Registration, Preadmission, Census : within Management Systems

• Patients accessed by full name, partial name, or account number.
• Scheduled patients can be registered at check-in.
• Ability to re-register patients.
• Ability to void patients.
• Provides authorization and precertification maintenance.
• Unlimited user defined demographic fields.
• On-line editing of user defined fields for accurate registration information.
• Date sensitive insurance coverage.
• Patient visit information remains on the system for an organization defined period of time.

Billing / Receivables : within Management Systems

• Automatic bill preparation when required insurance information is complete (bills require no manual corrections).
• Automatic adjustments to revenue statistics due to service or financial class change.
• Allows physicians to schedule and inquire into appointments as well as viewing patient financial and procedure history.
• Automatic rebilling on insurance for insurance change or decline with recalculation/posting and reversal of information.
• Supports guarantor/corporate billing.
• Supports line item billing.
• Provides maintenance to CPT4, insurance master, benefits, and diagnosis files.
• Supports HCFA coding/billing.
• Supports unlimited rate files.
• Automatic allowances generated based on charge and allowable rate.
• Supports capitated payments.
• Patient mailers automatically generated based on user defined cycle.
• Monthly transfers to agency can be automatic and/or manual.
• All account detail remains on the system for a user defined period of time after zero balance.
• Bill cycle provides all bill forms, income/payment registers, control sheets, and batch listings.
• Provides electronic billing.
• Supports patient refunds with reason for refund.
• Supports unapplied payments.
• Provides on-line and demand bills.

Executive Information Systems : within Management Systems

• Full integration with all INTERACTANT Modules.
• Multi-divisional reporting capabilities.
• Easy access to information for decision making purposes.
• Consists of a series of tools which allow the user to access key indicators within the organization in a variety of formats, including graphics.
• Accounts receivable management.
• Medical record drill-down capability for clinical reporting.
• Departmental expenses.
• Procedure diagnosis monitoring.
• Ability to import data to popular PC programs such as MS Excel, MS Access, and Crystal Reports.

• Access to relational database elements featuring data descriptions.

Contract Management : within Management Systems

• Ability to accommodate multiple types of managed care contracts.
• Ability to evaluate the value of a proposed contract based upon historical data.
• Availability of on-line eligibility checking.
• Ability to bill according to contract terms and perform accurate automated allowances.
• Ability to concurrently monitor existing contracts to evaluate performance by selected criteria.
• Ability to monitor for appropriate reimbursement by payor/plan.
• All requirements for registration and rules for contract are stored on-line.
• Ability to have specific contract for self-pay and insurance carriers.

Appointment Scheduling : within Management Systems

• Ability to schedule patients by service or resource.
• Appointment history includes employees that have previously seen the patient.
• Charges are generated for the patient's billing account based on all scheduled visits that are checked-out.
• Ability to register patients from appointments.
• Prompts scheduler with insurance guidelines and requirements such as precertification, preauthorization, and copayments.
• Warns scheduler if specified insurance will not cover the chosen service or provider.
• Provides overbooking of appointments, if authorized.
• Displays/prints procedure and financial history.
• Provides maintenance for encounter forms, procedures, cancel reasons, resources, users, and services.

Practice Management : within Management Systems

• Provides billing/collection summaries by organization/practice plan.
• Provides registration/scheduling of patients.
• Provides user security for account maintenance, scheduling, and data entry.
• Provides data entry (charges, charge adjustments, payments, payment adjustments, and allowances) for institutional accounts as well as organizational and surgical charge entry.
• Accounts accessed by patient name, account number, medical record number, guarantor name, or guarantor number.
• Summary screen displays patient, guarantor, insurance, and billing information including last bill date, last statement date, number of statements, and last payment date.
• Real-time system, all entries reflected immediately.

Physician Access : within Management Systems

• Provides remote access to pertinent clinical data.
• Allows attending, admitting, consulting, and covering physicians to have appropriate access to the computerized patient record.

Physician Referral : within Management Systems

• Allows a caller to refer a patient to a physician or service.
• Referral tracks patient demographics.
• Generates follow-up correspondence, management and marketing reports.
• Provides search criteria of physician to facilitate search.
• On-line questionnaire to follow-up with the physician or service.
• Full maintenance of physicians, patients, services, letters, and medical indexes.