Now that I have your attention... Are you manually pricing your claims for negotiated services? Do you have prices on every patient’s billing alert? We have a solution for what ails you; CPR+ now allows you to define a negotiated rate for products and services on the insurance verification and the pricing will carry over to the claim. 

**Remember in v8.1 an insurance verification can be set up for the patient.

When adding a new authorization to a patient record click on the Use Negotiated Rate checkbox. When this is done, the billed and expected prices on the authorization will carry to the Delivery Ticket and subsequently to the invoice. There are several items that must be kept in mind when using this function.

• The Use Negotiated Rate box must be checked.
• The HCPC on the Delivery Ticket must match the HCPC on the authorization.
• The From and To dates on the Delivery Ticket must be within the Auth Start and Auth Exp. date on the authorization.
• The authorization must be active.
• The payor on the Delivery Ticket must match the payor of the insurance verification.

If any one of the above conditions is not met, CPR+ will populate the Delivery Ticket and the invoice with the price in the insurance contract. If there are multiple authorizations that match the above requirements, the system will pull the pricing from the newest entered authorization for that item. This pricing will take precedence over any other pricing options, (i.e. list, price matrix, shared contract, etc.)

**Please note that this functionality was designed for services and supply items pulled directly onto a delivery ticket and not for items assigned to a CPR+ prescription.  This will also work for Clinician Visits if a Delivery Ticket is created when the visit is confirmed.

Select Use Negotiated Rate on the authorization.

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When confirming the Clinician Visit, you must answer "Yes" to create a Delivery Ticket and assign the same payor to the ticket that is assigned to the authorization.

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View the Delivery Ticket in the Ready-to-Bill file.

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You will notice the negotiated amount displays in the Bill/Ea. and Expect/Ea. columns. When this item is copied to the invoice, the associated charges will reflect on the invoice.

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The G20 was only the start... A few weeks ago, we randomly picked a dozen of our HME customers to invite to our first HME Summit – an all-day conference held at the Polaris Hilton, here in our Corporate Headquarters city, Columbus, Ohio.

We wanted to gather a cross-section of HME customers and have an open discussion on CPR+ as it relates to the needs of HME businesses. At the same time, we provided an opportunity for those HME users to meet and share ideas on HME business practices in person. It was like a live session of HME Talk. (If you haven’t heard about it yet, HME Talk is our new listserv, specifically designed for the HME industry, and not just CPR+ related topics, but any HME issue that a user wants to discuss.)

From a customer perspective, Phil Farris from P&R in Van Wert, Ohio, seemed to sum up the group’s opinion at the end of the day when he graciously thanked us for hosting the Summit and expressed his appreciation of the other users’ opinions, suggestions and open discussion.

From a D.H.S. perspective, it was a very successful day: As a software company, we are forever trying to balance user requests ranging from “don’t change anything, we like it just as it is” to “I need this change immediately or my business will fail.” What the Summit attendees provided for us was a better understanding of the diverse ways that our customers operate. There are changes that need to be made, but we need to make those changes optional whenever possible so that we’re closer to providing a universal HME package – one that can help our customers not only succeed, but flourish. As we’ve often said, we want to be a partner in your company’s success.

Thanks again to the CPR+ customers who attended our first HME Summit:

Julie Borman, ProMedica HME, Toledo, OH
Jill Daniel, Cox Health Systems, Springfield, MO
Bob DeChello, Critical Homecare Solutions, Conshoshocken, PA
Kay Elling, P&R, Van Wert, OH
Phil Farris, P&R, Van Wert, OH
Linda Fee, Seeley Medical, Andover, OH
Troy Litwiler, Seeley Medical, Akron, OH
Ann O’Donal, Professional Homecare Services, Cromwell, CT
Charles Russell, Greene Respiratory Services, Milford, OH
Stephanie Watson, Greene Respiratory Services, Milford, OH

We are already planning the next HME Summit, to be held after the CPR+ User Conference in November, 2009.

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CPR+ customers occasionally send messages to the CPR+ Listserv offering to sell drug inventory that is expiring soon.  Do you have inventory like this? How much is it going to cost you? Does the manufacturer have a return or exchange program you can take advantage of? You can identify drug lots that will be expiring by running the Drug Expiration report from the Inventory Reports menu. This report pulls a list of drugs that will expire within the date range you select based on the expiration date you assigned to the lot when it was added to inventory.

From the Main Menu, select Reports (4) > Inventory Reports (3). (Alternately, you can access the same reports menu from Inventory (6) > Inventory Reports (7)). From the Inventory Reports menu, select Drug Expiration (6). Run this report monthly, looking for drugs that will be expiring a few months out. Save money by getting your product out the door, instead of letting it sit on a shelf for too long.

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