Paperless Collection System

Tools and Techniques Program

 
 
 
     

 

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  • Front-End
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    A paperless collection system (PCS) application as part of your IDXtm system solutions gives you an excellent tool for operating and managing accounts receivables. Health Directions' PCS Tools and Techniques Program combines our operational expertise with PCS functionality to improve your collections significantly. Here's how our PCS Tools and Techniques Program can help you:

     

    PCS Assessment and Evaluation (Identify improvements and opportunties)
    Workfiles and action codes drive PCS for your business office, and an efficient PCS can reduce FTEs by 3-5 percent, decrease receivables, and increase your collections by 5-10 percent annually. Since your success depends on your knowledge of PCS, we conduct an in-depth assessment of your PCS activity, process, and productivity. We review all your workfiles and your PCS functionality, providing a detailed analysis of any deficiencies, recommendations for improvement, and likely outcomes and benefits.

     

    PCS Set-up Components

    • Dictionary Set-up
    • Action Codes
    • User Parameters
    • PCS System Parameters
    • BAR Dictionaries
    • Workfile Setup

    User Evaluations

    • Daily Reporting
    • Monthly Reporting
    • Manager Assessment
    • PCS Operational Flow
    • Staff Interviews
    • Custom Training Programs

    PCS Custom Reports (Establish benchmarks to measure success)
    Our custom reports analyze your collection processes and help your managers and supervisors to redirect their accounts receivable activities to achieve greater productivity. They learn to maximize their collection efforts by establishing benchmarks, identifying trends, and tracking improvements.

     

    PCS Custom Reports

    • Analyze your work activities
    • Compare collections by payor
    • Track your accesses per day
    • Establish benchmarks
    • Set targets for your staff
    • Maximize staff productivity
    Insurance Follow-Up Team
    MONTHLY STATISTIC REPORT
    March, 2003
    User
    Payer
    Workfile
    March Total Action Coders
    Payment Analysis
     
    Total Income Analysis
     
    Accesses Per Day
     
    Joan H.
    Medicare H-O
    967
    1023
    $48769
    $202915
    92.32
    John S.
    Medicare A-G
    966
    2282
    $53379
    $274632
    62.24
    Bill C.
    BCBS

    927

    3212
    $96005
    $206395
    60.59
    Janet W.
    Medicaid A-L
    936
    4176
    $56874
    $241289
    58.37
    Megan H.
    Medicare P-Z
    968
    2056
    $44912
    $203932
    50.14
    Brenda S.
    Unicare/Beech St.
    934
    2198
    $61093
    $182377
    40.00
    Missy T.
    Indemnity
    931
    249
    $14467
    $59971
    3.38
    AVERAGE
    2171
    $53643
    $195930
    52.43

    Financial Counselors and PCS (Improve collections by 5-10%)
    PCS can now be incorporated into your front-end operations, letting financial counselors access your patients' outstanding balances. Used as communication tools, PCS workfiles let you manage self-pay balances through the front and back ends, enhancing your collection efforts and significantly reducing bad debt.

     

    Description of Services

    • Track outstanding balances
    • Establish patient budget payment plans
    • Track financial counselors' productivity
    • Improve communication between front-desk and business-office self-pay collection team
    • Provide training for financial counselors and front-end staff

    Outcomes and Financial Improvements

    • Reduce self-pay A/R
    • Improve self-pay collections
    • Increase budget payment patients
    • Reduce bad debt write-offs

    PCS E-Screen Configuration (Improve processing efficiency)
    With PCS E-screen, your managers enjoy greater autonomy by combining the reporting capabilities of DBMS with your own PCS operational environment. Managers gain a greater functional understanding of DMBS logic, enabling them to develop their own workfiles, which helps them capture edit and rejection data and improve collections.

     

    Description of Services

    • Assess current DBMS queries usage in PCS workfiles
    • Provide a sample list of E-screen definitions for incorporation into specialized follow-up workfiles
    • E-screen definitions for follow-up workfiles such as:
      • Rejections management
      • Edit management
      • Refund processing
      • Appeal management
    • E-screen training based on data dictionary components (tables, columns)
    • Functional use of screen generator with PCS application

    Benefits and Financial Improvements

    • Unlimited managerial flexibility
    • Immediate response time to operational issues
    • Ability to reference actual data in differing formats and perform special operations on the data
    • Quicker access to data, resulting in revenue enhancement
     
         
      Health Directions, LLC. Phone: 312-396-5400  
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