Therap is Billing Agent for Developmental Disability Providers Submitting Claims to Delaware Medicaid Enterprise System DMES

By a News Reporter-Staff News Editor at Insurance Weekly News -- - Therap is currently working in Delaware with developmental disability providers to facilitate submission of Therap generated claims using the Delaware Medicaid Enterprise System (DMES). Delaware providers are able to configure their DMES portal so that Therap generated professional claims, sent to DMES, are recognized and processed.

Delaware provider agencies currently use Therap to meet various documentations needs, including demographics, person-centered individual support plans, care plans and more. The new configuration option will further streamline the documentation of service delivery and claims process for providers implementing Therap's billing software.

Therap's billing applications automatically export claims in the ANSI X12 837 format. Billing features integrate with the service outcome/goal tracking documentation features to provide excellent audit trails. Billing data can be generated using case notes, attendance data, manual entry, or service outcome/goal tracking documentation with a number of reports and through all steps of the claiming process such as Billable, Submitted, Paid, Rejected, or Denied. Therap also provides codes that link service line items to an external accounting system and general ledger.

Therap's electronic claim generation process meets the HIPAA HYPERLINK "https://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/ICD10/11a_Version_5010.asp" nVersion 5010 standard for electronic claim transactions. Its billing applications allows for daily, weekly and monthly unit capture for billable services with rounding algorithms that calculate an array of time increments. Therap's billable service tracking modules record services from the point of delivery. The attendance information of individuals receiving a specific type of service is recorded and used to generate billable 837 claims. Services may range from hourly to daily and are predefined for the individual receiving services.

Keywords for this news article include: Therap, Medicaid, Epidemiology, Health Policy, Developmental Disabilities.

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