Billing/accounts receivable systems

Transcription

1 July 27 CAP TODAY / 21 Part 1 of 6 No. of contracts signed that are t yet live Contracts signed since June 26/contracts gone live since June 26 No. of inpatient invoices handled by sites annually No. of outpatient requisitions handled by sites annually Invative peripherals Features (listed as a percentage of live installations or based on availability) Patient demographics moved via interface from LIS to B/AR system 1 claim form generation Auto delete of nbillable procedures Third-party payers and claims clearinghouses with which system Client contracts supported from data center t operated by client Cost (hardware/software/installation & training/monthly maintenance) Cerner Corp. Lance Yoder [email protected] 28 Rock Creek Parkway Kansas City, MO Cerner Millennium ProFit 2/October 26 October / 38 4/ 7,3+ total Compaq, IBM RS/6 Intel Pentium Open VMS, AIX Unix Oracle t available (management only) t available available but t t available claims, payments, eligibility, referral/authorization will interface with any clearinghouse and payer per client requirements UB-92, 1, UB-4 Medical Necessity, Info-X, CPT-4, ICD-9 fixed fee requires software be on a client PC 13+ / Tabulation does t represent an endorsement by the College of American Pathologists improves cash flow and reduces claims denials simplifies billing statements and improves customer service streamlines business operations and reduces labor costs Survey editors: Raymond D. Aller, MD, Hal Weiner

2 Part 2 of 6 22 / CAP TODAY July 27 Computer Service & Support James T. O Neill [email protected] 216 New Rd., E6 Linwood, NJ Cortex Medical Management Systems Stanley C. Gordon [email protected] 217 Elliott Ave., Ste. 21 Seattle, WA Hex Laboratory Systems Susan Bollinger [email protected] 142B El Cami Real, Ste. 38 Encinitas, CA A/R 2 version 8. Cortex Medical Billing System Lab/Hex Billing & Cash Management 198/2 January /March 27 February /April 27 April 27 No. of contracts signed that are t yet live Contracts signed since June 26/contracts gone live since June /3 67 (6/7////) 23 3/3 46 (/21/21/2 /2/) /1 32 (/27/2//3 /) No. of inpatient invoices handled by sites annually No. of outpatient requisitions handled by sites annually 1, 1,, (avg., 7,) 1, 1,, (avg., 7,) /3 4% 2, 2,, (avg., 2,) 1/2 2% 1, 1,3, (avg., 2,) /2 6/8/ 4/4/4 2/2/2 4/9/ Invative peripherals IBM RS/6 XP Client AIX.3 LabBase Windows client, Windows terminal server, ASP Windows compatible Windows Windows SQL server Intel open platform Windows image input/output, scan requisitions, storage and retrieval, e-billing, e-remittance Linux Thoroughbred Basic, 4GL, SQL McKesson, Medic, SCC, PCN, Advanced Data Systems, Aspyra, Misys Aspyra, Misys, McKesson, SCC Cerner, McKesson, Meditech Cerner, SCC, Impac, McKesson Siemens, McKesson, Misys, Cerner, Experior, Millbrook, PMSI, others Lab/Hex, AP Easy, CPSI, Cerner, Misys 1 claim form generation Auto delete of nbillable procedures 2% 1% 1% 2% 7% 2% % % 7% claims ANSI and 837 eligibility MedAvant, WebMD, Emdeon 1 Ingenix claims, statements, rebills, payments Zirmed, McKesson 1 ne claims, remittance, rebill, ackwledgements, medical necessity, management reports MedAvant, THIN, Anthem, Medicare and Medicaid UB-92, 1, ANSI 41 MCF Compliance, Info-X, ADP, Ingenix, and with tab-delimited files Client contracts supported from data center t operated by client requires use of a VPN or other dedicated connection fixed fee requires software be on a client PC 1 by a third party (Ad Host) / $k/$1k/$k/$.2k $2k/$k/$1k/$1.k $k/$1k/$k/$.2k $2k/$k/$1k/$1.k /escrow $k/$2k/$1k/$.4k $k/$2k/$k/$4k $k/$2k/$1k/$.4k $k/$2k/$k/$4k /escrow $k/$9.k/$k/$.2k $2k/$6k/$2k/$1.2k $1k/$k/$2.k/$.1k $1k/$3k/$k/$.k all billing applications are ANSI 41 compliant integrated PPS module for long-term care facility U.S.-based support staff fully integrated with Cortex anatomic pathology system use own software in medical billing service ( fast, efficient implementations; one account per patient with multiple insurances emergency room physicians, physician billing service extensive flexibility limitations to number of bill types, provider, tests, pricing schedules, etc. experience in all lab arenas, including nursing homes, independent labs, clinics, and hospitals veterinary, health department Tabulation does t represent an endorsement by the College of American Pathologists

3 Part 3 of 6 24 / CAP TODAY July 27 McKesson Provider Techlogies Joseph Stabile [email protected] 99 Windward Parkway Alpharetta, GA Medical Information Techlogy (MEDITECH) Paul Berthiaume [email protected] Meditech Circle Westwood, MA Medical Information Techlogy (MEDITECH) Paul Berthiaume [email protected] Meditech Circle Westwood, MA Horizon Lab Financials Meditech Revenue Cycle client/server Meditech Revenue Cycle Magic January 26/January 26 January /April 27 April /April 27 slated for August 27 No. of contracts signed that are t yet live Contracts signed since June 26/contracts gone live since June / 321 1,31 No. of inpatient invoices handled by sites annually No. of outpatient requisitions handled by sites annually 6/ 2% 32/ % 6, total 96/1,32/283 96/1,32/283 Invative peripherals Intel/Windows any standard Windows Windows SQL server, Crystal Developer speech recognition, PACS, scanning, identity management, patient monitoring Windows 2 Professional, XP on PCs; Windows 2 and 23 on server SQL server, ODBC tools speech recognition, PACS, scanning, identity management, patient monitoring Windows 2 Professional, XP on PCs; Windows 2 and 23 on server SQL server, ODBC tools Cerner, Epic, McKesson, Siemens Cerner, Epic, McKesson, Siemens Horizon Lab Cerner, McKesson, Siemens, others Cerner, McKesson, Siemens, others 1 claim form generation Auto delete of nbillable procedures available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t available but t t available available but t available but t available but t available but t available but t t available t available t available t available t available t available paper and electronic claims submission, payments, eligibility, automatic reprints and rebills, customizable invoices can interface with any clearinghouse UB-92, 1 ICD codes ANSI 278 for authorization requests, ANSI 837 for institutional claims, ANSI 837P for professional claims, ANSI 83 for electronic payments for ANSI 27 and 271: interfaces to HDX, Nehen, Veriquest, SSI, WebMD, MedUnite, Quovadx, Provider Advantage UB-92, 1 3M (Encoder and Grouper Plus), 3M HDM, Hanys, HSS, IRP, QuadraMed ANSI 278 for authorization requests, ANSI 837 for institutional claims, ANSI 837P for professional claims, ANSI 83 for electronic payments for ANSI 27 and 271: interfaces to HDX, Nehen, Veriquest, SSI, WebMD, MedUnite, Quovadx, Provider Advantage UB-92, 1 3M (Encoder and Grouper Plus), 3M HDM, Hanys, HSS, IRP, QuadraMed Client contracts supported from data center t operated by client /escrow / / advanced, robust Microsoft.Net; user-friendly point-and-click application predicts, monitors, and manages profitability advanced rules and pricing logic system recently introduced commercially and t yet live at an site 38 years of experience in developing and implementing health care software maximum revenue efficiency through integrated revenue cycle and lab/microbiology products accurate, up-to-the-minute patient data and charge information company does t track this information 38 years of experience in developing and implementing health care software maximum revenue efficiency through integrated revenue cycle and lab/microbiology products accurate, up-to-the-minute patient data and charge information company does t track this information Tabulation does t represent an endorsement by the College of American Pathologists

4 Part 4 of 6 26 / CAP TODAY July 27 MediSolution Jim Schroeder [email protected] 194 E. Fairfield St. Mesa, AZ Multidata Computer Systems Michael Slater [email protected] Broad St., 1th floor New York, NY ext Netlims Co. LLC [email protected] 96 Engle St., 2nd floor Englewood, NJ Virtuo Revenue Cycle Management MultiTech A/R AutoBilling 197/March 27 January /23 October 26 23/August 26 April 27 No. of contracts signed that are t yet live Contracts signed since June 26/contracts gone live since June /7 7 (1/6//4/2/44) 36 / 36 (2/34////) 4 2 2/1 4 (/4////) No. of inpatient invoices handled by sites annually No. of outpatient requisitions handled by sites annually 1, 9, (avg., 4,) 1, 1,, (avg., 3,) 1/1 43% 1, 4,, (avg., 3,) 1/ 2% 12, 1,2, (avg., 8,) 9/16/7 4/1/ 4//2 2/2./1 /3/12 11// Invative peripherals any Windows- or UNIX-based servers Windows 2, NT, XP bar-code readers, image scanners Intel x86 compatible, most Unix/Linux, HP Alpha Intel x86 compatible optional image input/output management open platform Windows compatible images attachment and management Unix, Linux, Windows Windows Vista, XP, 23; Unix/Linux; HP VMS Windows/Unix Oracle, Oracle Tools Caché, Kofax, VSI-Fax any RDBMS Cerner, Misys, Eclipsys, Orchard, proprietary, others Cerner, SCC, Aspyra, proprietary, Orchard, others Siemens, IDX, Epic, others Cerner, Psyche, SCC, Aspyra Siemens, Cerner, IDX Misys, SCC 1 claim form generation Auto delete of nbillable procedures available but t 8% available but t 7% 1% 4% 2% 8% 2% 2% available but t available but t insurance inquiry/response (27/271), claims (837 I/P), claims inquiry/response (276/277), remittances (83) Medicare, Medicaid (California), Blue Cross, Highmark, WebMD, others claims, payments, eligibility Emdeon claims, payments, eligibility, rebill, authorization Emdeon (WebMD), NEIC, Express Bill, Zirmed, ProxyMed, others UB-92, 1 3M UB-92, 1 1, client bill 3M, CodeMap, AMA Client contracts supported from data center t operated by client / $2k/$3k/$6.24k/$.k $8k/$163k/$124.14k/$2.717k $2k/$3k/$6.24k/$.k $8k/$163k/$124.14k/$2.717k optional/escrow $1k/$k/included/$.7k $1k/$2k/included/$3k $k/$2k/included/$.k $k/$2k/included/$3k /escrow $28k/$1k/$2k/$1.k rules-based system design exception-based processing online workflow management; embedded work queues ensure efficient followup and collections procedures designed for commercial labs optional integrated imaging/management module for requisitions and other related documents system can be customized for special requirements exceptions and denials automatic tools allows easy tracing and handling automationtravel algorithm, reinvoice, colliding panels advanced service to tests logic allows accurate billing Tabulation does t represent an endorsement by the College of American Pathologists

5 Part of 6 28 / CAP TODAY July 27 SCC Soft Computer Ellie Vahman [email protected] 4 Tech Data Drive Clearwater, FL Schuyler House Janet L. Chennault [email protected] 2627 Huntington Lane, Unit F Valencia, CA Seacoast Laboratory Data Systems Jim Whitehurst [email protected] 19 New Hampshire Ave., Ste. 14 Portsmouth, NH Soft A/R SchuyLab Billing SurroundLab AR 1993/April 27 January /April 27 May 27 21/February 27 February 27 No. of contracts signed that are t yet live Contracts signed since June 26/contracts gone live since June /4 61 (2/7/1/1//) /9 177 (12/122//13/23/7) /4 38 (4/3/2//2 /) No. of inpatient invoices handled by sites annually No. of outpatient requisitions handled by sites annually 1,, 6,, (avg., 4,3,) 3/7 1 2, claims 1 2, claims 1,2 2,, (avg., 9,) /8 7% 692/4/43 3/1/6 2/3/1 1/1/ Invative peripherals IBM pseries Windows XP, 2, NT, 98 imaging document control IBM AIS, AIX Oracle PC recommend Dellcan use any standard PC Vista OS: voice input Windows 98, ME, XP, Vista Pervasive Btrieve Windows, Linux Caché, M-21 Siemens, Meditech, McKesson, Eclipsys, CPSI, GE/IDX, QuadraMed, Keane, Cerner, others SCC SoftLab GE, McKesson, Siemens, Misys, others integrated with SchuyLab Misys, Meditech, Cerner, McKesson, Orchard 1 claim form generation Auto delete of nbillable procedures % 2% 8% % % 3% 8% % % % % available but t 2% % 8% 2% 3% 3% 3% 2% 2% claims, payments, secondary claims Medicare, BCBS, Quadax, ProxyMed, MVP, NEIC, others UB-92, 1, 837 Professional and Institutional Quadax claims, rebill, remittance ProxyMed/MedAvant, Office Ally, Palmetto 1 CodeMap 837 and 83 claims and remits, 27 eligibility, special eligibility UB-92, 1 CodeMap Client contracts supported from data center t operated by client /escrow $4k/$3k/$k/ /escrow /escrow $1k/$3k/$2k/$1k $1k/$27k/$1k/ $3k/$3k/$k/$4k $1k/$33k/$4k/ $1k/$27k/$1k/ $ /~$k/$1k/1% of purchase price $7k /~$3k/$2k/1% of purchase price Tabulation does t represent an endorsement by the College of American Pathologists unlimited multi-tiered pricing, carve-outs, billing edits HIS, commercial lab, SNF, ESRD, centralized billing for multi-site modular product offering to meet individual site requirements direct Medicare and Medicaid billing in all regions of United States reasonable prices; on-site training; full integration with LIS company defines a claim as all billable items in a single accession system oriented toward independent labs presumes use of shared stations presumes use of dedicated billing stations systems designed exclusively for commercial and outreach labs real-time billing and accounts receivable data complete access via ODBC to all data elements billing services

6 Part 6 of 6 3 / CAP TODAY July 27 Telcor Mitch Fry [email protected] 16 S. 7th St. Lincoln, NE Peter Williams [email protected] 14 River Rock Drive, Ste. 24 Folsom, CA Xifin Steve Nielson [email protected] 1267 High Bluff Drive, Ste. 2 San Diego, CA Billing Information System Xifin AR 24/May 27 April 27 2/ /April 27 April 27 No. of contracts signed that are t yet live Contracts signed since June 26/contracts gone live since June /4 11 (4/6///1 /) 1 3/2 (//4//1 /) 16 2 /4 17 (7/8/2///) No. of inpatient invoices handled by sites annually No. of outpatient requisitions handled by sites annually 1 7, (avg., 1,) 26/3 7% 1, /1 12, 2,, (avg., 64,) 14/16/18 7/9/4 4/6/2 4/6/2 22/22/6 22/22/ Invative peripherals Intel-based Windows server Windows 2, XP fax, PDF, , Excel export Windows 2, 23 servers MS SQL server,.net platform ASP any PC connected to the Internet imaging, scanning, secure faxing Windows 23 server SQL DB, Internet Explorer ASP PC-Pentium with Internet connection interfaced to bar-code printers, image management, OCR readers, fax, archived storage Windows 2, XP with Internet Explorer Oracle 9.2, Oracle data warehouse, Business Objects XI Report Writer, Veritas, Covalent, Quest Invision, Tandem Siemens, Cerner, Misys, PowerPath, Orchard, GE Cerner, McKesson Cerner, McKesson, Misys, SCC, Aspyra, CIS, Tamtron, Netlims, etelenext 1 claim form generation Auto delete of nbillable procedures available fourth quarter 27 t available available but t available but t available but t available but t available but t t available t available available but t available but t claims, remittance, client invoices, statements, rebill Express Bill, Claim.MD, THIN, epremis, e-gate, GHN, McKesson Transaction Hub, Medicare, UHIN UB-92, 1, UB-4, state specific allows import from CMS files AP system interface, claims, payments, rebills, aging, ERA, others ENS, others 1 ICD-9, CPT, NPI, legacy numbers systems integration, payer and clearinghouse management, electronic submissions/remittance, payer edits, secondary claims generation, fee schedule, others Medicare carriers and FIs, Medicaids, BC, UHC, Aetna, Cigna, MedAvant, Per-Sé, others UB-92, 1, n-standard Medicaids LCD/NCDs, CCI, OCE, ICD-9, others Client contracts supported from data center t operated by client fixed fee requires software be on a client PC requires use of a VPN or other dedicated connection or lab can choose billing company by a third party (AT&T) /escrow /escrow $/$2k/$/$.1k $/$2k/$/$.1k $/$2k/$/$.1k $/$2k/$/$.1k /escrow /$1.2 per transaction/$14k/included /$.89 per transaction/$3k/included /$1.2 per transaction/$14k/included /$.89 per transaction/$3k/included designed exclusively for workflow of outreach programs extensive outreach business management toolsprofitability analysis, utilization inquiry uses latest techlogysql server, exports to Excel, academic site Web based and seamlessly integrated with s AP solution The CMS 1 is ready for submittal immediately after report is signed out on-line, real-time resource management reporting anesthesia service provider services include ongoing programming, integration, and database maintenance user-configurable, rules-driven workflow automation facilitating incorporation of lab procedures and best practices comprehensive error/denial management resources and correspondence capabilities Tabulation does t represent an endorsement by the College of American Pathologists