Thirty activities a day in tenth-of-an-hour units — W3220 for the notes you reviewed, W3235 for the progress report, W3020 for the assessment interview. You type each one once, as it happens. The daily log, the weekly tracking logs, the claim forms and the receivables build themselves from it.
7:13 a.m. — you reviewed the employment specialist’s notes. Six minutes, one code. Tonight that entry goes into the daily log. Sunday it goes into the weekly tracking log. Then onto the claim form, line by line, six lines to a page. Then into the spreadsheet that tracks whether anyone paid it. Four copies of the same six minutes.
Nobody ever built software for this job, so the job got done in Excel, Word and a PDF form-filler — and the retyping became the profession. That is the part we deleted.
Five steps, Monday to the check. Everything after step one is something you review rather than something you type.
Client, code, minutes, note. The rate, the claim number, the payer, the level suffix and the billing week fill themselves. Your daily Excel file saves itself as you go. The daily grid →
The weekly tracking log per client, in your Word template. The claim forms with the right payer header, the right units, automatic overflow onto B and C forms. Filed into your folders, named your way. Tracking logs → CMS-1500 →
Check & fix errors runs the week first and itemises anything it corrected. Then the packet faxes from your own account with a cover sheet, and the confirmation files itself into the client’s folder. That confirmation is your timely-filing evidence. Sending with proof →
One MCO check covers a dozen claimants. Tick the bills it pays; overpayment is blocked and every dollar ties back to the form it paid. Anything short is flagged with the exact gap and the original form attached. Accounts receivable → Short-pay recovery →
Worked, billed, paid and still owed — kept strictly apart so nothing double-counts — by client, payer and code, with an aging list that names who is sitting on your money. Reports & aging →
No feature here without a task you already do by hand. Follow any card for the detail — the arithmetic, the screenshots and the edge cases live on the feature pages.
A grid that types like your own spreadsheet — same columns, same gridlines, same keyboard flow, right-click and column resizing included. The client fills the claim number and the payer; the code fills the current rate; the charge calculates live in 0.1-unit increments and the day totals as you go.
Your real daily .xlsx writes itself while you type — your template, your column order, your live formulas. Edit a row by hand in Excel and the app reads that change back. The file and the screen never disagree, so nothing you already rely on breaks.
The narrative log your payer expects behind the bill — grouped by date, in your Word template, in your wording — generated per client per week and filed into that client’s folder under your naming convention. One click, ten clients.
Six service lines fit on a CMS-1500. Line seven starts a B form on its own, line thirteen a C form. Correct unit math (0.1 becomes “1”, 23 miles stays 23), the right level suffix, the right payer header — and a receivable row per form, because that is how checks come back.
Mark a week billed and its forms become tracked receivables in the same columns your Bill Tracker already uses. Record one payer check and allocate it across many claimants in one screen. Overpayment is blocked; every dollar ties to the form it paid.
Post the EOB against the bills it pays. Payer reason codes are read and carried through — informational codes noted, real adjustments applied — so what the payer says and what you are owed line up line by line instead of at 11 p.m. on a Sunday.
Billed $73.71, check says $57.57? The $16.14 gap is flagged the moment you record the payment, with the original form preserved, the balance computed and the rebill packet assembled. Underpayments stop slipping through quarter after quarter.
Work performed, billed, paid and still owed — kept strictly separate so nothing double-counts. Broken down by client, payer, case type and code, with aging buckets that name who is sitting on your money and for how long.
Fax the finished packet from your own fax account with a cover sheet, and the confirmation files itself into the client folder as your timely-filing evidence. Direct e-billing for the mandate states is on the roadmap — we will tell you when it ships, not before.
A new client gets the full folder set created the way you already name them. Documents land inside your existing structure. Nothing is renamed or moved without your say-so, and every generated file opens in Word, Excel or a PDF reader with or without us.
No proprietary file format sits between you and your work. The daily log is a real workbook, the tracking log is a real .docx, the claim form is a real PDF, and every report exports to a spreadsheet your bookkeeper can open. Your fax goes through your own account.
Claims, notes and documents live in a database on your own computer, backed up automatically on every launch. Our server holds your licence and nothing else. Cancel and the software goes read-only — you keep viewing and exporting everything, indefinitely.
The risk with automation is not that it fails loudly. It is that the daily log says one thing, the Word log says another, the CMS-1500 totals a third, and nobody notices until an audit.
So the app checks itself. It walks every client-week and compares the daily entries against the filed Word log, the generated claim forms and the receivable. When they agree it says so. When they do not, it itemises the difference and offers to fix it — and tells you exactly what it changed.
“Checked 10 client-weeks across 1 week — your daily log, Word notes, CMS totals and AR all agree.” That line is on the home screen because a week that reconciles is the actual product.
A service bills. It does not write the weekly narrative log, it does not watch your authorization burn-down, and it does not live in your client folders. You still do the documentation — and you pay a percentage on top of it.
Med Claims Pro is a flat monthly subscription with no contract: Solo $199, Professional $299, Practice $499 ($159 / $249 / $415 billed annually). Fourteen-day trial, no card. Sixty-day money-back guarantee. Full pricing →
Fifteen minutes, your state’s codes on screen — bring one real week and watch it import. Or call and ask; a person answers: 1-877-843-1717.
No. The grid works the way your spreadsheet works, the daily log is your own workbook, the tracking log is your own Word template, and documents land in the folders you already use with the names you already use. Onboarding configures your templates, folders, payers and state codes in the first week, and it is included in every plan.
Bring them. Import reads your existing daily logs, Bill Trackers and client folders and adopts the clients it finds, including their claim numbers and payers. It is read-only against your files — nothing is renamed or moved unless you say so.
No. Claims, notes, activities and documents live in a local database on your computer and in your own folders. Our server stores your account and your licence — that is the complete list. How the architecture works.
Yes. The CMS-1500 holds six; line seven starts a B form automatically and line thirteen a C form, each a complete claim form with its own total charge and its own receivable row. Try the free line splitter.
Not yet. Today it is fax with a filed confirmation, portal-assisted and paper — which is what most states still run on. Direct e-billing for the mandate states is on the roadmap. We will not tell you it exists before it does.
The week is the same everywhere: timed activities, a narrative report the payer expects behind the bill, a claim form or invoice, and money to chase. The codes, forms and payers are configured for your state during onboarding. Invoice-based nurse case manager billing works in all fifty states today. Find your state.
Solo $199/mo ($159 billed annually), Professional $299/mo ($249 annually), Practice $499/mo ($415 annually); extra users $79 on Professional and $59 on Practice. Fourteen-day trial, no card, no contract. Cancel and the software goes read-only: you keep viewing and exporting everything, in your formats, indefinitely. Sixty-day money-back guarantee. Pricing.
Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.