Compare The Myka Lynn Service Offerings
Early Intervention Electronic Billing Features Comparison
Published: February 25, 2006
At The Myka Lynn Corporation, we believe that software should provide you with
choices that let you find the solution best tailored to your
business’ needs. To that end, we have created the Myka Lynn Early
Intervention Billing System (EIEBS) product family to better meet the needs of
First Steps Providers and Agencies.
The EIEBS system is designed to augment and work with the EDS
provided webInterchange system to provide a simple and seamless
Billing System that will help our clients efficiently manage their
First Steps business. The EIEBS system is offered to
clients bundled in a choice of two program subscriptions; User
Administered and Billing Assistant. The User Administered
version of the EIEBS systems places in the hands of the user all the
tools needed to enables them the ability to process all the tasks
related to the management of, the billing of and the collection of
First Steps Claims.
The Billing Assistant Subscription (BAS) provides clients the
ultimate in business service. Client that enroll in the BAS
program delegate the billing process to the Myka Lynn staff of
billing specialists. Myka Lynn employees handle all facets of
the billing process including locating and downloading
authorizations, entering claims, maintaining the client database,
submitting claims, applying payments, identifying denials and
tracking Accounts Receivable. Clients receive weekly reports
on the status of their billing and receivables. Myka Lynn
staff works with the client to track and recover any denials.
Weekly time sheets are emailed to the client providing a simple time
recording system that is returned to Myka Lynn for processing.
Why not join the legions of companies that realize administrative
savings and improved efficiency by outsourcing key functions to the
experts in the field.
Note: The EDS Corporation has been extremely helpful to
the Myka Lynn staff and the webInterchange tool is an excellent tool
for submitting single claims to EDS for payment. The Myka Lynn
system is for those that want to extend their capabilities, reduce
their weekly time investment and gather management information from
their billing process. These are not competing products.
Myka Lynn is a billing management system designed to enhance the
abilities provided by webInterchange. Any comparisons below
are not meant to be negative comments on EDS or webInterchange.
They are intended to demonstrate the enhancements and additional
features provided by the Myka Lynn corporation.
Chart Notes: In the following table, the "Comments" column
provides comments on the specified feature. Numbers next to check
marks indicate footnotes that appear at the bottom of the page.
|
Claim Entry
|
Single Claim Entry.
New: Enter all 22 fields from Scratch for First Line Item
for each Client.
Enter 10 Fields for next line item.
Copy: Find Claim, Copy, Change minimum of 5 Fields, Post.
|
Batch Claim Entry.
Click and Go Billing.
Click Child, Enter Date, Post. That is it! |
Time Sheet Submission |
WebInterchange claims are posted one
at a time with no chance for batch review.
TMLC claims are entered and batched for review before
submission. Entry is simple and quick. |
|
Validation
|
Fields are validated for required
entry and valid format. Fields are not validated
against authorizations on file. |
All data is driven by authorizations,
no chance for billing invalid code, child or provider.
Validation is complete and appropriate to the authorization. |
TMLC Responsibility |
Reduction of Denials is a key result
of using the Myka Lynn System. One claim recovered per
provider per month pays for the system and saves the client
hard dollars on top of the tremendous time savings. |
|
Reporting
|
No Summary or Report Totals on any
Page. Search results page by page, no continues lists. |
Exhaustive Reporting for all levels of
management and auditing. Extensive criteria selection
allowing fo custom reports. Create PDF files for
saving and printing. |
All Reporting available to BAS Clients |
 This
is where the Myka Lynn system shines. Clients use the
management reporting to stay on top of their First Steps
business, this is not a function of webInterchange. |
|
Accounts Receivable
|
Claim Inquiry Only |
All claim history retained for minimum
of 7 years. Automatic application of Payment Advice
from EDS provided HIPAA 835 File. |
TMLC Responsibility to apply payments.
Client Responsibility to work with TMLC to recover Denials. |
EDS Provide HIPAA 835 files for all
providers. Provider must have compatible software such
as TMLC to read and process the electronic payment advice. |
|
Notification
|
No Notification of New Authorizations |
New Authorizations are Downloaded by
Myka Lynn from EDS daily and are electronically import into
your Myka Lynn database.
New clients
automatically added to TMLC database. |
TMLC Responsibility |
EDS and Covansys Provide HIPAA 278 files for all
providers.
Provider must have compatible software, such
as TMLC, to read and process the electronic authorization
File. |
|
Search
|
User must know provider number and
member number to search for any authorization. |
Search by Auth Number, Client or
Provider. Authorization reports provide "soon to
expire" tracking as well as case load reporting. |
TMLC Responsibility |
TMLC Takes the lead in data
flexibility. Finding and printing the data you need is
a key feature of the Myka Lynn system for even the novice
computer user. |
|
Effect On Claim Entry
|
User must search first to be sure
authorization is active and confirm codes that are available
and units available. |
TMLC Entry knows what dates and codes
are valid and does not allow entry outside of what is
authorized. |
TMLC Respnsibility |
|
|
Entry
|
Enter and Post one claim at a time.
New Claims Require up to 22 Fields of Entry.
Validation is Generic.
Copy Previous Claim Requires minimum many clicks including Find Claim, Open
Claim, Copy Claim and Change Minimum of 5 fields for one
line item. |
"Click and Go" Billing.
Click Client, Enter Date, Review Defaults, Post.
That
is It. |
TMLC Responsibility |
Tests have shown a reduction in 75% to
80% of billing time from manual claim filing to Myka Lynn
Filing. WebInterchange is new. Early results
indicate savings are similar or greater. |
|
Edit / Review
|
Once a claim is posted it is in the
hopper for processing in approximately two hours.
There are no batch totals, no repots of claims submitted and
no way to search for submitted claims before they are
processed. |
Claims can be edited up to the time
they are transmitted.
Batch
totals are provided by provider/practitioner.
Once
submitted, claims can be located by many different search
criteria. |
TMLC Responsibility |
The ability to batch claims and
control the processing is a key advantage for Myka Lynn
users. |
|
Web Site Performance
|
Users are subject to a the load caused
by a large user base which includes First Steps and Regular
Medicaid Users. |
TMLC Users are competing against a
controllable number of other users. Additional
capacity can and will be added to insure response
time. |
Not Applicable |
TMLC has recently invested heavily in performance
improvements and this has resulted in reporting speeds that
are near instant. |
|
Printing Claims
|
Users must print claims one at a time
as they are entered. No totals or summaries are
provided. |
TMLC users can print a batch edit at
any time which lists all claims to be transmitted sorted by
provider and client. This can be used to compare
against entry documents to insure complete entry.
After submitting users can run reports on literally hundreds
of selection criteria. Agency users can report on
claims by provider for any period. |
TMLC will send via .pdf file a weekly
report of new billing and outstanding claims.
User have access to the system to run additional reports at
any time. |
Reporting is the life blood of the TMLC system. The
system helps track your A/R and helps manage the EI process.
See below for a complete list of reports. |
|
Validation
|
Very little data is validated at point
of entry. It is possible to bill against un-authorized
services. |
Click and Go entry validates all data.
It is not possible to submit a claim that is not validated
against the authorization for date of service, cpt code,
rate and provider. Denials are nearly eliminated. |
TMLC Responsibility. |
Validation and improved claim acceptance are critical in
managing an EI program. TMLC users spend less time
chasing claim denials because all data is validated before
entry. |
|
Confirmation
|
Covansys: ? EDS
prepares and makes available a 997 Confirmation file as well
as a 937.RPT file to verify receipt of claims. |
TMLC users must verify their batch
files are submitted.
Covansys: ? EDS prepares and
makes available a 997 Confirmation file as well as a 937.RPT
file to verify receipt of claims. |
TMLC Responsibility. |
Validation and improved claim acceptance are critical in
managing an EI program. TMLC users spend less time
chasing claim denials because all data is validated before
entry. |
|
Reconciliation
|
Paper Remittance Advice arrives once a
week.
Manually check off payment against
manually maintained billing records.
|
Download Electronic Payment advice
before you receive the check!
Import to TMLC and post with click of
the mouse. All payments and denials (few) are
electronically applied.
Run new A/R report, no manual entry or
tracking.
|
TMLC Responsibility |
Simple, fast and time savings.
Myka Lynn allows you to manage your EI
program without being a slave to a keyboard. |
|
On Demand Printing
Research
|
EDS: Users can search for claims
online and retrieve a list of claims. Claims are
broken into pages and no totals are provided. No
printing function if provided.
. |
User can run reports for over 100
criteria combinations. Reports include:
-
Batch Edit
-
Batch Summary
-
Client List
-
Provider List
-
Authorization List
-
Age Out Report
-
Expiring Authorization Report
-
Case Load Report
-
Child Services
-
Services by Provider
-
Services by Client
-
Services by Date Paid
-
Services by Date Submitted
-
Services by Date of Service
-
Open Only
-
Paid Only
-
Written Off
-
A/R
-
Regional Reports, City, County
-
Ethnicity Reporting
|
Users can access the system and run
any report or can request a report via email. |
Managing your EI organization is the
key to the EIEBS system. Myka Lynn provides far more
than a way to submit claims.
Myka Lynn
allows you to use your data to manage your EI Program in
whatever manner you may need. |
|
Costs
|
On Line Claims Submission is Free.
ADD:
-
Cost to take the time to enter
claims one at a time.
-
Cost spent looking for
authorizations, insuring coding is correct, tracking
down denials
-
Cost to maintain separate
management system, hand monitor all aspects of claims
processing, etc.
|
The EIEBS system is a subscriptions
and your fee can be calculated on the fee calculation page.
SAVINGS:
-
Significant time saved in
preparing and submitting billing
-
Significant time saved in tracking
payment
-
Tools provided to allow you
improved management of your EI program
|
The EIEBS system is a subscriptions
and your fee can be calculated on the fee calculation page.
SAVINGS:
-
Significant time saved in
preparing and submitting billing, we do all the work
-
Significant time saved in tracking
payment, TMLC does this also
-
Tools provided to allow you
improved management of your EI program
|
Time is money is an old saying is
still very appropriate.
Your time is valuable, why use it billing when it could be
used producing revenue or avoiding costs or improving your
business. The TMLC system will save your agency or your independent
practice money from the first month you use it. |
|
Bottom Line
|
Time Intensive
No Reporting
Little Validation
One by One Entry
No Fee - Costs lots of time and effort with little return |
Save Time
Limitless Reporting
Tight Validation
Batch Submissions
Fee is recovered immediately in saved time and improved
management tools |
Save Time
Limitless Reporting
Tight Validation
Batch Submissions
Fee is recovered immediately in saved time and improved
management tools |
The Myka Lynn System is a proven time saver.
TMLC saves you money. |
|
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