Faster, More Accurate Billing, Starting with the Delivery Ticket

In last week’s article, I introduced a major CPR+ enhancement that will be part of the v8.3a annual release this fall. Our goal for this enhancement is to INCREASE BILLING AUTOMATION, DECREASE OR ELIMINATE “MANUAL” USER MANIPULATION OF CLAIMS and SPEED UP THE ORDER ENTRY AND DELIVERY TICKET CREATION PROCESS.

The key to making “One-Click Billing” a reality is to assure that every item on the Delivery Ticket is linked to an Order and every Order includes the information necessary to generate an accurate invoice.

CPR+ has stored billing-related information at the order level for several years. In v8.3, we added some additional data items at the order level, including Referral Source, multiple Diagnoses (1 through 4) and Company. Most of the information pulls in automatically from the patient’s demographic data; however, you can edit it as needed. For lack of a better term, we call this set of data the “Common Information”. With the One-Click Billing enhancement, we take full advantage of this data and use it to generate clean claims.

Auto-Splitting Delivery Tickets

The bottom line is this: For a given invoice, there can only be one Payor, one Physician (Prescriber), one set of Diagnoses, one Authorization, etc.

So, if this information is unique to an Order AND if multiple Orders (with different sets of Common Information) are pulled onto a single Delivery Ticket, then the Delivery Ticket needs to be split. And that is what we do. In v8.3a, CPR+ will auto-split your Delivery Tickets Items by Order, or more accurately, by “Common Information” associated with each Order. If two or more Orders share the same Payor, Prescriber, Diagnosis set, etc., the items linked to those Orders can remain on the same Delivery Ticket. However, if two or more Orders with different sets of “Common Information” are present on a Delivery Ticket, CPR+ will split the Delivery Ticket at the time of Confirmation. The end result is that all of the items on a “Ready-to-Bill” Delivery Ticket will have the same Payor, Prescriber, Diagnosis, Authorization and Therapy Type.

One-Click Billing

Once every Delivery Ticket in the Ready-to-Bill file has a unique set of common information, all that’s left to do is to convert the Delivery Tickets to invoices, and that is precisely what the Batch Billing feature in CPR+ is designed to do.

The CPR+ Batch Billing feature converts RTB Delivery Tickets to invoices by looping through a user-filtered list of Delivery Tickets and automatically creating an invoice for each DT. Next, it pulls all billable Line Items, assigns the DT to the Invoice, and sends it to the appropriate Electronic Claims or Ready-to-Print queue. The process is repeated for each ticket until all invoices reach their queue.

Program options related to “Spanning Service Dates”, “Collapsing Line Items by HCPC or Inventory Item”, etc., allow you to further automate and fine-tune the invoice creation process. Currently, the Batch Billing feature creates invoices based on the payor, primary MD and diagnosis set in the patients’ Demographic screen. With One-Click Billing, invoices are generated with a unique and accurate set of common information from the Order(s) associated with each Delivery Ticket, eliminating the need to manually edit each claim.

As I mentioned last week, for years, customers have said “I just want to hit a button and have CPR+ create all my invoices.” Our goal in designing this enhancement was to give you that capability.

Come to the 2009 User Conference to learn how to use One-Click Billing

This single new enhancement has the potential to dramatically streamline the Order Entry, Delivery Ticket creation and Invoice generation – but only if YOUR STAFF KNOWS HOW TO USE IT. How many Delivery Tickets are sitting in your Ready-to-Bill file right now? Imagine being able to create accurate invoice batches from tens or hundreds of DT’s in mere minutes. If your organization implements this new feature, your DSO will drop, your cash-flow will improve, and overall productivity will skyrocket. Come to the 2009 User Conference and we’ll take you step-by-step through the process. Make plans NOW to attend.

To Register for the FREE Conference, Click Here.

If you have any questions about any of the concepts outlined above or if there is anything that we can do to improve your CPR+ experience, please do not hesitate to contact me at 866-277-4876 or via email at jeff@cprplus.com.

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