Registration, Preadmission, Census : within Management Systems

• Access residents by name, medical record number, birth date, social security number, religion code, attending physician, nursing station, room number, interests, etc.
• Unique medical record number assignment per resident with episodes of care tracked in a master resident index.
• Automated facesheet and other registration form production.
• Ability to register skilled nursing, assisted living, independent living, and subacute resident types.
• All registration screens tailored to meet the needs of the department.
• Insurance verification tracking.
• Demographic record includes organizational defined fields.
• Account number identifies episode of care.
• Electronic insurance verification capability.
• Agreement and consent form production.
• Adult day care registration.
• Insurance history file provides ability to define all types of coverages for the length of stay.
• Ability to track bed holds on residents.

• Assists providers by tracking contacts, prospects, and/or referral sources.
• Potential prospect clinical and financial information is collected and stored in a demographic data base.
• Potential residents can be followed from initial inquiry into a healthcare enterprise or program, through an application process, and ultimately to preadmit/admission status, as applicable.
• Provides and estimate of cost of care based upon placement.
• Tracks all inquiries allowing determinations to be made which facilitate meeting the needs of consumers efficiently and cost effectively.

Medical Records : within Management Systems

• Ability to recall residents by name, medical record number, or account number.
• 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).
• Medical records index retains full information on all resident visits for organization defined time frame.
• Inquiry capability to all resident registration files with in-house resident lookup including resident demographic information, billing status, and all charge/payment detail.
• Index containing information about previous encounters includes assessments, care notes, care plans, orders display, vital signs, etc.

• Chart tracking identifies chart location.
• Chart location history on-line.

Billing / Receivables : within Management Systems

• Resident specific contracts for self-pay and insurance carriers.
• Automatic contractual allowance generation.
• Medicare and non-Medicare denial tracking.
• 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.
• Can automatically post payments and allowances electronically.
• Complete reporting capability.
• Billing procedures allow users the ability to attach MDS RUG scores and dates of service covered directly from MDS record.

• Automatic adjustments to revenue statistics due to service or insurance changes.
• Pre-bill invoice generation.
• Electronic billing capabilities.
• Guarantor billing.
• Ability to upload charges for long distance service, cafeteria, and garage.
• Generation of UB04's, resident statements, detail bills, and all other required formats.

• User defined dunning cycle by payor.
• Demand letter generation capability.

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

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

• 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.
• Charges are generated for the resident's billing account based on all scheduled visits that are checked-out.
• Appointment history includes employees that have previously seen the resident.
• Full reporting capability.
• Scheduling by service, resource, or group.

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 resident record.