In the rapidly evolving healthcare system, complex health plans make it increasingly difficult to perform accurate accounting. Numerous co-payment varieties, discounted fees, denied charges, and unpredictable, complicated coverages all contribute to the problem. Before now, it was often necessary to do a complete audit of a patient’s account in order to determine which charges had been paid by insurance companies and which had not. The process of calculating the amounts to be written-off and/or charged to the patient was difficult and time-consuming.

The E·Z BIS Collection Desk offers a solution to the frustrating problem! This module for E·Z BIS Office is a set of tools that makes it easy to track paid and unpaid charges so that nothing “slips through the cracks.”Collection Desk also streamlines the process of determining the patients’ portions of their account balances by automatically adjusting the patient responsibility as insurance payments are posted.

Open-Item Accounting

Open-item accounting gives you the ability to apply payments received from insurance companies to individual line items on insurance forms. When payments and other credits are entered (either insurance payments or patient payments), the payments are disbursed to the specific charges that are being paid. The benefit is that each line-item charge shows whether it is closed (fully paid) or open (not paid or partially paid). At a glance, the amount outstanding for each charge can be immediately determined.

Payment Posting Center

E·Z BIS makes it a snap to post bulk insurance payments with our Payment Posting Center.

You can simply take an explanation of benefits (EOB) and enter the information off the page, right into a single screen. You enter the payment amount, the allowed amount, discounts or other payment reductions and the patient responsibility. The appropriate adjusting entries are performed for you...automatically! You can even perform patient write-offs or charges along the way. Status indicators tell you if the payments are ready for posting, or if they need further attention.

ERA Auto-Posting

Many insurance companies provide payment information electronically, in the form of an electronic remittance advice (ERA). These ERAs can be received and posted automatically!

You just pick an ERA from the list of those that have been received. The disbursal ledger will be filled out for you, with all payments, adjustments and reasons, without having to manually enter the information.

What once took hours, now takes seconds!

Collection Aids and Reports

The Collection Worksheet is a tracking tool that shows each unpaid or partially paid service that is overdue for payment. All information needed for collection follow-up is on the report, including patient and insurance carrier information and the status of each pending service.

The Service Payment Analysis Report shows how each insurance company pays for each separate service code. Each insurance company is analyzed separately to show the average amount paid for each specific CPT code that was billed during a specified period of time. The report indicates the collection percentage for each service code and the average number of days for payment.

 

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