Patient Billing

Features Include:

• The Patient Billing system is integrated with Patient Registration, Pharmacy Management, Order Communications, Accounts Receivable, Medical Records, Quality/Utilization Management, Nursing, and Financial systems.
• All patients are maintained in a single file regardless of patient type or status; therefore, charges and payments may be applied to pre-admit patients just as they are for other patient types.
• Allows user to enter online tickler notes and messages to facilitate follow-up necessary to satisfy billing criteria.
• A worklist provides bill hold information for each biller’s accounts.
• Provides Medicare 72-hour report; allows combining visit charges for billing purposes.
• Provides for automatic rebilling after billing for late charges, coverage changes, etc.
• Produces all appropriate bill forms by patient type and financial class, including UB92s and 1500s.
• Insurance requirements set up by insurance plan to facilitate meeting requirements prior to bill being produced.
• Provides ability to automatically write off late charges by Payor/Insurance Company.
• Insurance plans per employer available for selection and update.
• Generates cycle and final bills as appropriate per patient type and financial class.
• Provides worklist of unbilled revenue being held by user-defined patient type/insurance requirements criteria.
• Charges are posted based on service date; posting, service and revenue dates are maintained at detail charge level.
• Revenue can be driven to the General Ledger based on patient type and financial class.
• All Payor Logs, a subsystem of Patient Billing, provides a process to track inpatient and outpatient reimbursement information by third-party payors.
• Facility-maintained charge master allows price update on an individual basis or by using a formula-driven process across a group of charges.
• Simplifies audit procedures through reconciliation reports that compare fields automatically during nightly billing process.
• Revenue is automatically reclassified retroactively when patient type changes.
• Revenue can be reclassified retroactively before and after billing for financial class changes.
• Provides Unbilled Revenue Report function to allow selection of reports by patient type and financial class, insurance.
• Produces many revenue reports during nightly billing process.