INVOICE
The invoice tab will show you ALL of the invoice currently available in your system. It will show all status' (New, Hold, Submitted, Open, Close, Cancelled). You can filter down what you wish to see by using the search fields at the top OR by using the advanced filter (dark blue circle with 3 lines). From the blue plus sign on this sub-tab you can choose to:
Create a New Invoice
Add a Payment
Print patient statements
Import ERA's
Do a mass write off and close out claims
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PAYMENTS
The payments tab will show ALL of your payments collected in the system and their corresponding status (NEW, Unapplied, Applied, Failed, Completed). From here you can mange all of your payments that are processed manually or auto-posted by the system. From the blue plus sign you can :
Create a New Invoice
Add a payment
Jump to patient statements
Import ERA's
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REFUNDS
From a specific order or from the refund section located in the billing queue you can create and manage your returns, and refund payments to your customers. Here you can create the refund and restock the items if needed. You can refund an entire order or only part of an order. You can also refund an order without restocking the item.
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DENIALS
The Denials queue will allow you to work all of your Denials by Denial Reason or Payer using the filter options at the top. You will have the following statuses assigned to your denials:
New: a new denial that needs to be worked
Resubmitted: a claim has been resubmitted to be reviewed
Paid: a corrected claim comes back paid
Ignore/Write Off: you will not be working the denial
In the Denial queue, you can also CLAIM a denial to work by checking the box and then using the blue plus sign to mark something "In Progress". This will show the user who is working the Denial and assign the date they began working it.
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EOB/ERA
All of the ERA's that come into the system will come to this tab first and try to connect to the correct payer and payer ID before dropping to the Payment queue to auto-apply to the appropriate claim. Any ERA's that are in a failed status must be manually connect to the correct payer.
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PRESCRIPTIONS
Select the Prescriptions tab to see all Prescriptions that have been entered into NikoHealth. This will help you identify expired prescriptions. Use the advanced filters and search by upcoming prescriptions that are due to expire so you can work them ahead of their expiration date.
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AUTHORIZATIONS
Select the Authorizations tab to see all Authorizations that have been entered into NikoHealth. This will help you identify expired Authorizations. Use the advanced filters and search by upcoming authorizations that are due to expire so you can work them ahead of their expiration date.
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CMNS
This is your CMN expiration report. You can filter this by using the advanced filter and search by upcoming CMNs that are due to expire so you can work them ahead of their expiration date.
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