MEDITECH
Billing/Accounts Receivable
product brief

MEDITECH's Billing/Accounts Receivable (B/AR) application accommodates multi-entity accounting with centralized and decentralized billing and assists with every aspect of a health care organization's billing and collections.

Highlights:
   • Captures, stores, and retrieves patient charge information
   • Allows for on-line account inquiry with a real-time update of patient demographic information
   • Produces bills, statements, claim forms, and logs
   • Accepts receipts, adjustments, and refunds
   • Delivers autoproration capabilities
   • Provides account follow-up and management reports on demand
   • Allows health care organizations to be structured in the following ways:
       - multiple facilities and a centralized billing office
       - multiple facilities and a decentralized billing office
       - multiple facilities within one facility.

The application meets managed care requirements with features such as contract management, interim billing, and late charge billing.

Standard Features

Integration With Other Applications
• Billing data is transferred daily and monthly to General Ledger
• Patient refund data is passed to Accounts Payable
• Procedure volumes are analyzed in Cost Accounting
• Patient data is transferred to/from the Registration application.

Instant Access and Update of Pertinent Information
• Uniform access to all accounts: inpatient and outpatient, unbilled, accounts receivable, and bad debt
• Complete account details and history for all account statuses
• Individual screens allow user to view/print all changes, payments, adjustments, refunds, and late charges for an account based on transaction type selected
• Authorization of users, based on access restrictions, for data entry, edit, or view-only privileges
• Maintenance of complete guarantor, insurance, DRG, and UB92 data.

Contract Management
Multiple Contract Management routines make it easy for health care organizations to govern managed care agreements and assist with negotiating and monitoring contracts with third-party payors.
• A Contract Dictionary stores vital administrative information such as crucial dates, contract evaluation (concurrent, retroactive), contract terms, and notes taken during contract negotiation
• Insurance identification routines streamline the process of assigning insurance plans
• Proration rules are used to calculate expected reimbursement to monitor managed care agreements
• Various reports help management determine if both parties are meeting predetermined managed care arrangements.

Interim Billing
• An unlimited number of bills can be generated based on how billing cycles are established
• Rules are established to bring groups of accounts through the billing cycle prior to a discharge date, allowing an organization to bill for charges incurred while the patient account is still active
• A unique bill number is assigned for each billing cycle that is completed on an account
• As claims are resolved, reimbursement is accurately tracked so secondary payors can be billed automatically
• Date range bills can be produced automatically to allow your health care organization to bill insurance companies for monthly charges or charges for any specified date range.

Late Charge Bills
• Proration rules can be established specifically for late charge bills in the event a payor requires different reimbursement
• Charges posted after the final bill has been cut off are initially considered UR dollars and are eligible for late charge billing.

Other Billing Features
• Rules can be established for final, interim, or late bill generation based on payor and/or account type
• Bills, claims, and statements can be printed or reprinted on demand by authorized users
• Account balances and bills, which will automatically be generated, can pass automatically from one insurance group to another or to the patient based on receipts and/or elapsed days without activity
• Facility-specific amounts allow for the accurate recording of revenue, identifying a facility associated with a site that performed a service
• Patient charges are tracked throughout enterprises, regardless of at which entity the costs were incurred
• Charges can be flagged and prorated appropriately according to the Medical Necessity checks; charges also may be dropped or moved to non-covered on the UB92 based on these checks
• Authorized members can view comprehensive patient account information on-line; print bills, statements, claim forms/logs; accept receipts; and provide account follow-up and management reports on demand
• Billing procedures may be defined with one code and volume-based standard costs can be entity-specific for each procedure
• Revenue and receivables are tracked separately for each facility.

Patient and Guarantor Collections
• Account look-ups by patient name and number, guarantor name and number, and Medical Record Number
• Detailed workstation displays and printouts which include patient/guarantor demographics and account statuses, patient and insurance balances, transaction details, and follow-up statement histories
• Process reminders
• Entry of free text and coded comments from the inquiry screen
• Generation of letters from inquiry screen
• Unlimited generation of form letters for user-specified accounts
• Collection Support reports that can be customized by the user
• Ability to complete letters, statements, reminders, and transfer to bad debt within a single collection stream defined for each patient account.

Claims
• To alleviate edits and reprocessing, claim checks are used to determine if all required information exists on a patient's account prior to printing the claim
• An override feature exists on-line in every field on the claim form to produce claims that meet payors' specific requirements
• Claim establishment can be based on different insurance and account types such as mother/baby billing, inclusion/exclusion of professional components, "clean claim" data checking, alternate code printing (HCPCS), and exclusion of cross-over claims.

Cycle Statements
A health care organization can generate cycle statements by either account or guarantor. Features include an unlimited number of hospital-defined dunning messages, automatic posting of interest, the capability to set up accounts for messages and place them on hold, the availability of a data mailer format, and guarantor contracts for accounts with extended payment agreements.

Standard Management Reports
• Operations Summary, displaying all B/AR activity for a particular date or range of dates
• Period-end aged accounts receivable analysis
• Revenue reports: Revenue Summary, Procedure Revenue Report, Procedure Period-End Comparison, and Patient Revenue Report
• Charge Exception, Late Charges, and General Ledger reports
• Collection reports such as biller and collector worklists, collector performance reports, patient and insurance receivable reports, and third-party logs
• Reports may be scheduled to print automatically on a daily, monthly, or period frequency.

For more information about us, contact a MEDITECH Marketing Representative

MEDITECH
Medical Information Technology, Inc.
MEDITECH Circle
Westwood, MA 02090
781-821-3000
www.meditech.com