SIGNATURE Presentation. OAS GOLD.
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.
check boxes, radio buttons, labels, selectable lines with banners, combo boxes, a calendar, text boxes, images, scroll bars, data evaluators & controllers
Previous accounts had bad information. Previous accounts were bad debt. Previous accounts were charity. Previous accounts had billing problems.
"Minor as the Guarantor" reasons that are easy to select (rather than type in)
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
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
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
AVE and corrected the zip 33613
Original address data
Further information is needed
a list of known
is required - such
as an OFC, LOT
or APT number
through this screen and parsed into the street, city, state
and zip code fields.
demographic screen. The user then adds LOT 71 to
complete a full mailing address.
all patient data and “gray out” the screen to protect data
shown … with COMMENT and EMPLOYMENT options
Click on PLAN to access a “quick pick” help screen
ZZZ identifies a terminated plan
the plan code 102 and an MC filled in for the CONTRACT.
GUARANTOR screen where the button is activated
so the user can continue on to the CASE screen
the system will show the button.
Vital functions automatically selected (radio buttons)
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.