Problem: In-house staff either did not have the expertise or available time to develop required electronic billing files to meet state or payer mandates. “We needed a quick response to the mandate requiring us to provide HIPAA compliant electronic billing files, particularly to our major insurance companies. No one in-house had the expertise to develop the software. For one of the insurance organizations that represents over 60% of our revenue, any delays in billing would have been financially devastating.” Action: Behavioral Information Systems LLC developed, tested, and implemented HIPAA billing files, including 837, 835, and 270/271 files. “By working closely with our Business Office staff, BIS determined our unique billing requirements, and, with consideration of our internal priorities, developed, tested and delivered the needed specifications within the mandated time frame. Their extensive knowledge of both the HIPAA standards and the available system tools proved invaluable.” Results: Mental Health Center of Greater Manchester is able to bill timely and accurately, thereby assuring a consistent revenue stream. “Our billing schedules were maintained. Our cash flow was maintained. We take comfort in knowing that during any stressful situation the professional consultants at BIS are fully capable of handling our outsourcing needs.” Alan S. Peschke Director of Information Systems The Mental Health Center of Greater Manchester

User Training:
Train users at all levels, from management through end users, on various aspects of the system, from front desk through financial year end closing.

Information Technology Training:
Train IS staff on the technicalities and proper support of the information system. This includes backup and recovery, patch installation, and trouble shooting.

HIPAA Transaction & Code Set Development:
Working with the agency, develop, test, and implement HIPAA transaction and code sets for electronic billing. We can train and assist agency staff to develop the transactions, or BIS can develop all specifications for the agency.

Implementation Support:
Manage or assist with system implementation. Includes project management, definition of system components, staff training, and data conversion.

Process and Procedure Review:
Review existing processes and procedures, both system related and manual, for efficiency and effectiveness. Document and discuss recommendations for improvements. Assist in implementing improvements, both manual and through system enhancements.

State Reporting Development:
Develop, test, and implement state reporting requirements. Interact with vendor to assure any state specific development is complete and accurate.

IS support:
Provide IS software support on an on-going basis. Be available for on-site or off-site assistance for IS and other agency staff.

Application Service Provider:
Host software for agencies who do not wish to purchase and maintain hardware inhouse.