Outpatient Software

  • ▸ Your Single System of Record for Multiple Lines of Service
  • ▸ Single Patient and Employee Record across all Lines of Service
  • ▸ Outpatient Therapy, Mental Health, Medical Billing
  • ▸ Bring Operational Efficiency through Real-Time Exception based Management Tools
  • ▸ Mobile Solutions for Point of Care and EVV
  • ▸ The Solution your Administrative, Clinical and Financial Staff can agree on.

CareVoyant for Outpatient is a complete and comprehensive Cloud-based integrated outpatient software that is specifically designed for providing multiples lines of outpatient services – Outpatient Therapy, Behavioral Health, or any other outpatient services. CareVoyant functions - Intake, Scheduling, Clinical, Financial, Messaging, Notification, Reporting and Dashboard – streamline workflow, meet comprehensive regulatory requirements, improve quality of care, optimize reimbursement, and bring operational efficiency to your practice. CareVoyant for Outpatient can handle Outpatient Therapy, Behavioral Health, or any other outpatient services under one Software to meet the challenges of a changing and complex health care environment.

Billing & Accounts Receivable

CareVoyant Billing and Accounts Receivable is a complete and comprehensive billing engine designed to manage disparate billing requirements for outpatient clinics – Therapy, Behavioral Health – for Medicare, Medicaid, Insurance, and Private Pay. CareVoyant provides effective revenue cycle management by integrating intake, eligibility verification, authorization, scheduling, claims/statements management, electronic remittance and collections in a single seamless solution.

CareVoyant Claims Scrubber and user definable claim validations, along with the claim management functions, enable Therapy Clinics to send clean claims and reduce collection time and efforts. Customizable claim and invoice formats will enable Therapy Clinics to meet various format requirements from insurances, managed care companies and county waiver programs.

CareVoyant Electronic Remittance Notice (ERN) module enables Therapy Clinics to receive electronic remittance advice from intermediaries in ANSI 835 format and post payments automatically. ERN function allows facilities to review imported payments before posting them to patient accounts. ERN saves Coordination of Benefits information for the claims — enabling CareVoyant to send secondary claims electronically.

Collection Management Module provides Therapy Clinics the tools to identify and manage overdue claims and accounts. Collections Module automatically assigns qualifying claims and accounts to collections status based on a pre-defined schedule and other criteria. Claims and account information can be accessed from the Collection Manager, enabling the collector to complete the process in one screen. Activities can be created and managed for each claim and account from Collection Manager.

CareVoyant Financial Reports and Dashboards will enable Therapy Clinics to analyze the financial performance.

General Ledger Interface functions will allow Therapy Clinics to upload account receivable transactions to accounting software like GP Dynamics, Quick Books.

Using Billing and Accounts Receivable Functions, you can:

  • Integrate Billing and Accounts Receivable functions with patient registration, eligibility verification, authorization, scheduling and collections
  • Bring Billing and Accounts Receivable functions together for multiple lines of business.
  • Send a single statement for patients receiving services from multiple programs.
  • Control your data by adding your own payers and maintaining your own fee schedules by payer (Insurance Plan)
  • Maintain unlimited plans per patient.
  • Verify eligibility in real-time or batch mode using ANSI 270/271 formats
  • Bill for Medicaid, Insurances, Manage Care companies or county waiver programs
  • Handle UB04 and 1500 requirements together.
  • Handle electronic (ANSI 837) and paper formats.
  • Adjust claim formats to meet insurance plan requirements.
  • Use Claims Scrubber to identify and correct claim errors before sending the claims
  • Correct claim errors during claims processing
  • Add custom claim edits to meet unique billing requirements for Private Duty Nursing
  • Automatically generate of secondary claims.
  • Use statement functions manage private pay patients
  • Use ERN functions to electronically import insurance payments.
  • Use Collections Manager streamline and mange claims and accounts collections
  • Use GL Interface to send account receivables information to General Ledger

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