SIGNATURE Presentation. OAS GOLD. PRESENTED BY.
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Debbie Harkins Patient Accounts IT Coordinator, Central Business OfficeBaycare Health System, Oldsmar, FloridaAnnette Yanna Senior System AnalystBaycare Health System, Clearwater, FloridaDale Sahlberg Senior System AnalystBaycare Health System, Clearwater, Florida
Front-office functions include registration, scheduling and report writing tools.
Business office functions manage accounts receivables with collection tools to maximize reimbursements.
Has advanced collection tools (target files) to maximize allowable reimbursements based on payers and collectorsGenerates 1505 medical billing claim forms (combined charge for services and physician - example: chest X-ray)Produces UB04s - same as an inpatient hospital bill with surgery billing for nurse, facility and supplies ( surgeons do their own billing )Has a combined Patient Management and Patient Accounting database (integrated application) that allows charges to be entered and bills produced that same day (day-end)Utilizes SCHEMES that allow multiple insurance plans to meet the different ambulatory care needs
A patient was registered at the Imaging site for a annual diagnostic mammogram and ultrasound with Medicare and Medicaid plan providing coverage.Scheme 1 - established with insurance plans Z01 Medicare with a priority of 1 and Z25 Medicaid Fl with a priority of 2
The patient was in an auto accident later that day and returned to the Imaging site to have a MRI of the cervical spine. Scheme 2 - established with I16 Auto Allstate Insurance with a priority of 1
The patient was scheduled for a knee arthroscopy due to a work related injury that occurred the previous week.Scheme 3 - established with 0041 Commercial Risk Work Comp with a priority of 1
The original SIGNATURE application was based on a 3270 terminal design.
The Siemens enhanced SIGNATURE version employs browser technology called OAS GOLD.
GOLDhas new graphical features such as:
check boxes, radio buttons, labels, selectable lines with banners, combo boxes, a calendar, text boxes, images, scroll bars, data evaluators & controllers
One shared main menu with variable options based on job role
Users have an access tcl that determines what functions are available
When the Accounts Receivable staff signon they see:
When the Patient Management staff signon they view:
Previous accounts had bad information. Previous accounts were bad debt. Previous accounts were charity. Previous accounts had billing problems.
Radio button selection will appear as a comment
BOARD MEMBER FRANCISCAN ORDER CLERGY FOUNDATION FRIEND COMMUNITY LEADER GOVERNMENT OFFICIAL FINANCIAL DONOR STAFF PRIVILEGED PHYSICIAN CELEBRITY
Address Verification Benefits
Former 3270 screen was unable to verify a patient’s address with the US Post Office
The customized GOLD screen can verify online a patient’s address with the US Post Office
that should be 13618 N FLORIDA AVE
that should be33613
If the address was not found, then the
US Post Office returns the following message:
Option:GOLD also can inform the user verbally of an error message.
Then a list of the current 3270 issues was compiled.These issues became the reasons SIGNATURE was converted to the GOLD version …
Two training sessions:
Office) is the final live event
Now we can view an
Staff can select a printer from this first menu.
EAD inquiry options
After demographic data is filled out, the system will
US Post Office abbreviated the
AVE and corrected the zip 33613
Original address data
Further information is needed
The USPS supplies
a list of known
is required - such
as an OFC, LOT
or APT number
The US Post Office verified address is then transferred
through this screen and parsed into the street, city, state
and zip code fields.
The corrected address is automatically copied to the
demographic screen. The user then adds LOT 71 to
complete a full mailing address.
GUARANTOR information – will automatically copy
all patient data and “gray out” the screen to protect data
Bottom part of the GUARANTOR information screen is
shown … with COMMENT and EMPLOYMENT options
Click on PLAN to access a “quick pick” help screen
Insurance Company help screen with “quick pick” options
Select an insurance plan
ZZZ identifies a terminated plan
The managed care plan automatically had a 1 appended to
the plan code 102 and an MC filled in for the CONTRACT.
The HDX button lit up indicating an HDX inquiry is available.
The INSURANCE flow returns to the
GUARANTOR screen where the button is activated
so the user can continue on to the CASE screen
Once all required data is completed
the system will show the button.
A R Follow-Up
A R Inquiry
Vital functions automatically selected (radio buttons)
A R Summary
Collector Name and Comment automatically valued from codes
CALCULATOR and EMAIL options added to the Navigator
REASON codes custom feature added
Internal email information is automatically filled in with AR detail … saving time and preventing transposition errors
This concludes our presentation.