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  • How do I Redistribute Patient Payments? In instances where a copay was applied to a visit (e.g., $15) but was subsequently paid at 100% allowable by the payer, the system should allow us to un ...
    Posted Aug 31, 2018, 4:04 PM by Samantha Turner
  • How do I follow-up on my denied claims? When you're ready to follow-up on denied claims, there are a couple locations in the CollaborateMD application that will help you locate and manage the claims. 1.  In ...
    Posted Aug 11, 2018, 6:57 PM by Samantha Turner
  • What are Front-end and Back-end edits? Front-end Edits - Edits received via Clearinghouse reports. Whether they are Exclusions received by the Clearinghouse or rejections received by the payer, under the Payer Generated tabBack-end Edits ...
    Posted Jul 26, 2018, 1:12 PM by Samantha Turner
  • What is a Type 1 NPI and Type 2 NPI? Type 1 NPI - Healthcare Providers (ex: Physicians and Dentists)Type 2 NPI - Organizations (ex: Facilities, Hospitals, Home Health Agencies, Labs and DME suppliers).
    Posted Jul 24, 2018, 11:38 AM by Amanda Negron
  • Is CollaborateMD a Medicare approved software? Medicare does not directly approve individual medical billing software vendors or programs. However, Novitas, a Medicare Administrative Contractor, has identified the Clearinghouse utilized by CollaborateMD (Change Healthcare (formally RelayHealth), a ...
    Posted Jul 15, 2018, 4:15 PM by Samantha Turner
Showing posts 1 - 5 of 34. View more »


How do I Redistribute Patient Payments?

posted Aug 31, 2018, 4:03 PM by Samantha Turner   [ updated Aug 31, 2018, 4:04 PM ]

In instances where a copay was applied to a visit (e.g., $15) but was subsequently paid at 100% allowable by the payer, the system should allow us to un-apply the copay on the spot in order to post the full insurance payment. 

Currently, when using Electronic Remittance Advice (ERA), if a charge has any non-insurance payments (e.g, copay), it removes these and then applies the insurance payment in full. The system then checks if the charge has any remaining balance and if it does, it re-applies the insurance payment to the charge, until the charge balance hits zero or the non-insurance payment is deleted. 

If there's any remaining money from the non-insurance payment(s), a patient account credit is created to hold the extra money. In order to take advantage of the Allow automatic patient payment redistribution functionality, please ensure it's turned on by setting up your Payment Defaults in the Practice section. For more information on additional payment defaults click here.

How do I follow-up on my denied claims?

posted Aug 11, 2018, 6:57 PM by Samantha Turner   [ updated Aug 11, 2018, 6:57 PM ]

When you're ready to follow-up on denied claims, there are a couple locations in the CollaborateMD application that will help you locate and manage the claims. 

1.  In the Control section, you can use the Claim Tracking tab to follow-up on front and back-end edits. Use the filters on the left-hand panel of the screen to control this setting. 
  • Front-End Edits: Edits received via Clearinghouse Reports. Whether they are Exclusions received by the Clearinghouse or rejections received by the Payer under the Payer Generated tab.
    • Claims impacted by Front-End Edits may be corrected and resubmitted using CollaborateMD. 
Back-End Edits
    • Claims impacted by Back-End Edits must be discussed directly with the payer who denied the claim. Once the denial is addressed, the claim may be corrected and resubmitted. Visit the following Help Page to find tips related to Resubmitting Claims. 
Important: It is highly recommended marking claims as "Error Fixed" via the Control section to keep track of claims that were corrected. This will help you filter by claims that have been corrected or claims that haven't.

2. In the Reports section, you have two options:
  • Denials Report: The denials report only focuses on Back-End Edits. This report is really good because it focuses on details such as the denial reason and the patient. 
  • Clearinghouse Reports: These reports contain edits received by the Clearinghouse or Payer Electronically. These are the same edits that appear within Claim Tracking, Front-End Edits. 
Note: Please be aware that not all payers participate in submitting Clearinghouse Report. Some Payer Generated Reports found in Reports - Clearinghouse Reports are NOT always viewable in Claim Tracking. 

Review the following Help Page to learn more about the benefits related to Clearinghouse Reports:

What are Front-end and Back-end edits?

posted Jul 26, 2018, 1:11 PM by Samantha Turner   [ updated Jul 26, 2018, 1:12 PM ]

  • Front-end Edits - Edits received via Clearinghouse reports. Whether they are Exclusions received by the Clearinghouse or rejections received by the payer, under the Payer Generated tab
  • Back-end Edits - Edits received via the ERA (Electronic Remittance Advice) file. When an ERA is applied under the EOB Posting tab, within the Payment section, any Adjustment Reason Codes or Unapplied Codes associated to the claim will appear in Claim Control. 

What is a Type 1 NPI and Type 2 NPI?

posted Jul 24, 2018, 11:38 AM by Amanda Negron

Type 1 NPI - Healthcare Providers (ex: Physicians and Dentists)

Type 2 NPI - Organizations (ex: Facilities, Hospitals, Home Health Agencies, Labs and DME suppliers).

Is CollaborateMD a Medicare approved software?

posted Jul 11, 2018, 6:58 PM by Samantha Turner   [ updated Jul 15, 2018, 4:15 PM ]

Medicare does not directly approve individual medical billing software vendors or programs. However, Novitas, a Medicare Administrative Contractor, has identified the Clearinghouse utilized by CollaborateMD (Change Healthcare (formally RelayHealth), a McKesson division) as an EDI Approved Vendor. CollaborateMD can submit to all Medicare, Medicaid, BCBS, and almost all commercial Payers. Change Healthcare is an Electronic Healthcare Network Accreditation Commission (EHNAC) certified and processes over 12 billion clinical and financial transactions annually. 

Is CollaborateMD's data backed-up?

posted Jul 11, 2018, 6:57 PM by Samantha Turner   [ updated Jul 11, 2018, 6:58 PM ]

Yes! Data is backed up continuously (in real-time) to two different data center in two different states.

Is there a way for me to adjust font size in CollaborateMD?

posted Jul 11, 2018, 6:39 PM by Samantha Turner   [ updated Jul 11, 2018, 6:39 PM ]

At this time, there is not a way to adjust the font within CollaborateMD. However, you can adjust your screen resolution to increase the font.
  1. Right click on your Desktop screen
  2. Select Properties
  3. Click on Settings
  4. Increase the Screen Resolution setting
  5. Click Apply
  6. Click Save
Note: For Windows 7 users by right-clicking on your desktop the option to select from the drop-down menu would be "Screen Resolution".

Does CollaborateMD work on a netbook?

posted Jul 11, 2018, 6:08 PM by Samantha Turner   [ updated Jul 11, 2018, 6:08 PM ]

As long as the netbook meets the minimum requirements for CollaborateMD you should not have any problem downloading the program. 

The minimum requirements to have CollaborateMD running on a computer are as follows:

CPU: Pentium 4 Class or Better or AMD equivalent
RAM: 1GB
Resolution: 1024 x 768 or higher
Free Disk Space: 150MB
Operating System: Windows 2000, 2003, XP, Vista, or Windows 7
Internet Access: Minimum of High-Speed DSL or Broadband (business class recommended). Satellite ISP not supported.
Latency Test Average: < 100 ms.

Is there a way to save Batch Printed Statements to PDF?

posted Jul 11, 2018, 6:05 PM by Samantha Turner   [ updated Jul 11, 2018, 6:05 PM ]

Once your statements are pulled up in Batch Printing, select the Print button, for the dialog box to appear. From the print drop-down menu, select the PDF option to save.

If PDF is not an option, please contact your IT department to make it available for use. 

Does CollaborateMD support MIPS?

posted Jul 11, 2018, 4:37 PM by Samantha Turner   [ updated Jul 11, 2018, 4:41 PM ]

CollaborateMD is able to support the Merit-based Incentive Payment System (MIPS), however, the codes reported must be added to your CollaborateMD local code list. Please note that most users typically obtain their MIPS reporting metrics directly from the EHR/EMR. 

If you need specific CollaborateMD metrics for MIPS reporting on the CMS website, you may build a custom report with the specific MIPS information. 

You can learn more about our reports via the Report Help pages or contact CollaborateMD for assistance building a report. Click HERE to learn how to request a custom report through the service tab for a nominal fee.

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