Most Recent Posts
An automated process failed: MedsUdates
by ChrisFNP - 04/28/2025 3:49 PM
AC Version 12.3
by JBS - 04/24/2025 7:27 PM
New Feature?
by ChrisFNP - 04/22/2025 6:37 PM
Here is a new one
by ChrisFNP - 04/22/2025 6:20 PM
I won't get help because I am I
by Bert - 04/22/2025 9:09 AM
Pharmacy Request Counter Issues
by Headcase - 04/08/2025 7:04 PM
phantom printer
by imcffp - 04/08/2025 10:26 AM
AC v12 mandatory upgrade
by ChrisFNP - 04/01/2025 9:47 AM
Member Spotlight
Sandeep
Sandeep
California
Posts: 2,316
Joined: April 2011
Newest Members
It's me, Paradise Family, MedCode, MZ Medical Billi, girlfromwebpage
4,593 Registered Users
Previous Thread
Next Thread
Print Thread
Rate Thread
#26333 12/10/2010 2:13 AM
Joined: Nov 2010
Posts: 17
SteveO Offline OP
Member
OP Offline
Member
Joined: Nov 2010
Posts: 17
Does anyone use Office Ally for elctronic billing with AC? I am trying to set this up. Had questions on the HCFA set up. I know how to pull the bill by date and review the charges and codes. Just had questions on some of the HCFA fields.

SteveO #26337 12/10/2010 11:33 AM
Joined: Oct 2004
Posts: 1,889
Member
Offline
Member
Joined: Oct 2004
Posts: 1,889
I use office ally (not practice mate though) but I never had any problem with the fields. it always worked really easy and fine so I'm not sure if I'll be able to help.


Wayne
New York, NY
Hey, look! A Bandwagon! Let's jump on!
SteveO #26341 12/10/2010 3:47 PM
Joined: Nov 2010
Posts: 17
SteveO Offline OP
Member
OP Offline
Member
Joined: Nov 2010
Posts: 17
Thanks Wayne. Couple of questions 1. Did you have to do some initial set up with office ally to set up the electronic billing form 2. When you enter Medicare information on the patient demographic do you have to put the Medicare address or do you just put the word Medicare in the insurance company field.



Ste

SteveO #26368 12/12/2010 11:55 PM
Joined: Oct 2007
Posts: 667
Member
Offline
Member
Joined: Oct 2007
Posts: 667
Originally Posted by SteveO
Thanks Wayne. Couple of questions 1. Did you have to do some initial set up with office ally to set up the electronic billing form 2. When you enter Medicare information on the patient demographic do you have to put the Medicare address or do you just put the word Medicare in the insurance company field.

there is some initial set up which basically means 1)enrolling with Office Ally as your medicare intermediary and 2) mapping your file output with Ally to make sure all the info is dropping into the correct Loops on the electronic claim.

If you are generating claims from your practice management system the inital Medicare set up (correct address, name , provider IDs etc.)
then each time you select Medicare as the insurance on a patient when entering the demographics all the proper Medicare info would also be attached. If you are doing direct claim entry on the Office Ally website then you would have to choose the proper Medicare fiscal agent each time you entered you a claim.

Ste


Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM
SteveO #26369 12/12/2010 11:58 PM
Joined: Oct 2007
Posts: 667
Member
Offline
Member
Joined: Oct 2007
Posts: 667
Sorry about the last post. I kind of screwed up the quote thing. Here it is again.

there is some initial set up which basically means 1)enrolling with Office Ally as your medicare intermediary and 2) mapping your file output with Ally to make sure all the info is dropping into the correct Loops on the electronic claim.

If you are generating claims from your practice management system the inital Medicare set up (correct address, name , provider IDs etc.)
then each time you select Medicare as the insurance on a patient when entering the demographics all the proper Medicare info would also be attached. If you are doing direct claim entry on the Office Ally website then you would have to choose the proper Medicare fiscal agent each time you entered you a claim.


Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM
SteveO #26370 12/13/2010 12:49 AM
Joined: Nov 2010
Posts: 17
SteveO Offline OP
Member
OP Offline
Member
Joined: Nov 2010
Posts: 17
Aha. Thanks, Bill. So all I have to do at this point is call Office Ally to map the input since we are already enrolled with OA for Medicare. Ok, makes sense, thanks for the input!

I was born in New Mexico (but raised in California), in a little town called Belen. I have visited every 6 or 7 years. Nice place, New Mexico.

Thanks again.

Steve Lovato

SteveO #26408 12/15/2010 5:05 AM
Joined: Nov 2010
Posts: 17
SteveO Offline OP
Member
OP Offline
Member
Joined: Nov 2010
Posts: 17
Office Ally set me up. Turns out OA has an Amazing Chart format on their end and they just turn it on to accept incoming claims from me and the claims go through electronically through their system, get scrubbed and forwarded. That was easy. We sent twenty claims already. Thanks again.

SteveO #26431 12/15/2010 7:29 PM
Joined: Jun 2008
Posts: 325
Member
Offline
Member
Joined: Jun 2008
Posts: 325
Hey Wayne, what PM software are you using? I've someone who is considering upgrading their Lytec this year (as they're being forced to) but would like some other options.

SteveO #26718 12/31/2010 2:12 PM
Joined: Apr 2010
Posts: 8
Member
Offline
Member
Joined: Apr 2010
Posts: 8
I have used EZ claim and my experince so far is not great. I am thinking to switch to another vendor for billing. Can you recommend a real good one with high pass rate and less amount of staff work to transfer claims to and manage afterwards?
TY so much
Mo

SteveO #26723 12/31/2010 10:40 PM
Joined: Apr 2008
Posts: 1,078
Member
Offline
Member
Joined: Apr 2008
Posts: 1,078
We used Office Ally for 2 years via their Practice Mate.
For the price it was fine.
We have recently purchased Medisoft and are using Gateway.
They strive for (guarantee?) a 95% 1st pass rate.
More cost, but less hassle.
Whenever you change Clearinghouses there will be some lag.
Be sure that you can continue to submit to your old clearing house until you are up and running. When we went from a private billing company to doing our own it was months before we got up and running. That was a very tough time.
At least now, we aren't paying a % to the third part biller. We do pay a monthly fee to Gateway, but they seem to be all over it and very supportive.


Vicki Roberts, MD
Family Medicine of Southeast Missouri
Sikeston, MO
SteveO #26745 01/02/2011 10:34 AM
Joined: Apr 2010
Posts: 156
Member
Offline
Member
Joined: Apr 2010
Posts: 156
Vicki
I would appreciate if you can expand on why did you switch from pratice mate /office ally to medisoft and gateways. I just decided to bring all billing in house (switching from a billing co).I am setting my prctice to use practice mate and office ally. Why it took you months to get up and running with practice mate. I appreciate your feed back. Thanks


Mohamed Salem MD, FACS
General Surgery
Northwest Ohio
Joined: Dec 2010
Posts: 85
Likes: 1
Member
Offline
Member
Joined: Dec 2010
Posts: 85
Likes: 1
Hi Vicki,

I am also planning to use Medisoft and Gateway. I have no prior experience; became a AC user about 3 month ago, thinking about switching from outside billing service to in-house billing.

How do you submit claims from AC's daily superbill to Gateway EDI? through Medisoft? Is the process manual or automatic? Someone from Medisoft's vendor told me I have to manually input all the billing info to Medisoft manually since there is no interface between Medisoft and AC, is this ture?

Thank you for the help in advance,


Cindy
Solo Internal Medicine
Massachusetts

Moderated by  ChrisFNP, DocGene, JBS, Wendell365 

Link Copied to Clipboard
ShoutChat
Comment Guidelines: Do post respectful and insightful comments. Don't flame, hate, spam.
Who's Online Now
0 members (), 32 guests, and 25 robots.
Key: Admin, Global Mod, Mod
Top Posters(30 Days)
ffac 7
JBS 5
koby 4
imcffp 3
tcosta 2
Bert 2
Top Posters
Bert 12,873
JBS 2,984
Wendell365 2,363
Sandeep 2,316
ryanjo 2,084
Leslie 2,002
Wayne 1,889
This board is dedicated to the memory of Michael "Indy" Astleford. February 6, 1961 -- April 16, 2019




SiteLock
Powered by UBB.threads™ PHP Forum Software 7.7.5