McKesson's Collaboration Portal:             

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 600 Million Transactions Annually

With the acquisition of Per Se, McKesson increases the 600 million transactions per year total to become the largest electronic claims clearinghouse in the nation.  Patient insurance eligibility checking, electronic claims submission, automated remittance processing, patient statement processing and collection letter generation are all available to you today. 

 

The delivery of these services and the integration between you and your business partners is evolving into McKesson's Web based 'Collaboration Portal' - providing the most comprehensive set of benefits in the healthcare industry.

 

Real Time Patient Insurance Eligibility

Frequent changes to patient insurance carriers

as well as benefit limitations for service

categories can cause denials and bad debt. 

Catch potential problems on the front end, before

the patient is seen, from a single, user friendly

Web based service.

 

Eligibility inquiries for more than 250 carriers can

be done from a single site, in real time.  No need to

go through the hassle of setting up user names and

passwords to individual carrier sites. 

 

Your inquiry passes through the McKesson site

to the carrier's database.  What the carriers return

to you varies, but many will provide information about

benefits for specific services and how much has

been used for those benefits with limitations.

 

 

 

 

 

 

 

Claims Submission and Claims Control

Of course, McKesson's electronic claims processing reliability and service have been well known since 1987.   Recent strides in McKesson's Web based services have enabled tighter control over the claim submission process and have made error identification and correction easier than ever.

 

With McKesson's 'Claims Control' you will be able

to view errors that would cause payment denials

in an easy to read format.  Many claims clearing-

houses return paper reports that take precious time

to sift through.  Claims Control allows you to focus

on and quickly correct flawed submissions - all on

line, without printed reports.

 

You can create reports to identify patterns of errors,

as well as show the status of all pending claims regard-

less of submission date.

 

McKesson offers bundled services, with per-doctor-per-

month pricing that include unlimited electronic and

paper claims as well as unlimited automated remittance.

 

Automated Remittance

A remarkable time saver, Practice Point Manager can

post remittance files from the Portal to each patient and

individual line item.  Benefits are coordinated, contractual

adjustments are made and secondary or patient billing is

triggered automatically.

 

 

 

 

 

Patient Statement Printing

The MGMA estimates it costs the typical practice as much as two dollars to generate a patient statement.  Think of it!   Statement forms, printer wear and tear, printer supplies, envelopes, stuffing and stamping labor not to mention the ever rising cost of postage.   McKesson's statement printing service can slash these costs by as much as 70%!!

 

Collection Letter Printing

McKesson can print your patient collection letters and

other bulk mail documents as well. 

 

 

Compliance Editor

In a second level of edits, the Compliance Editor compares

CPT to IDC9 as well as thousands of additional edits to

ensure payment. 

 

As with the errors captured at the Claims Control level,

they are displayed with a full description.  The field that

needs a change is highlighted.   You can make the

correction on-line, immediately, and the corrected claim

will go to the carrier that day.