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 HomecareNet's Unmatched Reimbursement Features HomecareNet's pricing, contracts, billing and receivables features are key to maximizing reimbursement revenue. Advanced payer setup gives users powerful tools to maximize revenue from services provided. HomecareNet's receivables and collections functionality gives the flexibility and power needed for today's home care industry. Payments--full or partial--are easily applied to multiple claims and balances can be transferred to secondary payers with the click of button. Robust and flexible, these key features allow users to create sophisticated payer-specific rules and to customize prices, contract details and claims. Plus, HomecareNet helps find "lost" revenue by identifying opportunities to bill that would be nearly impossible to identify with less sophisticated systems--maximizing revenue for the enterprise.
HomecareNet allows you to construct contracts using payer-specific schedules or rules that are based on list price, AWP or cost. Prices for per diems are established by frequency, dose or other criteria. You can also define outliers to indicate which items should be included in a per diem, with or without a limit. Home health organizations can establish a PPS contract that defines rates for LUPA patients. Hospices can define specific per-diem rates for different patient statuses. Charges HomecareNet will automatically generate pharmacy, supply, DME, visit, and per diem charges. Payer-specific charges (e.g. Medicare kits or PPS episode charges) are easy and intuitive to establish within HomecareNet. Claim edits are enforced in the system and users can see warnings up-front, before billing.
Split Billing HomecareNet allows you to split billing between carriers for different services. Products and services covered by certain payers (e.g. Medicare Part D) can be billed in real time, while the remainder of products and services in a given order can be billed through traditional methods. Once split-billing rules are set up, HomecareNet automatically applies them, without any intervention from you. Applying Payments When payments come in, they are recorded in HomecareNet in a Receivables Batch, which corresponds to a single day's bank deposit. Payments are easily applied to outstanding claims and partial payments can be applied as well. HomecareNet also allows you to apply payments to individual line items on a claim if an EOB supplies that level of detail. Adjustments & Transfers You can record adjustments and transfers for balances during the process of applying payments, or as separate transactions. The list of adjustment codes and reasons are user-defined and readily available for reporting. In addition, HomecareNet tracks which secondary claims need to be produced as you transfer balances. Collections Tools In A/R Inquiry, users can focus collections efforts by querying for open claims by patient or by payer. These detailed inquiries allow users to see a history of all transactions for every claim, reprint claims, capture detailed collection notes with follow-up dates, and record messages to print on patient statements. In addition, patient record flags alert intake staff for those patients who have past-due balances, avoiding future collections issues. Financial Controls HomecareNet's accounting periods define the financial calendar for an organization. Each financial transaction in inventory, billing, and receivables is associated with an accounting period, providing consistent and accurate month-end reporting of all transactions processed within a period. Accounting periods may correspond directly to a calendar year or to an alternate fiscal year. Up to two periods may be open at once. When a period is closed, no further activity can be posted to it, ensuring financial reports for that period will never change. General Ledger HomecareNet captures General Ledger (G/L) journal transactions each time a financial transaction occurs. You define the debit and credit accounts, which can vary by site, payer or service. Transactions can be exported into any third-party accounting software package, Microsoft® Excel, Microsoft® Access, or other applications. An Enterprise Solution HomecareNet is designed to support the requirements of a changing home care industry. These sophisticated pricing, contracts and billing features provide managers the ability to establish rules within HomecareNet, ensuring that all transactions will adhere to these rules. Billing can be centralized or decentralized, with all unbilled and billed figures readily accessible in a single database for reporting. Payments for all products and services are applied with the same easy steps. HomecareNet's robust reporting gives management the tools needed to spot trends and focus energy on collections with the highest value. Want to Know More?
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Sophisticated Contract Rules HomecareNet was designed with today's home care industry in mind. Contracts with different payers have varying terms and HomecareNet can capture these terms, maximizing the revenue from each contract. A contract may represent a managed care contract, Medicare or Medicaid allowables, or a verbal arrangement with a case manager or patient.
Customizable Claims HomecareNet's advanced claims tools allow users to configure electronic and paper claims based on individual payer requirements so they are produced correctly the first time. HomecareNet supports all electronic claims that apply to home care - the 837 Professional, 837 Institutional, and NCPDP 5.1 - as well as the HCFA 1500, UB92, plain paper invoice and patient statements. These benefits save billing staff countless hours of time making manual adjustments to claims.
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