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Audit PMS will
allow you to enter each of your cases into a database for storage and
immediate recall. Each case file contains all of the normal
information regarding your audit such as:
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Provider |
Audit Firm |
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Patient Number |
Insurer |
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Patient Name |
Date Audit Appointment
Requested |
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Dates of Confinement |
Audit Appointment Date |
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Total Charges |
Unlimited Comments |
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Current Audit Status |
Audit Completion Date |
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Authorization on File
Flag |
And More |
Audits may be stored indefinitely and
recalled almost instantly by entering the patient's name or Patient
Number + the Provider.
All audits are available for reporting on
demand.
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Audit PMS
contains a full featured audit breakdown software sub-system. You
may break bills down for an almost unlimited number of hospitals.
As you enter each new service code the
computer will save the information into a database for this specific
audit breakdown as well as its "Charge Master", database. Once you
use a hospital service code on any audit you will never again need to
enter the information about that code again!
Audit PMS constantly monitors the current
pricing in the "Charge Master" against any breakdowns that you perform.
If the admission that you are currently breaking down is more current
than the price that is currently in the "Charge Master" Audit PMS will
automatically update the service code charge with the more current
pricing.
Audit PMS provides you with a series of
tools that you may use to make sure that your breakdown balances to the
bill. You will no longer get to the end of a $150,000.00 breakdown
only to find out that you're out of balance by $37.41!
Audit PMS will provide you will a
breakdown report that sorts each service code into its respective
department and then alphabetically within that department.
Audit PMS provides you with the ability
to email your breakdown results.
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Once you have
completed your audit Audit PMS provides you with tools to document and
report your
findings.
You simply enter each service code with a
discrepancy into your audit breakdown file. The computer will
attempt to automatically classify the discrepancy into "Overbilled,
Underbilled, or Unbilled". You may manually override the computers
determination at any time. You may also attribute a discrepancy to
"Personal or Non-Covered" classifications.
Audit PMS will prepare a report for you
which lists each of the discrepancy classifications along with the
specific item detail. Your findings may be emailed directly to the
hospital's internal auditor for review and sign-off.
You may also email this report to the
auditing firm, thereby eliminating having to write up those lengthy
"discrepancy reports".
Audit PMS also contains a sign-off
document that you may use to finalize your audit.
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