In SETWorks you can bill for all services with just a few clicks. Whether it’s electronic or manual, our billing system and reports are intuitive, save time and reduce error.
SETWorks validates data as it is entered, as well as notifies billing staff of errors that may lead to billing being rejected. ICD10 codes are validated, addresses are confirmed against the USPS database, Medicaid statuses are reviewed, and many other rules are evaluated to help ensure your billing is completed and submitted accurately the first time.
SETWorks utilizes the HIPAA EDI 837 Health Care Claim Transaction Set and the HIPAA EDI 835 Health Care Claim Payment/Advise Transaction Set. Additional EDI standards are supported by request. When no integration exists, SETWorks provides various billing reports and CSV export options for simplifying more manual billing processes.
Billing can be a complex process but SETWorks tries to alleviate some of that pain via specialized functions. Here are a few examples:
In SETWorks electronic billing has features that are useful and necessary, making billing submission fast and targeted to the task at hand. SETWorks integrates with your funder’s eBilling software program.
Is your state system still running on software from the 80s via a green screen? Don’t worry! We’ve probably seen it before and have figured out a way to connect!
SETWorks makes the process of scheduling to documentation to billing simple. There are a range of reports and invoice templates to ensure billing accuracy, improving the paperwork aspect of your important service delivery.
Does your billing system only allow for manual input on maybe a first come / first serve basis? Do you need to prioritize billing for services that have a higher rate due to unit limitations? SETWorks can help in these scenarios as well!