Pricing & Billing Policies for your Medi-EHR Account
General Terms
Billing Frequency and Methods
| FHIR Base URL |
|---|
| https://sandbox-r4.interopengine.com/fhir/r4/medi-ehr |
Adding or Removing Providers. New (activated) Providers will be charged on a pro-rata monthly basis, but removed (deactivated) Providers are charged for the last full month in advance.
Provider means any provider of billable medical services to patients who is an employee, customer, or has an employment, contractor, or agent relationship with a Customer, for which the Service organizes information and provides clinical, billing, marketing, and managed billing services.
Physician Provider means an individual Provider that is authorized to directly bill Medicare or commercial insurance companies for professional healthcare services rendered to patients, and holds a degree of, including but not limited to, DDS, DO, DMD, DPM, MD, ND, NMD, or OD.
Therapist means any physical therapists (PT), occupational therapists (OT), speech language pathologists (SLP), marriage and family therapists (MFT), social worker (LCSW, MSW), psychologists.
Non-Physician Provider means any individual Provider other than a Physician Provider or Therapist. This includes, but is not limited to, acupuncturists, audiologists, chiropractors, mid-wives, nurse practitioners, physician assistants or registered dieticians.
Facility Provider means an organization, facility, or lab that is authorized to directly bill Medicare or commercial insurance companies for institutional healthcare services rendered to patients.
Fees: All fees charged by Medi-EHR are described in Medi-EHR’s Pricing Policy page and are determined by the subscription level selected and specific provider characteristics (example, Physician or Non-Physician Provider, full-time or part-time, or specialty). All prices may change with 30 days electronic notice. You are responsible for keeping your email address updated with Medi-EHR. Mailing fees (example, for mailings like paper insurance claims or paper patient statements) may be increased at any time to reflect a change in the USPS postage or processing costs.
Billing & Other Terms
Account Changes: Medi-EHR bills on a calendar month basis starting on the 1st of the month. Except for account cancelations or terminations which are covered under the Medi-EHR Terms of Service, changes must be made by the last day of each month in order for the changes to be reflected on your next invoice.
No Refunds/Credits: All fees are nonrefundable and non-cancellable. Medi-EHR does not refund or credit subscription fees for partial months, or any portion of a prepaid plan upon a deactivation of a Provider or account cancellation. Customer is responsible for all fees (including any monthly minimum) for the entire term of the applicable order or subscription agreement.
Practices: Must have at least one active Provider within a Practice for the Practice to remain active.
Minimum Fee: There is a minimum monthly fee of $150 for any account that has not activated a Provider. When a Provider is activated, subscription fees will be charged accordingly.
Excess Claims by Facility Provider: Medi-EHR may modify the monthly fee after 30 days’ notice if Customer exceeds 500 claims per month for any Facility Provider.
Medi-EHR Platform: Price is for the three module bundle of Medi-EHR Clinical, Medi-EHR Billing and Medi-EHR Engage only. If one or more modules are cancelled at any time, remaining modules revert to full price.
Multi-Practice Provider: Providers activated within multiple practices within a single Medi-EHR account will be charged one subscription fee, subject to the Provider using and correctly inputting the same name, NPI, and other user information in connection with all relevant practices.
Customer Support Plans & Fees
Phone, Email and Live Chat Support
All subscription levels include unlimited access to customer support by email, live chat and phone.
Assisted Enrollment Service
Assisted enrollment services include clearinghouse sign-up and setup of electronic services with insurance companies.
Unlimited number of payers on your initial enrollment. Subsequent payers are not included.
Assisted enrollments are included for all customers without additional fees.
Electronic Clearinghouse Services & Fees
Electronic Claims Submission (ANSI 837)
Electronic claims submission service includes sending electronic claims in the ANSI 837 format to Medi-EHR’s Clearinghouse.
$0.99 per electronic claim, per provider, per month for Low-Volume subscription plans beginning after the first 50 claims. No charge for other subscription levels.
Electronic Remittance Advice (ANSI 835)
Electronic remittance advice service includes receiving electronic remittance advice messages from Medi-EHR’s Clearinghouse in the ANSI 835 format.
No charge for all subscription levels.
Electronic Real-Time Insurance Eligibility Services (ANSI 270/271)
Electronic real-time insurance eligibility services include performing electronic verification of insurance benefits from Medi-EHR’s Clearinghouse in the ANSI 270/271 format.
No charge for all subscription levels.
Termination of Remittance Services: In the event that Customer desires to discontinue electronic remittance services, then Customer must contact the insurance companies directly to request termination.
Paper Claims Mailing Services:
Jopari (Workers Compensation and Auto Only) Paper Claims Mailing Services
$0.90 for the first page, postage is included.
$0.20 for each additional page.
No fee for printing of paper claims to your own printer from Medi-EHR.
Non-Jopari Clearinghouse Paper Claims Mailing Services
$0.68 per paper claim printed and mailed, postage is included.
No fee for printing paper claims to your own printer from Medi-EHR.
Patient Payment Credit Card Services
In three minutes or less, you can set up a Stripe merchant account and patient payments can be collected with a credit card in Medi-EHR Billing (Practice Management) and then will be deposited directly in your bank account.
Pricing
Method Per Transaction Fee
Credit Card Flat Rate 2.75% + $0.30
Patient Statement Mailing Service Fees
Sending batches of patient statements to Medi-EHR-affiliated processor for printing and mailing (postage is included).
First Page: $0.77/statement.
Additional Pages: $0.12/page.
Undeliverable Mail: Statements rejected by the USPS as undeliverable are charged at the normal rate. A report with each reject and an explanation of the error will be provided so that address can be updated for future mailings.
No fee for printing of patient statements to your own printer from Medi-EHR.
Data Storage
Monthly Allowance: For customers on Standard, PT/OT/SLP, and Billing Company subscription plans, each account is provided 250 gigabytes of data storage per Provider within the Practice. Any data storage that exceeds the amount provided will be billed at $0.15 per gigabyte monthly. For customers on other subscription plans, please click here for data storage fees.
Data Import & Migration Fees
Data Import
Data import is available for the following areas: Patient Demographics, Appointments, Patient Case (Insurance Policy), Payer List, Provider List, Service Locations, Patient Balances Forward, Scanned Documents (Clinical and Non-Clinical), Fee Schedule, and Care Summary Document (C-CDA).
Fees for data imports are determined based on the data sets requested and volume of the specific import and are quoted through by Medi-EHR’s data services team.
Data Migration
Moving practice data from a multi-practice account (e.g. a billing company) into a newly created customer account.
May include all of the data within the practice, including but not limited to, patients, appointments, encounters, claims, payments, documents, settings, and clinical data.
Permission: Requires written permission from the company administrator whose account the data originates.
Fees for data migration are determined based on the details for the specific migration and are quoted through by Medi-EHR’s data services team.
What types of files can we accept data in?
| Data Set | Format |
|---|---|
| Demographics | XLS, CSV |
| Insurance Companies, Plans, and Policy Info | XLS, CSV |
| Referring Providers | XLS, CSV |
| Service Locations | XLS, CSV |
| Fee Schedules | XLS, CSV |
| Fee Schedules | XLS, CSV |
| Appointments | XLS, CSV |
| Providers | XLS, CSV |
| Balance Forward | XLS, CSV |
| Fee Schedules | XLS, CSV |
| Journal Notes | XLS, CSV |
| Scanned Documents | PDF, doc, docx, gif, jpg, jpeg, html, png rtf, tif, txt |
| Clinical Document CCDA Discrete | XML |
Electronic Prescribing of Controlled Substances using Medi-EHR EHR
Medi-EHR charges a one-time application fee for e-prescribing of controlled substances of $75.00.