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Medical Information Technology, MEDITECH Revenue Cycle Management—6.0

Medical Information Technology, MEDITECH Revenue Cycle Management—6.0

Billing/Accounts receivable/RCM systems, May 2017

Contact Information

Medical Information Technology
Andrea Quinn
aquinn@meditech.com
Meditech Circle
Westwood, MA 02090
781-821-3000


Name of billing/accounts receivable/revenue cycle management system MEDITECH Revenue Cycle Management—6.0
Configuration of billing/AR/RCM system available as a standalone product that can interface with MEDITECH’s or other companies’ central LISs or EHRs
• Percentage of billing/AR/RCM system clients that use another company’s LIS 15%
Year company began selling billing/AR/RCM systems 1977
Most recent billing/AR/RCM system installation (based on March 2017 survey deadline) November 2016
Last major release or update of featured billing/AR/RCM system February 2017 (version 6.07.25))
No. of contracts for sites operating billing/AR/RCM system 149
• No. of sales of billing/AR/RCM system between March 2016-March 2017 0
• No. of installations of billing/AR/RCM system between March 2016-March 2017 2
No. of sites operating billing/AR/RCM system (HL/IL/PP/PO/OL/FI)* 218 (208†/0/0/—††/—††/10–in Canada, United Kingdom)
Market billing/AR/RCM system outside the U.S. yes (Canada, United Kingdom, Ireland)
Human languages (other than English) supported by system
No. of inpatient invoices handled by installed sites annually not tracked
No. of outpatient requisitions handled by installed sites annually not tracked
No. of user workstations in sites operating billing/AR/RCM system not tracked
No. of employees in company 3,720
• No. of employees dedicated to billing/AR/RCM system development, install, support 167
Provide list of client sites to potential customers on request yes (a list of comparable sites)
Clients restricted from sharing with others their experience with company or software no
Features/modules
• Patient demographics transferred via interface from LIS to billing/AR/RCM system installed
• 1500 claim form generation (paper version) installed
• UB-04 claim form generation (paper version) installed
• Client invoice generation installed
• Patient or family invoice generation installed
• Generate reprints of claim forms and invoices on demand installed
• Key indicator tracking (online view of site-assigned key indicators) installed
• Billing by test profile installed
• Component billing installed
• Medical-necessity screening for Medicare installed
• Professional component billing installed
• Auto delete of nonbillable procedures installed
• Billing for technical component only installed
• Retain demographic data for repeating patients installed
• Account and patient payment posting installed
• Accounts receivable system installed
• Management and/or marketing report generation installed
• Automatic balance billing to patients installed
• Capitation billing plus billable tests installed
• Generate utilization reports for managed care installed
• Generate global charges for lab tests installed
• Unlimited user-defined fee schedules installed
• Track financial classes installed
• Allow open-item accounting (each line item on bill can be handled separately) installed
• User report writer installed
• User-defined collection system installed
• Client services or call tracking module installed
• Credit card processing not available
• Business analytics installed
• Patient Web portal installed
• Benefit eligibility checking installed
• Guarantor billing installed
Means by which billing/AR/RCM system tracks profitability test, payer, client (user’s choice)
Advanced system capabilities rules-based processing, bundling/unbundling, 72-hour rule
Standards and coding systems supported HIPAA transaction sets, X12 5010A1, IAIABC EDI guidelines, ICD-9-CM, ICD-10, CPT, HCPCS level II
System supports electronic data interchange with third-party payers and claims clearinghouses yes
• Electronic functions offered claims, payments, eligibility, review, others
Third-party rules and coding updates supported by system 3M, TruCode, others
Billing/AR/RCM system provides indexed field in each test definition for LOINC code yes
• Provides LOINC dictionary for each new installation yes
Client receives copy of source code placed in escrow
Methods by which users can tailor billing/AR/RCM system in their own setting ad hoc query tools, dictionary settings, customer-defined screens, parameters, reports, rules
Billing/AR/RCM system received ONC-ATCB certification yes
Billing/AR/RCM functionality available via ASP or cloud-based data center available as a local server or an ASP or cloud-based product (client’s option)
Total cost for smallest standalone billing/AR/RCM system install**
Total cost for largest standalone billing/AR/RCM system install**
Total incremental cost for smallest install using billing/AR/RCM** as a dedicated LIS module
Total incremental cost for largest install using billing/AR/RCM** as a dedicated LIS module
Distinguishing product features (supplied by company) • centralized and decentralized billing, with conflict checking, denial management, and integrated charge capture • quick access to all patient account and billing details from a single desktop • electronically submit claims and receive remittances via ANSI 837/835 interfaces
* HL=hospital labs, IL=independent labs, PP=pathology practices (only surgical pathology/ cytology services), PO=physician offices, OL=other U.S. locations, FI=foreign installations †includes Puerto Rico and Virgin Islands
** total cost includes hardware, software, installation, and training ††included in total for hospital labs
Note: A dash in lieu of an answer means company did not answer question or question is not applicable.
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.