a m the for healthcare.pdf · motor vehicle accidents (mva) and ... mva claims which have a lengthy...

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Page 1: a M The for Healthcare.pdf · Motor Vehicle Accidents (MVA) and ... MVA Claims which have a lengthy settlement timeline burden a practice with the cash outflow of VAT and associated
Page 2: a M The for Healthcare.pdf · Motor Vehicle Accidents (MVA) and ... MVA Claims which have a lengthy settlement timeline burden a practice with the cash outflow of VAT and associated

Accpac ERP for Healthcare is a customized billing andcollections system designed to integrate with patientmanagement and provide comprehensive businessintelligence. Modern medical practices today providehigh quality efficient services to patients but the highvolume environment lends itself to problems with cashcollection and debtor management. The Accpac ERPfor Healthcare solution solves this critical issue with arobust, world class solution based on leadingtechnology and award winning architecture supported worldwide.

The key benefits and features are:

Dynamic Billing EngineAccpac ERP for Healthcare Billing module integrates withyour chosen patient management system using the genericHL7 format and Accpac accounts receivable and generalledger. From the initial contact with the patient, the billingmodule will verify the medical aid membership and generatean invoice in accordance with the medical aid rules andapproved rates. At the same time, it is possible to get animmediate insight into the credit standing of the patientwith the practice enhancing debt collection proceedings.The receptionist may at any time reprint invoices and receivepayments in multiple tender types. Accpac ERP forHealthcare's award winning architecture provides for seamlessEDI with all medical aids and banking institutions for efficient,automated claims management.

Price Control ProcessThe management of the tariff codes in accordance withlegislation is essential for the accuracy of billing and resultantpayment from the medical aid or patient. This is managedin Accpac ERP for Healthcare using our standard stock andprice management modules. Updates of these codes maybe provided on a subscription basis. The presentation ofICD10 codes per line item per invoice is provided automaticallyfrom the patient management system.

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Accpac ERP for Healthcare

Billing Diagram

Screenshot of actual software application

Page 3: a M The for Healthcare.pdf · Motor Vehicle Accidents (MVA) and ... MVA Claims which have a lengthy settlement timeline burden a practice with the cash outflow of VAT and associated

Stock ControlA key advantage of Accpac ERP for Healthcare is therecording and management of stock usage providing theability to control shrinkage and accurate billing of stockconsumed. A standard feature includes stock take andvariance reporting as well as real time costing of proceduresperformed. With stock being integrated throughout the system,purchasing and replenishment of stock levels becomes asimple routine. This, in turn, provides for the managementof stock holding costs, particularly on high value medicationand consumables with expiry dates.

Debt Collection and Bad Debt ManagementThe management of the collection of debtors is key to thesuccess of any practice. Automated processes such as emailnotifications, sms prompts, standard letters and final demandsare generated according to customisable business rules.The interactions between the patient and the debtor's controllerare recorded to ensure all information is known about theexpected payments.

There is an escalation engine constantly running enablingmanagement to oversee the debt collection process byexception. Once a debt exceeds the debtors days or a patientis untraceable as defined in the business rules, the systemautomatically writes off the revenues, thereby reclaiming theoutput VAT previously paid. The system then begins trackingthe transaction through external collection agencies andlegal practices.

Motor Vehicle Accidents (MVA) andWorkmens Compensation Association (WCA)MVA Claims which have a lengthy settlement timeline burdena practice with the cash outflow of VAT and associated taximplications on revenue unrecovered. Accpac ERP forHealthcare MVA Workflow Engine adjusts revenue and VATautomatically as part of the process and tracks the recoveryfrom the relevant party. The transaction is re-feed onsettlement of the debt thereby recognising the revenueand VAT.

WCA Claims require additional supporting documentation tobe submitted to the commissioner for a successful claims

process. Accpac ERP for Healthcare WCA Workflow engineensures all relevant documentation is collated and submittedto the commissioner with the invoice to ensure promptsettlement.

IntegrationAccpac ERP for Healthcare offers a totally integrated solutionfrom billings through Debtors to cash collections and theGeneral Ledger, thereby eliminating duplication, improvingaccuracy, saving time and money. This means thattransactional reporting is available throughout the systemthe moment the consultation is complete in real-time. Multiplebranches share a common database with user level securitythroughout. Patients are recorded once, and keep theirrecord for life, with each visit adding a transaction line,irrespective of which branch they visit. Patient informationis therefore centralized, and the collection history is availableat every branch, potentially reducing the risk ofgranting further credit to a patient where the practice isalready at risk.

Business IntelligenceAccpac ERP for Healthcare makes use of the latest businessintelligence technology to provide real information as ithappens via the web. Information is delivered in a friendlyand easily understandable manner in the form of on-screendash boards and charts, while the detailed information isavailable by drilling-down into the elements.

This means that the number of patients per day or permachine is monitored and reported on via the web. Thusessential operational information is made available to usersin real-time which will enable better day to day managementof the practice, as well as providing reliable information toassist in the making of investment decisions for assets andequipment.

For more information, please contact:Keith FennerDirector - Strategic SalesSoftline Accpac011 304 2000

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Page 4: a M The for Healthcare.pdf · Motor Vehicle Accidents (MVA) and ... MVA Claims which have a lengthy settlement timeline burden a practice with the cash outflow of VAT and associated

Softline Technology Park102 Western Services RoadGallo ManorJohannesburg2191

Tel: +27 11 304 2000Fax: +27 11 304 [email protected]