The electronic 835 remittance files (ERA) from Medicare and Medicaid alleviate the need for manually posting payments. The 835 files can be downloaded from the intermediaries and imported into the mumms® PAS program. mumms® reads the file and automatically posts all claim payments, adjustments, and denials. Comprehensive reports are prepared automatically.

NOTE: The ERA 835 feature fully integrates with the A/R Error and Notes Module to automatically record and track all claim denials including the reason for the denial.

 

 

The Medicaid EMC 837 files increase the efficiency of the Medicaid billing process. This mumms® PAS program extension creates the electronic claims file in the ANSI 837 format for Medicaid as it does for Medicare. Once properly formatted, the claim file is transferred to the Medicaid intermediary (similar to electronic billing for Medicare).

 

 

In addition to the standard accounts receivable (A/R) features, this module provides an extensive set of tools for tracking the reason/error code for a claim to be denied, the corrective action needed, and a follow-up date.

 

mumms® Attachments is a document management system that allows users to file all paper patient documents into their electronic health record (EHR), thus eliminating the need to maintain a paper chart. Any document, including signed physician orders, history, physicals, pictures of wounds, Advance Directives, etc. may be attached to the EHR. 

 

 

Additional Billing Applications 

mumms® also provides billing functions for non-hospice programs including palliative care, private duty, home health, adult day care, and many others. Patients can be billed for these specialized services in addition to the hospice benefits. All billing is performed automatically.

 

The various billing programs available are:

 

This program is designed for Medicare palliative care patients. All palliative visits are tracked and billed to Medicare Part B. Patients can easily move between Program 1 (hospice) and Program 6.

 

 

This program is designed for Medicare certified home health agencies. This billing module will automatically bill Program 2 patients under the home health guidelines.

NOTE: Program 2 includes the HCFA 485 Module.

 

 

This program is for recording and billing home visits not covered under the Medicare certified home health or hospice benefits. Program 3 is slightly as it bills for services, and patients may receive and be billed for Program 3 services while currently in Program 1 or Program 2.

 

 

Program 4 patients are billed with the same options as patients in Program 1 (hospice), but are not included in the hospice census.

 

 

Special levels of care are user-defined and can be used to track and bill for services other than traditional hospice services or Medicaid non-hospice room and board services. Each user-defined LOC can have an individualized rate and can be billed to any insurance carrier or the patient/family.