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BILLING

Vertex In Healthcare has been involved in the business of radiology billing systems for the past 3 decades.

Our billing platform forms the backbone to the billing of most radiology practices in South Africa.

THE RIS/PAC WORKFLOW SOLUTION

ICD10 Coding allows for a dedicated ICD10 coder or Radiologist to add ICD10 codes to examinations.

Billing allows the billing clerk to validate or edit pro forma billing and link ICD10 codes. Immediate online claims processing of billed accounts to medical aid.

The Debtors Module makes use of effective tools for debt collection namely integrated email, SMS, Daily processing and daily balancing with a full audit trail.

Medical Aid Remittances enables automatic system updates reflecting patients Medical Aid payments.

The preconfigured tariff codes alleviate the necessity for non-account staff to know intricate feeing rules and guidelines as set out by Council of Medical Schemes. The preconfigured consumables ensure that routine disposables are not left off accounts. (e.g. preps given by reception prior to study).

Patient Validation checks patient’s Medical Aid details electronically, vastly reducing non-payment due to invalid membership.

Debt Notification alerts the receptionist when entering a patient that is considered to be a risk.

Our billing facilitates the access to all documents in real-time for immediate billing by the accounts department.

Pro Forma billing allows the Radiographer to select the tariff codes from preconfigured lists improving speed and accuracy. The Radiologist has the ability to validate or edit pro forma billing.

Image by National Cancer Institute

DEBTORS

Our Debtors has been designed based on 30 years of radiology billing software experience.

 

Our new system has been significantly enhanced with the latest technology. The system design and backend has been written to ensure that technical support requirements are minimal and various checks and balances are in place throughout the debtor's process to ensure that the system balances.

The single central database with Kilimanjaro RIS ensures simple upgrades that are automatically pushed to your site.

BILLING

The VertexIH Billing & Accounting solution delivers six key components to the revenue side of private medical practice:

1

It integrates in real-time to medical aids for patient/member validation and for funds availability. 

2

It generates the patient invoices aligned with all the approved medical tariff/codes.

3

Has embedded bulk tasks.ie journals, recipes, messaging, this can be driven by searches, worklists or CSV uploads.

4

Customisable worklists and workflow to speed up debt collecting.


Full Patient accounting and statements with monthend close out processes

5

Rich fully featured debtor management and bulk e collections including bulk collection messaging and collection strategies

6

Easily trace any activity on a visit or groups of visits  

The fully modernised new release of practice Financial Management was released to general availability in July 2020.

Already widely adopted and signed off by our auditors and external 3rd parties, early adopters are seeing over 20% productivity gains as well as an IT design that matches today’s demanding security and privacy requirements.

It is also integrated with the VertexIH Business Intelligence solution.

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