ClinixMIS^tm Overview

MediStar is an authorized reseller of ClinixMIS, a full-featured medical billing and practice management solution. The software supports the entire billing process, including coding, billing, payment posting, and reporting, and it includes practice management features such as patient scheduling and registration.

ClinixMIS supports multiple entities with rollup reporting capabilities, automatic claims processing, electronic remittance advice posting, and creation of patient statements and pre-collection letters. The system interfaces to a variety of hospital and lab systems, as well as to most EHR/EMR systems. Hundreds of standard and ad hoc reports are available on demand and at month end. And best of all, the system is ASP-based, so you do not have to worry about the details involved in running a sophisticated software package.

Billing Capabilities

ClinixMIS from MediStar provides the features that physician practices need for efficient management and billing operations, plus advantages that will move your practice to the next level of success.

Billing features include:

• Data entry directly from coding forms
• Electronic eligibility checking
• Electronic claims status verification
• Automatic electronic nightly claims processing, including electronic submission
• Automatic nightly printing and mailing of primary paper claims
• Automatic generation of easy-to-read patient statements and pre-collection letters
• Receipt of payments from patients and insurance carriers, including electronic remittance advice posting and other payment posting efficiencies

Other system features include:

• Audit trails of all financial transactions and employee actions
• Management of multiple client entities, with roll-up reporting
• Support for hospital-based and private practices
• Support for mutli-practitioner and mutli-specialty practices
• Ability to interface with hospital, accounting, and EHR/EMR systems
• Generation of hundreds of standard and ad hoc transaction and management reports

Insurance transactions are automated with ClinixMIS, including electronic filing, printing, mailing, status, and tracking.

Insurance transaction features include:

• Automatic filing of Electronic Media Claims (EMC) for government and commercial carriers
• Direct submission of Medicare, Medicaid, Blue Cross/Blue Shield, and Railroad Medicare
• Commercial claims submitted through Emdeon
• Automatic printing and mailing of primary paper claims
• Automated Electronic Remittance Advice (ERA) posting
• Claim status checking
• Open claim tracking
• On-line national UPIN directory
• On-line taxonomy code list
• Tables containing ANSI code sets for proper claim editing

ClinixMIS has been correctly handling and processing Electronic Remittance Advice (ERA) since the 1980s. ERA features include:

• Automatic posting of electronic remittances from payers to the line item charges
• Automatic posting of ANSI adjustment/denial codes and amounts by line item for payers that have implemented these ANSI codes
• Printing of EOBs from the ERA program
• Automated posting of payments, adjustments, and denials

ClinixMIS includes many more billing features than can be listed on this website. To discuss your unique requirements, please email Ron Nyman or call him at (203) 372-1900, x4001.

Practice Management Capabilities

In addition to the extensive billing capabilities of ClinixMIS, the system offers many practice management capabilities to improve the efficiency and effectiveness of your office staff. Some of these include:

• Adding and revising patient account and demographic information
• Checking and updating patient eligibility
• Printing "Patient Policy Holder Information" forms and encounter forms
• Scheduling and re-scheduling appointments
• Checking in patients as they arrive
• Generating office schedules
• Creating patient recall letters
• Creating electronic physician referrals

Appointment scheduling includes:

• Resource as well as provider scheduling
• Calendar button for easy point and click date look up
• Fast and easy query capability for available appointment dates and times
• Easy-to-use mini-registration for new patients.
• Easy scheduling of work-in appointments
• Schedule templates that can vary by doctor
• User defined "Reason Codes" to identify reason for appointments at a glance
• Ability to schedule multiple, coordinated appointments on one screen
• Easy cancelling and rescheduling of appointments
• Auto blocking option that can be used when rescheduling appointments to keep cancelled appointment times unavailable
• Integrated referral/pre-authorization features

Patient registration includes:

• User-defined edits to ensure accuracy of data input
• On-line patient eligibility checking
• On-line physician referrals
• Scanned insurance card attachment to patient record
• Query capabilities on any field
• Separate guarantor, policyholder and patient records
• On-line follow-up (tickler file)
• Exception codes for special uses
• HIPAA compliant Notification of Privacy Practices on patient account
• HIPAA compliant Personal Health Information field on patient account
• PHI warning telling user to read on-screen notes on patient account
• Print online user-defined patient encounter forms
• Print online new patient information form
• Storage of up to 9 supplemental insurance policies

Services

To turn software into a solution, you need service and support. At MediStar, serving our clients is the core of our mission.

For your practice to obtain optimum results from any software, you need knowledgeable people who can help you to integrate the system with your office operations. Our daily interactions with clients of our billing services makes us uniquely qualified to ensure that your staff uses the ClinixMIS billing application to your maximum advantage.

When you purchase ClinixMIS software from MediStar, you receive the following services:

• Analysis of your office operations and configuration of the software to suit your specific needs
• Training for your staff until they become proficient users of the application
• Ongoing response to questions about the system and its use within your practice
• Notification of software upgrades and instruction on how to take advantage of the latest features

Online Reports

ClinixMIS from MediStar gives you access to hundreds of reports. These reports provide comprehensive information about your practice. Many of these reports are available on demand and are updated in real time as transactions are completed. Other reports provide you with monthly summaries. These reports include:

• Statistics on procedures you have performed and medications you have administered
• Activity from referring doctors
• Your most frequently used diagnostic codes
• Allocation of payments
• Outstanding charges for procedures not yet billed
• Patient care follow up
• Accounting information, such as revenue trends, cost data, days receivables outstanding, overdue accounts, etc.

Security

Confidentiality is of paramount importance to all of us in the healthcare industry, and at MediStar it is our first priority.

Because the ClinixMIS system is based on the ASP model, it is not located at your facility. (See the Technology section below.) The software resides in a fully certified HIPAA-compliant data center that has 18-gauge steel-reinforced floors, walls, and ceilings. Power to the data center is supported by a sophisticated battery and generator system. Internet connectivity is maintained by utilizing three different major Internet Service Providers in tandem with one another. This state-of-the-art computer facility ensures that no matter what weather or external conditions exist, your data is always available, private, and secure.

ASP Technology Delivery

Excellent technology is critical to delivering superior service, and ClinixMIS software is best-in-class. We chose ClinixMIS as the platform for MediStar billing services because it offers a broad range of capabilities and it is robust, reliable, and secure.

ClinixMIS is delivered to you through what is called an "ASP" model. This means that the system you access from your desktop computer actually resides on a remote server. The software is managed by an application service provider (ASP), a third party whose primary expertise is computer facilities management.

You access the software over a secure Internet connection from the desktop computers in your office. All you need on each of these computers is Internet Explorer, the same browser software used to access any website.

The ASP handles all the details of operating the software, including initial installation, upgrading the software as new releases become available, real-time data backup, and providing for "hot standby" redundancy in case of hardware failure. Backup tapes are stored at a separate secure location for further redundancy. The ASP also ensures the physical security of the servers running your system.

EHR/EMR Interoperability

Do you have an EHR/EMR system? ClinixMIS seamlessly integrates with most EHR/EMR systems, including any HL7-compliant EHR/EMR system, such as Allscripts Healthmatic, ChartLogic, digiChart, and MedicWare. In addition, ClinixMIS interfaces to both proprietary and HL7-compliant hospital and laboratory information systems, including Antek LabDaq, HCA, LabCorp, MediTech, Quest, and SMS.

Are you thinking about implementing an EHR system? MediStar can help you to implement the most complete, efficient, and affordable EHR system on the market today. See ClinixMD from MediStar for more information.

Clinix, ClinixMD, and ClinixMIS are trademarks of Clinix Medical Information Services, LLC.

MediStar · 12 Cambridge Drive · Trumbull, CT 06611
Toll-free: (888) 423-8080 · Phone: (203) 372-1900 · Fax: (203) 372-2600 · info@medistarbilling.com

© 2008 Medi-Claim Services, Inc. All rights reserved.