is now offering the E-Superbill, a EMR/EHR from WCH PMBOS which is designed to save time, money and labor. The E-Superbill is a free feature, part of PMBOS that replaces the bulky forms used for the old paper superbill and replaced it with efficient, electronic, fast and easy E-Superbill It will document patient encounters in the “real time” mode. E-Superbill provides the healthcare provider with very few clickable defaults directly into the entry screen, where the most commonly used procedures and diagnosis codes are readily available. Upon the completion of the visit, with a click of a button, the provider chooses the appropriate CPT codes, diagnosis code and the E-Superbill is ready to be seen by the biller. Eliminating several unnecessary steps in the process provides for fewer potential pitfalls which is crucial in this highly regulated industry. Using the E-Superbill is more accurate and eliminates the guesswork of which CPT codes were circled on a bad copy of a paper superbill which results in incorrect billing. Further, it eliminates the frequently seen problems of medical billing which include missing a code when billing, or billing the wrong code, writing the wrong date, or having a hard time reading the date. Overall WCH E-Superbill is an effective and efficient way to transmit accurate data from the provider’s office directly to your biller in the most precise and rapid way possible. It provides for a slighter chance of submitting the incorrect data to insurance companies and having to adjust claims for incorrect claim submission, raising fewer red flags and thus protecting the providers from future audits. It also, eliminates unnecessary work of personal and saves enormous amount of money spent for extra data entry job.

As mentioned above, the benefits for using WCH E-Superbill:

  • super-bill Reduces time for internal office operation : no more writing, scanning, mailing, printing out paper suberbills
  • super-bill Saves money by reducing paper and cartridge cost and save the printer drummer from being so overused.
  • super-bill Ensures accuracy as information is never lost; there is always Method of control for users with dates and proof submission.
  • super-bill Introduces simplicity providing an easy, secure and quick to share billing and other related data between WCH and our clients.
  • super-bill Connects instantly. Connected with our program directly, reducing paper requests back and forth.
  • super-bill Provides reimbursement sooner the billing get to us faster, our clients get their insurance payments faster, and everybody wins.

To get the many benefits of using our FREE E-Superbill contact your billing account representative at WCH TODAY!

System requirements

Workstations (other than Server)

The minimum system requirements are:

  • clipboard tick Personal computer running Windows 8 or higher (32-bit or 64-bit).
    Recommended minimum 4096 MB RAM.
  • clipboard tick Minimum resolution of 1024 X 768 is required. Standard computer monitors are supported with the use of a mouse to navigate the program
  • clipboard tick 5 GB hard drive space
  • clipboard tick 100 MBPS local area network (LAN) connection when using WCH PMBOS in a network environment. Single-user computer installations are also supported. Wireless networking is not recommended.
  • clipboard tick The medical billing program follows regulations as well as guidelines of CMS,
  • clipboard tick Printers and Scanners: Any page printer that can print from Windows is compatible with WCH PMBOS

For database, you need to use MS SQL Server 2012:

  • clipboard tick Minimum : 1 GB
  • clipboard tick Recommended: 4 GB or more
  • clipboard tick 6 GB( SQL Server Enterprise Edition supports a maximum of 2 TB of RAM or operating system maximum whichever is lower).

Any editions of MS SQL Server 2012 can be installed and used, before installing please determine which features are supported by the different editions of SQL Server 2012 and which best suits your requirements by visiting Features Supported by the Editions of SQL Server 2012 R2. .

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