Our Accounts Receivable module incorporates advanced features
specific to long-term care and other healthcare organizations.
the programs are designed with features to ensure that invoice
and claims submissions are conforming to the complex rules and regulations of third-party
healthcare billing. Specific features are incorporated to monitor
and track the receivables so bills are not lost due to the long delays common
to the Intermediaries and insurance companies processing the claims.
Remittances and Cash Receipts
Multiple methods are available for processing electronic remittances
and cash receipts. Remittances can be posted directly for transmissions
received in 4010/835 (HIPAA) format. When electronic remittances
are unavailable (receiving paper remittances), billing files
can be saved with an option for creates a Cash Receipts batch for posting.
Bills to this file are edited exceptions as indicated on the remittance
and the corrected batch posted to the Accounts Receivable.
Custom Statements and Collection Notices
Print custom defined statements and collection notices with bills
to improve collections. Statements can incorporate Credit Card
authorizations allowing guarantors to pay by credit card. Tear-off
slips can be used by the clients to remit their checks with
data such as bar coded account information included on the tear-off strip. The strips
can be used to scan the cash receipt into the system.
A detailed history is maintained of each transaction on each resident
account. Track residents across episodes and monitor their account balances
for each stay or consolidate the account to provide a complete picture
of all invoices, charges, allowances, write offs, payments and contractual
allowance activity in their account.
Extended Aging Reports for Healthcare
The our basic aging report provides additional aging columns of 30, 60,
90, 120, 180, 270, 1 year, 2 years and unbilled. The prolonged
collection period and the
intermediary rules of denying claims past 2 years necessitates
that third party and insurance claims are carefully tracked.
Aged Receivables Reports monitor residents' status and highlight problem
areas. Special reports analyze current sales and review sales trends. On-line
inquiries allow you to quickly review the receivables status for any resident.
Most Intermediaries will deny invoices aged past 2 years. Since most Medicaid
approvals have become very protracted, invoices may pend for long periods of
time. To keep invoices active, unpaid invoices can be automatic rebilled.
Automatically calculate finance charges on outstanding private balances. The
interest is posted to the Receivables and printed on the Private Invoice.