Therap's Electronic Billing Solution Assists in Preventing Medicaid Fraud and Mitigating Risks

LTSS Software offers HIPAA 510 compliant electronic billing for submitting professional claims

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Aug 03, 2016, 11:30 ET

WATERBURY, Conn., Aug. 3, 2016 /PRNewswire/ -- Therap helps to mitigate the risk of Medicaid fraud by collecting necessary information at the initial level which is then reflected in 837 claims generated by the system. Billing applications on Therap allow for setting up and maintaining entities that are necessary for billing - this includes a master record of services, service description/code, procedure modifiers, prior authorizations, unit rates, funding source, cost centre type and payer information. The initial setup of billing providers on Therap involves recording identification information such as NPI Number and Medicaid Provider Number which are relevant in identifying medicaid frauds.

Therap's billing features come with tools to identify instances of medicaid abuses such as inaccurate payments for services or unintentional duplicate payments. The system prevents recording of duplicate services provided to an individual within a date range or authorization period. To further prevent and mitigate risks of fraud or improper claims, Therap comes with multilevel access control features for administrative staff at an agency who review and approve information of billable services provided. Therap forms carry date and time stamped signatures on claim forms and any data entry can easily be traced back to the originator.

Therap's billable service tracking modules record services from the point of delivery. The attendance information of individuals receiving a specific type of service is recorded and used to generate billable claims. Services may range from hourly to daily and is predefined for the individual receiving services.

Additionally, Therap's data analysis features ensure that necessary and relevant documentation are available for internal or external audits and surveys. Reports generated on Therap offer a wholesome picture of the services provided over a period of time, service units unutilized, unit costs and status of claims.

About Therap

Therap's HIPAA, ARRA and HITECH compliant Developmental Disabilities software applications are widely used in home and community-based services (HCBS), Intellectual & Developmental Disabilities and other LTSS provider settings. Therap provides person centered planning and assists with case management and eligibility assessments for support providers and state organizations working with developmental disabilities. Therap includes individual support modules such as incident reports, medication administration records (MAR),behavior tracking, case management, individual service plans and goal tracking, health records, supported employment notes, nursing notes and progress notes among others.