Siemens Practice Newsletter
Volume 3 Issue 2

PATIENT ACCOUNTING ENHANCEMENTS
By Maryann Speichert

1. There have been a number of fairly significant enhancements to the Invision® Patient Accounting application. These are enhancements that have been requested by clients through the years.
2. Outpatient First Insurance Bill Date Component-This component has been added to the data base at the Account and Unit level. It may be used on ad-hocs and RPM qualifications. It will be valued with the date that the first insurance bill is generated. This can be primary, secondary or tertiary. Once the first insurance bill is generated the first insurance bill date cannot be revised. This will mean that outpatient will have a component similar to Final Bill Date for inpatients. This field displays on the Patient Financial Data Screen PAQFIN04 for 3270 and PAGFIN01 for gold. It will also display on the Post payments and adjustment screen. PA4XACCT for 3270 and PAGPAY01 for gold. It will not display on line at the Unit Level.
3. Late Charge editing for non-unitized, non-recurring outpatient accounts. A new profile table has been created to determine late charge processing based on the number of days after registration that a late charge can post by hospital patient type. The table is 12745 through 12770. Remember this does not address unitized or recurring patient types. Charges posted with a service date that exceeds the number of days from the registration date set in the hospital profile will reject with TCE code 676.
4. Outpatient Discharge Date-A new hospital Profile will provide the ability to add, modify, or cancel a discharge date on all outpatient accounts This new field will allow hospital defined non-recurring outpatient patient types to be discharged and the date to be removed or modified. The profile is 12744. The allowable length is 26 which will allow 26 Patient Types to be entered. This will also appear on the OPCHGRPT report. The DCOR function is used with this enhancement. If a discharge date is deleted on an OP recurring patient type then hospital profile 38022 will continue to be evaluated each day end to auto discharge. Reports that currently display discharge date for outpatient recurring accounts will display the discharge date for non-recurring outpatient accounts when the discharge date is valued. Ex. ACCTHSTY, OP-EXCEP.
5. Unit Billing Indicator-An additional value of 3 has been added to provide the ability to de-unitize. The value of 3 will delete the unit billing summaries on the account and automatically rep-mark the account for unit billing with a one step process. This will be useful for changing the unit billing frequency and for correcting unit date errors by deleting all the units including the units with incorrect dates. This is available on the 11C record and not on the 11 original registration record.
6. Present on Admission (POA) Indicator-RPM-The POA indicator is available for RPM qualification. Present on Admission applies to the diagnosis codes for conditions known at the time of admission.
7. A new RPM action has been added. Assign District Code Action. This action will automatically assign, update or remove a District Code value to accounts that qualify. All RPM frequencies are available for this action. All file types are available for this action. An account history comment will be generated. District Code values are between 001 and 999.
8. The Generated and Allowance-Account Detail Action has been enhanced to allow the user to generate an allowance or adjustment for Insurance 1 2 and 3 I n addition to the current processing for Insurance 1 and the patient.
9. The Generate an Allowance-Account Detail and the Generate an Allowance-Charge by Charge will now be allowed to process on the same day, but not for the same selected payers. Account Detail will take precedence over Charge by Charge. This is optional and is controlled by HPPI 56878. to utilize this processing HPPI 56878 must be valued with 2.
10. A number of new components have been added to the PA data base and to be used as qualification for RPM.
11. Enhancements have been added to the Transfer to Bad Debt Action. These include Bypassing the Bad Debt Prelist and Additional Daily and specific day of the month frequencies. Also two new PA components have been added to support these enhancements. They are RPM EXP BD XFER DATE and UNIT RPMEXP BD XFER DATE.
12. 1Siemens memos Z070717A, Z071029A and Z071206A document the changes referenced above and should be studied for impact on your particular installation.

Please contact VCS with any questions you may have at vcs@getvitalized.com or (610) 444-1233

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