US Financial Solution
PPS – Decreasing Reimbursements – Staffing Shortages – Increased Administration Costs…
These challenges call for a sophisticated solution that will provide you with the critical data you need to make informed decisions that will have a significant impact on your agency, your employees, and your patients.
From financial management to business intelligence and benchmarking, billing and reimbursements to financial reporting, Procura puts the power in your hands to navigate the complexities of financial management in the home health care environment.
Key features
- Supports key financial activities like budgeting, measuring productivity, analyzing variance, costing, accounting and forecasting
- Increase profitability with robust billing that shortens the accounts receivable cycle
- Receive and post payments locally with integrated payment processing
- Interactive assessment benchmarking against the US Home Care industry’s most comprehensive data warehouse with OCS
- Know the financial status of your agency with custom, agency-created reports and a library of pre-configured reports
- Streamline fax management with HIPPA compliant electronic faxing
Robust billing
Shortening the accounts receivable cycle can make a significant difference to your profitability. Cascading billing helps shorten the gap from services rendered to payment received while keeping a pulse on where you stand in regard to P & L at all times.
- Automatically generate PPS billing based on start of care date and HIPPS code
- Integrated UB92, ANSI 837 and HCFA (CMS) 1500 invoicing as well as customizable invoices for all types of payors
- Review patient eligibility prior to providing service
- Immediate turnaround on electronic claims for all payor sources
Procura’s flexible, rule-based system allows you to bill for claims from multiple payors to care contracts to Medicare and Medicaid to private insurance, each of which has the capacity for multiple orders. Maximums and deductibles are defined within each order and relationships between multiple orders can be maintained.
Key reports allow you to easily detect delayed RAP and Episode-final claim payments, bills not submitted or bills submitted with an outstanding balance and client-aged reports.
Integrated Payment Processing
Integrated Payment Processing gives you the flexibility to receive and post payments locally, increasing your accuracy while reducing administrative effort. You can manage your invoices, produce statements and easily look-up account history, all within your Procura application.
Business Intelligence and Benchmarking
Transform your raw data into insights on emerging trends, such as pay-for-performance, disease management, and predictive patient analysis that encompass the most current regulatory compliance mandates. The ability to assess your agency across all functions assists you in making critical management decision to maximize outcomes, enhance organizational strength, grow your market share and optimize financial performance. You need the business intelligence offered by Procura’s financial solution that makes it a favorite among financial managers in the health care industry.
Financial Reporting
Procura's comprehensive set of standard reports provides a snapshot of the financial status of your agency for enhanced financial decision-making. Popular features of Procura’s financial reporting function include:
- Provision of cost / payment evaluation while you develop the Plan of Care
- Revenue analysis by payor source, referral source, diagnoses, HHRG, and more
- Indication of your exact cost versus projected payment as well as possible adjustments according to case mix levels
- Automatic billing of cases as well as automatic adjustment
- Presentation of the financial data for episodes by month providing the profit margin, payments, average costs, etc.
- Indication of the number of episodes that were LUPAs, recerts, outliers or admits as well as cash flow projections
- Monitor and management of the number of therapy visits required and delivered to clients based on OASIS data to prevent loss to the agency
- Provision of a log of PPS episodes that helps staff track confirmed encounters by job function within each episode and the associated charges
In addition, Procura's powerful report writing tool - Custom Report Writer - offers infinite reporting capabilities that are fully definable and customizable by you.
Send and receive faxes from your desktop
SecureFAX eliminates the entire manual fax function replacing it with an automated, streamlined and easy to use system that meets all HIPPA security protocols.
Request a demonstration now or simply contact us for more information about how you can put the power of Procura to work for you!
