eCare^® Claims Management System (CMS) provides centralized management of the claims submission process. Claims are imported from the hospital information system, checked for data and coding integrity and submitted to the respective payer or clearinghouse.

eCare^® CMS is a sophisticated, scalable system using the latest in Microsoft technology. The product architecture is flexible and facilitates a high degree of customization, which allows you to better manage, track and trend the billing process.

eCare^® CMS Features:

• Real-time claim delivery via Direct Data Entry for Medicare (Part A, Home Health & Hospice), BlueCross of Illinois and via eCare^® Direct for Medicare DMERC, Humana, Illinois Medicaid and commercial payers

• Individual claim editing against LCD & OCE edits prior to submission

• Claim history retained from import through archiving

• User log with date and time stamps for key events and/or changes in the claim

• Site specific edits and customizations

• Integrated Medicare compliance (OCE, 72-hour rule, etc.)

• Real-time claim status from fiscal intermediaries and selected Medicaid plans

• Accelerated Medicare secondary billing

• ERA Posting with comments and notes

• High-level reporting tools intended for supervisors, managers, directors, etc. to help administer the billing process.