Focusing on Patient Pay

Are you managing your patient pay A/R?

Patient pay collection doesn’t have to be a hassle for your company. Rock-Pond has a lot of patient pay functionality to help manage this area of A/R.  Our goal is to give providers the tools for faster reimbursements, less confusion, and more satisfied patients who will refer others to your company.

It’s no secret that patient pay balances are extremely difficult to collect.  The process is time consuming, cumbersome, and expensive, especially compared with payer submission and collection.  At Rock-Pond, we realize that the type of staff member it takes to collect from regular payers differs from the type of person dealing with patient pay.  This creates a problem in CPR+ since patients are listed as individual payers.  We have developed reports to accommodate this short falling in your system so each of your collectors can focus on what is important to them.

A perfect example of our patient pay functionality is our standard A/R Aging Analyzer grouped by Payer within Payer Type.  Instead of listing each patient as individual payers, the report is designed to group all patient pay into one category as seen below.  From that point, you can drill down into the patient payer type to see the specific patients who owe money.  In your system, the A/R Aging report has up to five times as many pages as the Rock-Pond Report simply because the patient pay A/R isn’t grouped together!

Our A/R Analyzer is only one of many tools that Rock-Pond can provide you with to manage your patient pay process. If you are spending too much time or not enough time on patient pay collections, contact us to find out about other reports that can help!

Did I mention we also offer a Patient Pay Statement Solution?

 

Transitioning to CPR+ Line Item Financials

We are proud of the fact that every report we create and every solution we provide is in response to the experiences and requests of our customers.  Several of our customers have recently discovered issues with their A/R after transitioning to CPR+ Line Item Financials (LIFE).  Just this week, Rock-Pond deployed a version of our A/R Aging Analyzer to better accommodate the customers with these data issues and to show other users that the problem exists.

In CPR+ LIFE, it is possible to have line items of a claim net out to zero for that claim.  For example, item 1 is $1,000 and item 2 is -$1,000.  We have talked to many customers who have problems with this especially when doing A/R projects for payers.  In response to this issue, Rock-Pond created a report for LIFE users to see if they are having these problems with their A/R.  Report !c3_1234ax (A/R Aging Export – Claims with a Zero Balance where Line Items have a balance) shows each line item on a claim that has a balance (credit or non-credit) where the claim balance is zero.  The report is in an Excel format so users can do pivot tables and much more.  It will allow users to fix their data so they can get more accurate information moving forward.

Since the release of CPR+ LIFE in 2009, Rock-Pond has worked hard to stay on top of changes at the data level.  Rock-Pond Reports now include over 350 reports designed specifically for LIFE users.  Due to data structures and business logic change with LIFE, providers will need to clean up their data before the conversion.  Rock-Pond Reports will help you find issues with your data so you can modify it before making the switch.  When you are placed on a test system for LIFE, let us know and we will let you run our reports for LIFE.  Rock-Pond can be very helpful and get reports in place that will make the process as painless as possible.

In addition, many customers are experiencing issues with canned reports in CPR+.  Rock-Pond has most, if not all, of the canned reports from CPR+ in our report collection.  If you will let us know which ones you are having trouble with, we will be glad to point you to our version to help alleviate this issue and get you back to “business as normal.”

CPR+ LIFE has a host of benefits; however, there are also some serious consequences.  If you are on LIFE, run !c3_1234ax to verify that you are not experiencing the same issues.  If your company plans on getting a LIFE, add Rock-Pond into your transition plan.  Contact us — you will be more than glad you did.

Are my billers working old invoices?

Managing your billing department is not always an easy task; however, Rock-Pond has several solutions to help you increase the productivity of your billers. One way to increase your productivity is by making sure invoices do not get forgotten as time passes. Do you know if your billers are working invoices older than 45 days, 90 days, etc.? Keeping track of invoices that are being worked by your billers will prevent your company from losing a lot of money.

Rock-Pond Report !c2_1334 (Bill Notes by Patient within User entered {} through {} for claims older than {} Days) is a powerful tool to make sure your billers are staying up to date on old invoices. Running this report allows users to view any billing notes entered for a time period that are older than a user-specified amount of days at the time of claim, based off of the patients date of service, and grouped by patient within the user that entered the last note. By having this information, you can easily keep track of the people working older invoices.

In addition, did you know that our standard A/R aging report (!c2_1234z) can be run by last bill note?  Using this parameter can help you make sure bill notes get put in and verify that your data is right.  Sometimes changing your process is the key to being more productive.  You cannot utilize our reports to their fullest potential without understanding the value of each parameter.  One single report can be used for many different things.

Are YOUR billers working old invoices?  Are YOU using Rock-Pond to its fullest potential?  There is no better time than right now to find out. Run the reports, answer this Tough Question, and let us know about it. Contact us at leah@rock-pond.com or 501.232.4363.

Additional Posts on Managing Billers:

Adjustment report assists with A/R small balance cleanup

Rock-Pond’s Adjustment Aging Report for CPR+ (!c2_1245bz) is a great tool to get a detailed understanding of adjustments to your A/R.  In addition to being able to group the adjustments how you need them, it also shows the age of the adjustment based on the date of service, original billing date or last transfer date. First, it allows you to choose whether you want see your adjustments by individual site or all of your sites. You can combine this data together or separate it out by site. Once you specify the transaction date range, you can select up to three groupings from a list of 14 options.

For example, Transaction Creator classification allows you to group by the person who made the adjustment. This option recently proved invaluable for a Rock-Pond customer who used the CPR+ system. The customer was doing a small balance cleanup on their accounts receivable and wanted to be able to see what adjustments were made by each adjuster to make sure they were all small balance adjustments and to make sure all small balance adjustments were taken. Rock-Pond’s Adjustment Aging report allowed them to see who made the adjustment, the adjustment code and the amount – the information they needed from the data they had.

Thanks to this report, they were able to audit the work done by their staff ensuring all guidelines were properly followed and the project was complete. The company’s reimbursement team lead said this would not have been possible with CPR+. “There’s very little you can do in CPR+ in terms of adjustment reports.  CPR+ simply provides a list of adjustments by payor within code and this was not what we needed to manage this small balance write-off project,” she said.

With more than 2,000 combinations of groupings, this is simply one way to run this report. If you find a great use for this or any other report, Rock-Pond would love to hear about it.

A/R Adjustments – made EASY

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It’s bad enough that you have to adjust off accounts receivable. This is money that you have booked as revenue and counted on receiving. In most home infusion companies the adjustment process is a manual process of filling out an adjustment request form, getting it approved by a manager, re-looking up the invoice and applying this adjustment. The end result is a lot of errors, overstated A/R, wasted time by collectors calling on invoices that should have been adjusted, etc.

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Rock-Pond Solutions worked with one of our customers to create a report that streamlined the process whereby the collector or cash posting clerk would make the adjustment according to predefined procedures. The manager runs the Detailed Adjustments with Invoice Status report each day to review the adjustments from the prior day and either approve or reverse them with notes in the system to the collector. The results included time savings, improved accuracy, elimination of paper, improvement of audit trails in the system and a much better understanding of why A/R was being adjusted in the first place so it could be prevented. If you are using the CPR+ software and are not using this report – call us right now and we’ll show you what it looks like with YOUR DATA.  If you are using HomecareNET or Ascend, call us and we’ll write this report for your software.  No matter what you are using, you need this adjustment report and it doesn’t come with your software.