Claims Entry

JSMB captures revenue through accurate claims entry so the clients get paid faster the first time. We enter charges quickly, check codes against payer reimbursement rules, and track every encounter from appointment to claim submission.

Fee Schedules:

  • The web-based software helps JSMB manage your fee-for-service billing by setting up standard fee schedules or insurance-specific contracts.

    Typically, the standard fee for each procedure code is entered along with the contractual allowed amount for insurance-specific contracts.

    However, as the charges are entered, the software will automatically determine the fee for each service based upon the patient's primary insurance policy or other billing situation

Charges and Codes:

  • The claims entry technology permits JSMB to capture charges using mobile devices, scanned documents, or good old-fashioned data entry.

    JSMB have streamlined the data claims entry process with various features. Ticket numbers printed on encounter forms to quickly transfer patient, insurance, provider, and date information from appointments.

    JSMB uses procedure macros, or exploding procedure codes, to quickly enter a collection of procedure and diagnosis codes for common patient visits. Set up billing defaults, such as providers and service location, to save time by eliminating repetitive data entry and use missed encounter reports to identify any visits with missing charges.

Scrub Claims and Check Codes:

  • The web-based medical technology helps JSMB to stay ahead of ever-changing coding standards and insurance reimbursement rules with powerful claim scrubbing technology that eliminates claim denials and rejections.

    JSMB performs a real-time code check integrated with every charge entry process, including CCI edit validation, ICD-9 and ICD-10 code validation, CPT codes and modifier validation, CPT code sequencing, and local and national coverage decision (LCD/NCD) validation.

    JSMB also has the access to a comprehensive knowledge-base of coding, compliance, and reimbursement rules, including federal register, Medicare bulletins, local coverage decisions, and other payer-specific reimbursement rules.

Track Encounters:

  • JSMB tracks the flow of encounters through each stage of the process, from data entry, submission, coding, approval, billing, and collection. It's like having FedEx-level tracking of encounters throughout our billing process.


Whether your front-office users capture co-pays upon checkout, JSMB posts co-pays, automatically apply co-pays to charges, and track and bill for missed co-pays concurrently with the insurance billing process.