Registration, Preadmission, Census : within Management Systems

• Access patients by name, medical record number, birth date, social security number, religion code, attending physician, nursing station, room number, etc.
• Automated facesheet and other registration form production.
• All registration screens tailored to meet the needs of the department.
• Bed assignment and open bed search capability.
• Insurance verification tracking.
• Demographic record includes organizational defined fields.
• Account number identifies episode of care.
• Electronic insurance verification capability.
• Agreement and consent form production.
• Insurance history file provides ability to define all types of coverages for the length of stay.

• Today's admissions, preadmissions, discharges, transfers, voids, and reverse discharges.

Medical Records : within Management Systems

• Maintains the ICD9 diagnosis/procedure code file which includes ICD9 diagnosis codes and descriptions, as well as edit codes which describe what diagnosis can be used for (primary, secondary, vague, sex, age).
• HCPC/CPT4 entry.
• Automatically initiates chart at time of admission.
• Inquiry capability to all patient registration files with in-house patient lookup including patient demographic information, billing status, and all charge/payment detail.
• Master Patient Index.

• Chart deficiency identifies responsibilities for completing chart and current status.
• Allows for maintenance of physician file including physician's code number, name, and address; primary, secondary, and tertiary services; physician's phone number, educational data, and certifications.

• Chart tracking identifies chart location.
• Mass sign-in/out capabilities.

• APC Grouper.
• Chart Deficiency.
• Chart Tracking.
• DRG Case Mix Analysis.
• DRG Grouper.
• Utilization Review.

Billing / Receivables : within Management Systems

• Accounts can be accessed by name, account number, medical record number, guarantor number, social security number, or bill tracking number.
• HCS Software Maintenance complies with all federal, state, and local regulations.
• Complete reporting capability.
• Guarantor number access shows all open accounts.
• Medical record number access shows all open accounts.
• Summary screen includes patient demographic, guarantor, insurance, medical record, and billing information including original date bill was cut, last statement, and payment dates.
• Insurance information specific to payor/plan stored in master files and includes all coverage information needed to prorate account.
• Ability to input and maintain negotiation agreements, Medicare interview, and customer service inquiries on-line
• On-line maintenance of insurance master files including write-off criteria, payment discounts, and proration and contract information.
• Denial tracking.

• Automatic adjustments to revenue statistics due to service, financial class, or insurance changes.
• Electronic billing capabilities.
• On-line and demand UB04, CMS 1500, and patient detail bill.
• Ability to maintain series or clinic accounts including cycle or invoice billing.
• Automatic rebill according to time frames specific to carrier.

• User defined dunning cycle by payor.
• Demand letter generation capability.
• Generates collection letters automatically.
• Organization defined automatic small/credit balance write-off capability.
• Agreement accounts are available and automatically monitored.

• Provides on-line electronic insurance verification and eligibility checking.

• Contract Billing.
• Credit and Collections.
• Electronic Billing/Remittance.
• Guarantor Billing.
• Long-Term Care Billing.
• Outpatient Billing.
• Rehabilitation Billing.
• In-House Credit Bureau.

• Upon receiving insurance payment and/or decline, mailers are automatically generated.
• Upon receiving insurance decline, account is automatically transfered to patient pay or secondary payor, and is rebilled accordingly.

Executive Information Systems : within Management Systems

• Full integration with all INTERACTANT Modules.
• Multi-divisional reporting capabilities.
• Easy access to information for decision making purposes.
• Consists of a series of tools which allow the user to access key indicators within the organization in a variety of formats, including graphics.
• Accounts receivable management.
• Medical record drill-down capability for clinical reporting.
• Departmental expenses.
• Procedure diagnosis monitoring.
• Ability to import data to popular PC programs such as MS Excel, MS Access, and Crystal Reports.

• Access to relational database elements featuring data descriptions.

Contract Management : within Management Systems

• Ability to accommodate multiple types of managed care contracts.
• Ability to evaluate the value of a proposed contract based upon historical data.
• Availability of on-line eligibility checking.
• Ability to bill according to contract terms and perform accurate automated allowances.
• Ability to concurrently monitor existing contracts to evaluate performance by selected criteria.
• Ability to monitor for appropriate reimbursement by payor/plan.
• All requirements for registration and rules for contract are stored on-line.
• Ability to have specific contract for self-pay and insurance carriers.

Appointment Scheduling : within Management Systems

• Appointment history includes employees that have previously seen the patient.
• Charges are generated for the patient's billing account based on all scheduled visits that are checked-out.
• Schedules multiple appointments at one-time.
• Scheduling filters include preferences, certifications, and previous staff assignment.
• Maintains master schedules on-line, i.e., physician, technician, therapist, etc.
• Full enterprise-wide resource scheduling system.
• Direct payroll tie allows scheduling resource number and employee number to be the same.
• Full reporting capability.
• Scheduling by service, resource, or group.

Practice Management : within Management Systems

• Full integration with all INTERACTANT Modules.
• Provides billing/collection summaries by organization/practice plan.
• Provides registration/scheduling of patients.
• Provides user security for account maintenance, scheduling, and data entry.
• Provides data entry (charges, charge adjustments, payments, payment adjustments, and allowances) for institutional accounts as well as organizational and surgical charge entry.
• Accounts accessed by patient name, account number, medical record number, guarantor name, or guarantor number.
• Summary screen displays patient, guarantor, insurance, and billing information including last bill date, last statement date, number of statements, and last payment date.
• Ability to print/change all demographic, insurance, and visit information.

• Supports unlimited rate files.
• Provides maintenance to CPT4, insurance master, benefits, and diagnosis files.
• Supports HCFA coding/bills.
• Supports line item billing.
• Supports guarantor/corporate billing.
• Supports capitated payments.
• Bill cycle provides all bill forms, income/payment registers, control sheets, and batch listings.
• Provides electronic billing.
• Allows physicians to schedule and inquire into appointments as well as viewing patient financial and procedure history.

• Patients accessed by full name, partial name, or account number.
• Scheduled patients can be registered at check-in.
• Ability to re-register patients.
• Provides authorization and precertification maintenance.
• Unlimited user defined demographic fields.

• Ability to schedule patients by service or resource.
• Ability to register patients from appointments.
• Displays/prints procedure and financial history.
• Provides overbooking of appointments, if authorized.

Physician Access : within Management Systems

• Provides remote access to pertinent clinical data.
• Allows attending, admitting, consulting, and covering physicians to have appropriate access to the computerized patient record.

Physician Referral : within Management Systems

• Allows a caller to refer a patient to a physician or service.
• Referral tracks patient demographics.
• Generates follow-up correspondence, management and marketing reports.
• Provides search criteria of physician to facilitate search.
• On-line questionnaire to follow-up with the physician or service.
• Full maintenance of physicians, patients, services, letters, and medical indexes.