COMMUNITY HEALTH ENHANCEMENTS

Community Health Enhancements provide the following features:

UDS Reports

UDS reports allow you to:

• Generate reports for tables 3a, 3b, 4, 5, 6, 7, 9c (Revenue and Utilization sections), 9D, and users by zip code
• Drill down for more detail
• Designate a reporting period
• Dynamically determine encounter and user definition for your clinic
• Report individual facilities or combinations, or consolidate facilities
• Retroactively report UDS or other grant reports

Other CHC Reports

• Title X
• OSHPD (California)
• Ramsey Hennepin (Minnesota)
• MICRS (California)
• Immunization registry export and interface
• Export to PECS
• Patient analysis of clinical information in user requested formats
• Custom superbills, statements, recall and collection letters
• Comprehensive, detailed financial reporting presented in user defined formats
• Journal entry export to popular accounting systems

CHC Patient Registration

CHC Patient Registration is a comprehensive, customizable window that collects all patient demographic information in one place. Its features include:

• Complete federal poverty family size and income information. Supports annual updates of Poverty Guidelines
• Complete flexibility and ease of sliding fee administration and insurance profile, by patient. Dental insurance is separate from medical insurance. You can administer complex insurance co-pay schedules, percentage vs. minimum, lesser of minimum or percent, and sliding of co-pay residual for patients with primary insurance coverage. A sliding fee declaration history is maintained for each patient.
• Race, ethnicity, and language information, including if a patient requires a translator or has limited English proficiency.
• User-administered, system-wide alert notes, including patient sliding fee renewal information.
• Alternate phone and address, mailing address, and emergency contact information.
• Specific privacy of patient communications tracking that can also be used to determine eligibility for state family planning services.
• An alias table that creates a searchable history of demographic changes, by patient.
• Homeless patient tracking, circumstances of homelessness, and calendar history of homeless status.
• User-defined text macros for building appointment alert notes, patient alert notes, or patient profile notes.
• Automatic copying of guarantor address and contact information to dependent patient records, which eliminates retyping or referencing the guarantor record for information. It also copies income and family size information to family members upon changing of one of family member's data.
• The CHC Patient Registration form can be printed with dependency information, consent for treatment, for patient signature, and then attached as a scanned document to the patient file. It is printed in different languages based upon the demographic language settings.
• Print labels from many popular label printers.
• User-configured missing information tracking to prevent required fields from containing inaccurate or incomplete information from being entered into a required field.

Insurance Billing and Sliding Fee Administration

• Complete flexibility and ease in sliding fee administration in connection with insurance coverage
• Designation of FQHC carriers, flexible setup for FQHC carriers vs. fee for service
• Automatic split of Medicare A from Medicare B services
• Direct filing to all government payers and most major insurance carriers
• Electronic remittance
• UB-92, HCFA, ADA dental, and electronic dental filing
• HIPAA-compliant electronic eligibility where an interface from a clearinghouse or payor is available

Accounts Receivable and Patient Billing

• Custom patient statements - Features include:
• Excludes FQHC insurance activity from the statement while including commercial insurance activity
• Single statement billing for corporate payers or employers while filtering from the patient statement
• Separate statement billing for confidential visits of family members (family planning visits) while billing all other services to guarantor. No separate patient account is needed
• Separate dental statements from medical statements
• Electronic and/or paper
• Custom collection management and processing including selective alert notes
• Automated patient write-off of old balances, defined by you
• Automated collection status management and delinquency management of patients
• Administration of visits assigned to outside collections, tracking, and reporting

Scheduling

• A wait status screen that enables a snapshot appointment status of patients checked in and checked out by doctor, by clinic, or by enterprise
• Scheduling reports that highlight patients with missing information, no-show history (updated in alert notes, if desired), eligibility status, and recall information
• User-defined hiding of patient billing visits with non-billable resources such as translators, financial counselors, and educators, while enabling you to track resource production
• Productivity reports providing daily statistics on patient flow, no-shows, same day appointments, etc.

Other Available Enhancements

• Outbound referral tracking
• Immunization tracking
• User-defined (custom) fields at the patient registration and encounter (visit) level with ability to report on information stored in custom fields
• Perinatal case tracking. Information collected is used in compiling UDS Schedule 7.
• Complete document management with bar code reading capability for automated routing of documents to patient chart. A user interface is available from the Patient Information screen in GE Centricity Physician Office - Practice Management (now called Centricity Practice Solutions).
• For clinics that do not yet use electronic health records:
• Lab results tracking
• Chart tracking tool
• Prescription Writer
• PECS clinical tracking and reporting

Managed Care Administration Components

• Referral and Authorization Module
• Electronic eligibility update and eligibility history
• Fee schedule maintenance of all benefit sets for claims adjudication including capitation, carve-out
• Physician credentialing and contract maintenance
• Flexible management of benefit payment sets by insurance plan, insurance program, and individual provider contract. It supports emergent care, out of area exceptions to contracting, and user override of contractual terms with security.
• Full claims adjudication with validation to eligibility, authorization, and stop loss
• Export to your accounting system for claims payment, EOB, and financial reporting
• Complete reporting including IBNR, claims payment, stop loss, costs by specialty, plan, provider, and member patient

To find out more, click here (requires Adobe Acrobat).

To view a presentation of CHC Enhancements, click here.

Or contact CySolutions:

tel.  866.883.9299 ext. 234 in the 48 contiguous states, or 800.354.8588 ext.234 (AK, HI)
email  info@cysolutions.com

Click here for an in-depth look at GE's Centricity Physician Office 2006 enhancements for FQHCs, RHCs, and public health agencies.