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The Resident Information Module includes ADT (Demographics, Admissions, Census reporting) Billing, Accounts Receivable, Admission Fee Amortization, and Resident Fund Accounting and is seamlessly integrated with the General Ledger and Clinical/EHR module. Single point entry allows for multiple admissions and re-admissions with the same resident number, discharge and transfers, including admission to multiple programs with billing for both admissions simultaneously. It supports full electronic billing to all parties. It easily handles multiple changes of financial classes, changes in status and level of care.
Resident Census Features Include:
- Unlimited Facilities On-Line at the same time.
- HIPAA compliant field level security of PHI with read write full access, view only or no view.
- 99 User definable Face Sheets
- Multiple Resident Admissions at the same time to different facilities.
- Multiple Admissions allowed for residents to the same facility using same resident number without reentering resident data.
- Automatic E-Mail to users of Resident Face Sheet Information upon Admission and Census Financial and Bed Change information upon Resident changes.
- Unlimited Guarantors/Responsible Parties and Emergency Contacts.
- Digital pictures can be inserted with the Face Sheet information.
- User can control ICD-9 printing and display sequence for Resident’s multiple ICD-9 codes having different sequences per Billing Payer, Face Sheets, etc.
- User Customizable Forms/Screens
- Multiple Financial Class, Level, Status and Room Changes per month.
- Retroactive changes allowed to current month, previous months or years. Census reports can be rerun as needed.
- Financial Class/Levels of Care census totals - Daily/Monthly/YTD.
- Hospital/Leave day census totals - Daily/Monthly/YTD.
- Census by RUG III Categories.
- N.Y. State RHCF-4 Reporting.
- Fully Integrated with Census, Billing, Accounts Receivable, Resident Funds, EHR and General Ledger.
Billing and Accounts Receivable Features Include:
- Billing for Retirement Communities, Skilled Nursing and Assisted Living Facilities
- Claims Management - HIPAA Certified for billing transaction standards and code sets. HelpCare+ allows you to establish an unlimited number of commercial insurance plans to track and easily bill all necessary payors. Default plans can be set up and customized by resident.
- Fully HIPAA compliant with the Medicare and Medicaid Billing System.
- Medicaid Resident Surcharge Billing. (Can be used for Sales Tax)
- RUG score and Modifier updated Automatically from MDS.
- Pre-bill capabilities by financial class.
- Import of Third Party ancillary charges
- Complete support for Physician (or any other Professional) billing. Support for electronic submission of billing.
- Supports all third party billing operations e.g. Medicaid, private pay, split Medicare co-insurance calculation - Bill co-insurance to other third parties.
- Automatic Re-billing by facility, resident or financial class, e.g. retro rate changes.
- Creates user-defined finance charges.
- Prepares UB-04 for multiple payers and providers in HIPAA format.
- Prepares state Medicaid forms, tapes or diskettes in HIPAA format.
- Custom Resident statement messages.
- Various AR Reports including 7 Column Aged Report, Credit Balance Accounts Receivable Report, Historical AR Report and More.
Cash Receipts-
- Import 835 Health Claim Payment Advice with update of Cash receipts file.
- ACH Payment Acceptance Ability
- Cash Receipts by Payor, Ability to selectively display and/or sequence. Auto pay options, oldest to latest. User defined payment status codes and collection notes. Miscellaneous receipts.
- Cash Receipt Balance Adjustment Ability
- Security Deposit Tracking.
Other-
- Admission Fee Amortization.
- Automatic Meal Credits based on user definable leave criteria.
- Asset Spend down by Total Assets, Monthly Income and Monthly Expenses, all of which can be changed at any time.
- Fully Integrated with A.D.T, Census, Billing, Accounts Receivable, Resident Funds, EHR and General Ledger.
Resident Funds Features Include:
- Receipts and withdrawals.
- Full support for multiple Resident Funds.
- Detailed history reports.
- On demand resident fund statements.
- Interest calculation and distribution.
- Resident Fund History Inquiry.
- Fully Integrated with A.D.T, Census, Billing, Accounts Receivable, EHR and General Ledger.
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Resident Information