Specialty Systems

MEDS

Medicaid Electronic Data System

Specialty Systems, Inc.’s Medicaid Electronic Data System (MEDS) provides a complete turnkey solution for the administration and billing of State of New Jersey Medicaid transactions in a certified HIPAA compliant Health Care Claim Professional 837 Medicaid Standard EDI format. The system provides a means to set up all required codes, provider identification numbers, and client information that is required for the successful creation, transmission, and tracking of the HIPAA compliant Medicaid billing transactions.

As a complete turnkey solution, MEDS provides the ability to perform the following functions:

-Maintain All Required Billing Transaction Codes

Billing Categories
Diagnostic Codes
Procedure Codes
Medicare Assignment Codes
Patient Signature Codes
Place of Service Codes
Release of Information Codes
Types of Service Codes

-Maintain Client and Case Worker/Supervisor Information

-Billing Transmittal

Selectable Billing Cycles – Weekly, Monthly, Quarterly
Creation of the Professional 837 Medicaid billing file for user-invoked transfer to Unisys
Client Billing Status Update Process
Billing Audit Reports

-Reports

Client Information Report
Billing Information Report
Case Manager Claim Form Report
Case Manager Visit Report
Employee/Case Worker Information Report

MEDS is a web-base, menu driven software application. The only software required on the user’s PC is the Microsoft Internet Explorer browser (see System Requirements) and an Oracle Java browser plug-in, which is downloaded to the user’s PC the first time they access MEDS.

System Requirements

The MEDS software application is a web-based application. The software requires two servers a database server to house the Oracle Database Server software and the MEDS data and an application server to house the Oracle Application Server software and the MEDS programs. Client PCs can access the MEDS application over a local area network or wide area network/Internet connection.

Client PC - Any PC capable of running Microsoft Internet Explorer 5.5 or greater and Adobe Acrobat Reader 5.0 or higher.

Database Server

Processor - Pentium III Xeon 1.8 GHZ, 512k Cache
Memory - GB Main Memory
Disk - Five 18GB Drives (Op Sys Drive Mirrored, 3 Data Drives RAIDed)
Operating System - Windows 2003 Server

Web Application Server

Processor - Pentium III Xeon 1.8 GHZ, 512k Cache
Memory - 2GB Main Memory
Disk - Three 18GB Drives (3 Drives RAIDed)
Operating System - Windows 2003 Server