System Highlights

Overall system features	Admission functions	Patient Charge entry
Medical records management	Cash receipt management	Statement processing
Billing options	A/R management	Financial

System Features

• System continuity
  • Quick Data Access with Tabbed Screens
  • Consistent Control Panel throughout the system
  • Push Button Access throughout to Lookup Files
• Guarantor Driven System - tracks information by admission, patient and guarantor.  The guarantor’s alphanumeric code can be tied to an infinite number of patients and their admission records, eliminating duplicate input.
• Import and Export capability for charges, payments, patient and guarantor information, admission information and other billing system data.
• Pull Down Menus - provide access to all validation files in Patient Screen and Admissions Screen.
• Multiple Admission Face Sheets - are user-defined for Outpatient, Inpatient, ER, Home Health and Nursing Home Admissions and Clinic Superbills.  These, as well as data cards, can be printed at various print locations on the network.
• User Friendly System - provides many validated fields to ensure correct data entry and allows revisions to be made easily.
• Patient Master File - is maintained on-line indefinitely, thus eliminating the need to maintain manual index card files.  It is also fully integrated with the Census and Accounting modules.
• Security - provides facilities with user-level access to the system features, whether by group or individual specifications.
• ISD Staff - provides facilities documentation and training of new features and functions.

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Admissions

• Soundex Lookup - allows for sound alike lookup for misspelled names or updated official names for required consistency for billing.
• Multiple Census Records - allows for tracking patients through the facility from one service type to another for a single admission.
• Instant Access to Guarantor and Insurance Files - is available through tabbed screens.
• Instant Access to Admission History - is available through push buttons on screen.
• Admission Number - is assigned by system when record is saved.
• Multiple Search Capabilities - search by social security number, admission number, patient (Medical Record) number, and full or partial patient name or guarantor name.
• Import/Export Capabilities - from external physician billing systems.
• Bed Occupancy - is maintained, as well as availability.
• Pre-Admissions - can be created prior to service date.
• Open Accounts for Patient - can be reviewed at the time of admitting.
• Admission Census - tracks patients by patient type, accommodation code, admit service and status.
• Recurring Admissions - allow for serial services provided to be included on one admission, yet billing each month’s services on an automatic incrementing suffix attached to the admission.
• Comments - notify admitting personnel of important information (i.e. those required to pay cash) and transfer notes to Comments in AR Management.
• MSP Questionnaire - is available for on-line entry at time of admission.
• Displays 72-hour Rule - warnings if admission falls within the date range.
• Charges - can be entered from Admissions and superbills printed immediately.
• Patient and Admissions Master Files - are the one master data bank for all types of patients and their admissions, whether hospital, clinic or long-term care.
• Specimen Stickers - can be created.

Admissions Reports

•  Admission/Discharge Report
• Admissions by User Initials
• AKA Names Different from Official Names
• Bed Occupancy Listing
• Bed Occupancy Report
• Bed Occupancy Report by Physician
• Bed Occupant Listing
• Census Record Listing
• Census Report – Alphabetical
• Census Report at Midnight
• Daily Census Report
• Daily Census Room Report
• Data Card
• Discharge List
• Discharge Patients by Insurance Company
• Discharge Patients by Zip Code
• Discharge Register
• Expired Patient Register
• Guarantor Master File Summary
• Guarantor Number and Name Listing
• Insurance Company Master File Listing
• Listing of Patients by Patient Number
• Medicare 72-Hour Admissions Report
• Newborn Register
• Observation Patients Log
• Outpatient Count
• Patient Alphabetical Listing
• Patient Listing in Account Number Order
• Room Numbers/Beds Available
• Room List

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Patient Charges

• Charge Data Validated - at the time of entry, such as charge master id number, description and unit price.
• Editing Charges - is allowed on all charges entered.  Entries can be edited until posted to the accounts.
• Multiple Session/Batches for multi-user entry.
• Charge Totals by Admission and by Batch - are accumulated and presented on screen to aid in the balancing.
• Multiple Lookup Options - are provided by patient, admission or guarantor.
• View Billing and Census Information from Charge Entry Screen.
• Import capabilities from lab, radiology or pharmacy systems.
• Daily Room Charges - are automatically generated from the daily census report.
• Charge Transfer Utility - allows for efficient charge reversal and moving charges from one admission to another.
• Unit Price Access - can be turned on or off for users to modify charge prices.
• CPT-4 Modifiers - can be attached by users to CPT-4 charges at time of entry.
• Optional Day-End Processing - allows staff to be more efficient with their time, eliminating the need to post sessions during the workday. 
• Hospital and Clinic Charges - are entered and posted in the same process.

Patient Charges Reports

• Charge Master by Department
• Charges Listing by Description
• Charges Table by ID#
• Daily Charges Log Sheet by Post Date
• Daily Charges Log Sheet by Service Date
• Patient Charges Batch Report
• Patient Charges by Admission Number
• Patient Charges by Department
• Patient Charges Errors Report
• Periodic Charges Summary Report
• Unposted Patient Charges

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Medical Records

• CD9 and CPT4 Validation and Lookup - aids in the instant access to lookup files.
• PRO Review Tracking  - is facilitated in Hospital Manager™ by allowing for date, summary notation and extensive memo comments.
• Medical Records Stat Cards - can be printed directly from the Medical Records module in a format consistent with existing stat cards.
• Chart Locator - allows for the tracking of medical record charts.
• Prints Line Labels for Stat Cards - to save time in updating stat cards with new admission information.
• File Labels - can be formatted according to Medical Records department specifications and printed from the medical records module.
• Provides for User-Defined Data Files - which can contain data file fields from the files in Hospital Manager™, as well as user-defined fields for special studies and data tracking.
• Direct Access to Encoder/Grouper - allows for DRG grouping and encoding.  Directly imports into Hospital Manager™ Medical Records module, extracting the information from the Patient Registration and Accounting modules.
• Multiple Lookup Options - by admission number or patient name.
• Push Buttons access history information.
• Medical Records Work Queue - provides a report for staff of all uncoded admission records.
• Fully Integrated with Census and Patient Registration - to reduce re-keying and eliminate errors.
• Statistical Reporting Capabilities -address management needs for case mix analysis, utilization review, concurrent review and patient biographical and geographical studies.
• Expired Patient Register - provides listing of deceased patients based on the discharge disposition of 20 (expired).
• Patient (Medical Record) Number - is a unique number from the visit, or admission, numbers.
• Automatic Patient Number - is assigned by system; however, there is a field in Patient Registration for a second patient number to be entered manually

Medical Records Reports

• 10 DRG Transfer Rule Report
• Bed Occupancy Listing
• Bed Occupancy Report
• Bed Occupancy Report by Physician
• Bed Occupant Listing
• Census Record Listing
• Census Report – Alphabetical
• Census Report at Midnight
• CHA Monthly Report of Revenue by FC
• Daily Census Report
• Daily Census Room Report
• Detail Principle Diagnosis Codes
• Diagnosis Analysis Report
• Diagnosis Index
• Diagnosis Index – Multiple ICD9s
• Discharge Data Edit Report
• Discharge Data Review Report
• Discharge Disposition by Location
• Discharge List
• Discharge Patients by DRG Code
• Discharge Patients by Insurance Company
• Discharge Patients by Zip Code
• Discharge Register
• DRG Analysis Report
• DRG Payment Report
• Expired Patient Register
• ICD9 Summary
• Listing of Patients by Patient Number
• Log Report
• Medical Records Card Preparation
• Medical Records Census Report
• Medical Records Master Patient Index
• Medical Records Report by Physician
• Medical Records Report by Surgeon
• Medical Records Specialty Clinic Report
• Medicare Encoding Status Report
• Monthly Census Report
• Monthly Statistical Report
• Monthly Statistical Report by Accommodation Code
• MR Diagnosis and Procedure Report
• Newborn Register
• Observation Patients Log
• Outpatient Count
• Patient Listing in Account Number Order
• Physician Index
• Physician Master File Listing
• Physician Utilization Report – Referring
• Physician Utilization Report with Age
• Procedure Analysis Report
• Procedure Index – Multiple ICD9s
• Residents Listing
• Room Numbers/Beds Available
• Room List
• Transcription Report

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Cash Receipts

• Guarantor/Patient Lookup with Balances - aids in the entry of payments to the system.  All required information is available on screen or through hot-key access.
• Editing Payments - is allowed up until the time they are posted.
• Cash Reports - are conveniently available from the cash receipts entry area for quick balancing.
• Calculates Adjustments - automatically at the time payments are entered.
• Automatic Lookup of Payment and Adjustment Codes - at the time of payment entry.
• Enter Payments and Adjustments at the same time on payment entry screen.
• Bad Debt Write-offs and Reversals - transfer account balances to and from in-house AR collections, collection agencies or litigation.  Transaction shows in payment detail in the AR Management screen.
• Bad Debt Accounts - are maintained on the system after write-off.  All charge, payment and billing transactions are available for review and correction.
• Multiple Session/Batches for multi-user entry.
• Balances Session Payments and Adjustments during the data entry process.
• Optional Day-End Processing - allows staff to be more efficient with their time, eliminating the need to post sessions during the workday.
• Financial Class - is updated automatically by the system when the payor code is attached to the payment.
• Easy Entry - aids in large Medicare, Medicaid and Insurance remittance forms.
• Electronic Remittance Advise - can be programmed to download and post into the system.

Cash Receipts Reports

• Adjustment Calculation Report
• Adjustment Journal
• Adjustments to A/R
• Cash Receipts Batch Report
• Cash Receipts Journal
• Cash Receipts Report
• Credit Balance Report
• Credit Balance Report – With Remarks
• Credit Balances by FC
• Payments and Adjustments by FC and PT
• Payments/Adjustments to Bad Debt Accounts

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Statements

• User-defined Messages - are available and show up on statements in accordance with the aging of the account.
• Detailed Statements - can be produced at any time.
• Statements - can be printed directly to a printer on plain paper or to a file.
• If sent to a file, it can be viewed, searched and printed from within Hospital Manager™.
• User-defined Remarks - are automatically shown for payments.
• Multiple Groups - allows statements to be created for more than one type of statement group.
• Individual Statements - can be generated by admission and sub-account, guarantor, or patient number.
• Statement Audit Trail - provides the reviewing and printing of previously processed statements.
• Patients Are Informed - of insurance status, as well as the private pay portion.
• Holds - can be placed on designated financial classes to hold them from printing until payment is received, i.e. Medicare.
• Selected Admissions - can be held from printing and are marked in the AR Management screen.
• Statements File - can be exported to an external billing service.
• Statement Groups  - have options of whether or not to print zero balance statements, zero balance accounts, unbilled accounts and accounts with credit balances.
• Generate and Print Statements - by alpha range of guarantor’s last name initial.
• Statement Messages report - is available.

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Insurance Billing

• Bills on either a UB92 or a HCFA 1500 for hospital and physician billing, including for the same visit.
• Full Editing and Validation - is provided by the system through an extensive array of both hard edits and soft edits (controllable by the user).
• Multiple Sessions/Batches for multi-user processing.
• Interim Billing - generates cycle/interim bills on demand or based on days or dollars.
• Rebilling - flexible rebilling by rebill only, rebill and late charges, late charges only or split bills.  Claims can be altered and rebilled with corrections at any time.
• Claims are Saved to History - and accessible for printing when necessary.
• User-Defined Billing Groups - allows grouping by financial class and patient type into four different categories, which are Monthly, Cut-off Date, Interim and Discharge.
• Each Bill Dropped - creates a record used to track payments, adjustments and charges for that claim.
• Print or Electronically Transmit Claims - either by a single claim or for an entire batch from current or history files.
• Automatic Secondary Billing - bills secondary insurance after primary insurance pays and does not require user intervention to change the financial class.
• Interfaces with Clearing Houses and Claims Processors - and conforms to HCFA standards.
• Diagnosis Completion - is required on the claim prior to download.
• Medicare and Other Insurance Logs - are maintained automatically by the system.
• Bill Group Edit Reports - can be printed in various orders: by admission number, patient number, guarantor number, and patient name or guarantor name.

Insurance Billing Reports

• Accounts with Identical Primary and Secondary Insurance
• Bill Status Report
• Billed Accounts Report
• Insurance Billing Dates
• Insurance Company Master File Listing
• Insurance Ready to Bill – 1500
• Insurance Ready to Bill - UB92

Itemized Statement

• Medicare 72-Hour Admissions Report
• Secondary Billing Remittance Report
• Secondary Billing Report
• Secondary Insurance Status Report
• Superbill
• Superbill – Nursing Home
• Superbill by Guarantor
• Unbilled Claims Report

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A/R Management

A/R Management Reports

Account Action Reports:

• Account Action Report by Insurance
• A/R Detail Analysis
• A/R Reconciliation
• A/R Summary Analysis
• Accounts Receivable by A/R Account Number
• Aging Analysis by A/R Type with Cutoff Date
• Aging Analysis by FC & PT with Cutoff
• Aging Analysis by FC with Cutoff
• Aging of Accounts by Account # With Cutoff
• Aging of Accounts by A/R Type with Cutoff
• Aging of A/R – 12 months
• Aging of A/R by Guarantor
• Aging of A/R by Insurance Type
• Aging of A/R – By Cutoff Date
• Aging of A/R by Insurance Type – By Admissions
• A/R Distribution Report
• Billed Accounts with No Payment
• Collection Accounts Report
• Collection Adjustment Report
• Collection Payment and Adjustment Report
• Collection Payment Report
• Collection Percentage Report
• Credit & Collections Follow-Up Report
• Demand A/R Aging Analysis by Bill Date
• Guarantor Activity
• Master Aging Report
• Number of Accounts by A/R Type
• Overdue Notices by Insurance Class

General Reports:

• User-defined Reports - can be developed by modifying existing system reports or can be built from scratch.  These user-defined reports can then be included in a categorized menu of reports.
• Standard System Reports - number in excess of 150 and the list continues to grow.
• Relational Query By Example (SQL) - is an extremely powerful data access system.  Virtually all information in Hospital Manager™ is available through the query-by-example process.  This ability is thought to be so important that we provide two full days of training on RQBE and report writing and modification.
• Report Output - can be directed to a file, the screen, or a printer.
• Reports Saved to a File - can be printed later from within Hospital Manager™.
• Management Statistics - are generated by various reports available to users.  All reports have option grids that allow users to define how the report is run and what information is gathered.
• Virtually All Information - that is in the system can be expressed by the reports already created in the system or by utilizing the query reports writer.

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Financial

• All Detail is Maintained - to create an audit trail to the General Ledger.
• Aging Reports - are calculated from cut-off date or by period, thus allowing reports to be printed at any time.
• Periods Can Remain Open - and can be closed after starting the next fiscal period.

Financial Reports

• A/R Detail Analysis
• A/R Reconciliation
• A/R Summary Analysis
• ER Revenue by Charge Number
• ER Revenue by Payor
• Financial Summary Report
• Log Report
• Log Report Summary
• Management Statistics by Department and Revenue
• Management Statistics for PT
• Management Statistics Report
• Master Aging Report
• Monthly Statistical Report
• Report of Monthly Receipts
• Revenue by Department and FC
• Revenue by Department and CPT4 Code for PT
• Revenue by FC and Procedure Code for PT
• Revenue by FC and Procedure Code Summary
• Revenue by FC and PT
• Revenue by FC and GL #
• Revenue by FC and Patient #
• Revenue by Physician and FC
• Revenue Journal - In Alphabetical Order
• Revenue Journal - GL Account # Order
• Revenues by Physician
• Statement of Revenues
• Summary Charges by Zip Code and Patient
• Trial Balance Report
• Units of Service Report