PROCESS CENTERED FINANCIAL INFORMATION MANAGEMENT
The Financial Information Management System is a process-centered application that supports the operational and financial management needs of healthcare professionals. It streamlines billing and collections while establishing a comprehensive, flexible and accessible data resource for planning and decision-making.
Healthcare Billing
The software seamlessly creates charges based on pre-defined orders and then transfers these along with required clinical data for claims generation. In addition, patient financial records can be automatically routed to appropriate staff at various stages of the billing cycle. The following are some of the features and benefits:
- Hardcopy or electronic UB-92 and HCFA 1500
- HIPAA and Medicare compliant
- User maintainable fee schedules, code tables and claims formats, extensive user-defined default values throughout the system
- Optional calendar-oriented charge capture
- Online check-box approval of charges
- Multi-level date sensitive service master for facility, insurance and plan pricing and coding (e.g., HCPCS/modifiers) over different periods
- User defined payer specific billing cycles
- Automatic separation of billable and non-billable items
- Date sensitive service specific authorizations
- Unlimited number of insurance carriers at the same or successive payer levels
- Claims preview with wizard tool accommodates simple changes instantly without reprocessing
- Payer reclassification automatically handles all related accounting entries
- Rebilling with automatic reversal of original claim
- User-defined coding scheme and accounting structure for reporting of revenue, write-offs, adjustments and payments
- Cash can be automatically applied based on user defined tolerance parameters
- Unique tree-structured patient ledger simplifies account maintenance
- Successive payers, patient and guarantor can be automatically billed per user defined collection rules
- Comprehensive aging report package with user-defined aging categories, service or posting date methodology
Information Capture
A wide scope of pertinent clinical as well as financial information is maintained in the database. Claims images can be retained for long-term documentation.
Easy Access
Functions are selected with graphical user interfaces and record selection is enabled by global search criteria and context sensitive multi-tier browsers. User-friendly reporting tools allow presentation of detail and summary information for individual patients or relevant populations.
Continuum of Care
The system can be utilized across different clinical areas by virtue of its multi-facility and multi-specialty architecture.
Outcomes Management
Analysis of interrelationships between clinical and financial outcomes is possible with integrated use of Healthcare Billing.
