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Flexible AR Reporting:

Ever wish you could produce a worklist of all accounts within a certain financial class, size and age? This powerful management tool allows you to carve a specified slice of your ATB and present it in summary or detail formats. Because these reports allow you to exclude uncoded or outsourced accounts, the PFS staff don’t waste time pulling up accounts that are uncoded or have been outsourced. Managers use the detail reports to zero-in staff on problem areas by giving detail account worklists that are at a specified age, size and financial class, and sorted by what makes sense to the individual’s workflow. Instead of forcing your workflow around your AR system’s canned reports, you’re your worklist reports fit around the way your office works. Save hours downloading, analyzing and chopping up spreadsheets to pass out to employees.

Credit Balance Transfer Report:
Ever worry that you could be refunding credit balances to patients who owe you money on other accounts? Ever wish you had a process to move credit balances off the books while paying down debit balances? This unique reporting tool automatically identifies patients and guarantors with credit balance accounts who also have debit balance accounts (both current AR and Bad Debt). The result is a worklist that your refund clerk can use to insure that each credit balance that has “transfer potential” is reviewed before a refund payment is issued. The first time a hospital ran this they found over one million dollars of credit balance accounts with transfer potential.

A Better “Claims with Missing Information” Report:
Ever get tired of wading through accounts using the canned CWMI report to find claims that are your responsibility? Are you weary of pulling up account after account only to find they are not relevant to PFS because the report gives no indication of coded or collection status? This “better” CWMI report excludes uncoded and outsourced accounts, groups them by type of error (ie; missing information type), as well as by payer, and sorts by alpha (or any field) so you can quickly and evenly distribute the work to employees. When this report is grouped by type of error it allows your employees to focus on one issue at a time, providing for more efficient workflow.

A Better “Approved Claims” Report:
Similar to the above, this report takes the canned “Approved Claims” list and groups the claims by type of error, sorts them by whatever field makes sense to your workflow, and even lets you know which claims are uncoded or outsourced so you don’t waste time looking up accounts that are not relevant to PFS.

Payer Contract Management:
Create a central repository of payer contract information including scanned images of actual contracts. From the Administrator to the CFO to the PFS staff following up on underpayments, everyone who needs it can have immediate and up-to-date contract information including renewal dates, QA requirements, contract terms and rates. This tool is a great help to PFS staff doing follow-up work with insurances!

 
   
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