Our BATCH™ calendar provides detailed insight into your facilities off-site appointments. This tool allows for simple scheduling of the appointment, and captures all appointment details. We provide numerous reports to detail access to care and timeliness of care issues. Our system manages scheduling for your institution infirmary, all on-site clinics, all off-site providers, as well as E/R and in-patient stays. Estimated costs of care are tracked within the calendar tool to help with accounting requirements.
One advantage to our system is that it is web based, meaning no software is required to be installed at the user site. This allows for the management of the patients by multiple parties at different locations. What this means is that the institution now has a choice, they can manage their own scheduling, or they can choose to have someone manage it for them.
We track each and every claim presented for the services provided to show when the claim was received, current status, and all contracted rate information. We have unlimited flexibility in our reporting capabilities and can meet any customer requirements such as showing where they are spending their money, what contract adjustments need to be made, and many other management type financial reports. All claim data is captured and stored in our database to be included on reports upon request of the customer.
Once the claims have been processed, we provide detailed EOPs and EOBs for the providers and the institution. Information on the inmate, date of service claim amount, contract amount is all provided along with back up information such as a copy of the claims and reports from the processing of the claim to show that the claim has been adjudicated accurately. This leads to a quicker payment by the institution which helps in the negotiation of provider contracts.
We can provide an up front estimate on all out-patient services at the point of scheduling. Based upon the specialty, and type of procedure that is due to be performed, we can predict which Medicare billing codes will be submitted on the claim and we can provide you with the best possible estimate for the upcoming services. For E/R or Inpatient claims, we provide estimates after admitting. We will call the provider to find out the admitting diagnosis, and probable treatment program to identify which claims we will receive. We also find out what other services were utilized such as anesthesia, surgery, ambulance, and professional providers that treated the inmate. From that point on, we follow up with the provider until the inmate is discharged to see if there are any complicating conditions that may affect the final DRG, or if outliers may be applied. This allows for us to provide customers with an accrual report, which can be viewed in our patient management system, to identify accrued amounts to be posted each month.
All of our systems are fully HIPAA compliant. In addition to HIPAA, we take great care in protecting our customer data. All of our systems utilize SSL and use 128 bit encryption. We have redundant data centers hosting our servers which are fully secure. We do nightly back-ups of all data, and in the event our contract ever runs out with a customer, we can provide them with their data with 7 days of the end of the contract.
All of our tools provide a complete audit trail, detailing with date and time, all users who have viewed or documented each encounter. This includes transactions as well as view only access to the information. This audit trail can be used for compliance and accreditation reporting.