Accounts Receivable Wind Down

Billing and Collections

• Wind down longer and more complex A/R with UB-04 and HCFA-1500 re-billing.
• Manage collection workflows for both internal billing staff and multiple outsourced agencies.
• View full transaction history, editing and posting payments/adjustments manually or in-batch.
• Create zero-balance and credit-balance accounts to handle payment and adjustment errors.
• Produce memos and refund requests.
• Update insurance and demographics and attach scanned images (i.e., PDF, JPG, GIF) to A/R records.
• Refile 837 claims* and create an 837i or 837p from updated account information.
• Receive 835 ANSI remittance advice.
• Produce statements and on-demand letters. Use word processing mail merge to create letter series.
• Group accounts by guarantor to maximize collection efforts with consolidated statements.

*In conjunction with your clearinghouse.

Interfaces

• Predefined interfaces will continue to communicate with general ledger systems, bank lock boxes, collection agencies, letter/statement production firms, and other entities as required.
• Encrypted updates are transmitted to the hospital’s patient accounting and general ledger systems as well as to outside collection and bad debt agencies.
• Interfacing and posting directly into a hospital or third-party system is available.

Reports and Exports

On demand reporting can be utilized to generate reports/extracts, to query data as needed, or to generate standard reports – defined by a selection of tables and fields – that comply with government agency requirements.

• Daily Transaction Report
• Same-day Cash Posting Report
• Summary of Transactions (for posting to General Ledger)
• GL Reports
• Audit Reports
• Agency Reports

Administration

• Monitor audit logs.
• Customize user views by security level and data type.
• Utilize proprietary logic to link patients across different systems and guarantor levels.
• Safeguard Protected Health Information with multiple layers of HIPAA-compliant security.
• Release information from a visit or guarantor level with “confidentiality” watermarks.
• Integration to seamlessly access clinical records.