Quality Data Reduces Claim Rejections Increasing Rate of Revenue
The PBRC Billing module automatically calculates charges based on the billing policies of the healthcare facility and generates invoices for patient treatments.
Customisable Billing Rules
Customise the charge calculation using billing rules to reflect business and service delivery models. Respond quickly to business needs by modifying user-controlled billing rules to reflect policy changes.
PBRC comes pre-configured with best practice billing processes but also provides the flexibility of configurable billing rules and automated processes (workflows).
User configurable 'who/when/what' criteria and conditions are set within the billing cycle to effectively control all automated processes. This means that any combination of Encounter (episode of care), Patient or Payor data can be used in the business automation and decision processes.
Implement the standard billing rules and workflow configurations provided, for swift implementations where customisation is not required.
Control automatic billing process runs by scheduling recurring functions.
Reduced Errors and Rejections
The system routinely performs automatic error-checking on the data. On discovery of errors (e.g. missing or conflicting information), it routes corrective action tasks to users for manual intervention. User data entry is quality controlled through reference table field values and automatic validation.
In addition to inbuilt error checking, alert flags can be used to manually halt the automated billing process or alert users to abnormal conditions.
Time-stamped memos and notes against billing records provide an audit trail of accounts receivable activities as well as improved communication between users.
Reminders are used to automatically alert users when follow-up is required.
Patient Centred Invoicing
Flexible invoicing options for episode-based or debtor-based invoices.
All services provided are itemised on a single invoice, eliminating the need for separate invoices from each facility.
Invoices are consistently branded for all facilities regardless of where the services were delivered.
All system documents (e.g. invoices and statements) are generated from templates and populated with patient details.
PBRC Key Features