Financial Workflow
Every financial decision in healthcare has the potential to impact a patient.
When clinical and financial workflows are connected, patients experience fewer delays, care teams spend less time navigating administrative tasks, and organizations can focus more resources where they matter most: delivering quality care.
Products
- Insurance Verification: Before the appointment, verify the patient’s insurance details to ensure coverage for the services.
- Patient Demographics: Collect and enter patient information.
- Clinical Documentation: Providers document the services rendered during the patient visit, including therapy sessions, assessments, and treatments.
- Coding: Accurately code services using behavioral health-specific codes (e.g., CPT, ICD-10).
- Service Entry: Document services to generate charges.
- Charge Review: Ensure that all services provided are accurately captured and coded.
- Claim Submission: Submit claims to insurance companies for reimbursement.
- Claim Tracking: Monitor the status of submitted claims to ensure timely processing.
- Insurance Payments: Post payments received from insurance companies to the patient’s account.
- Patient Payments: Record payments made by patients, including co-pays and out-of-pocket expenses.
- Denial Analysis: Identify and analyze denied claims to understand the reasons for denial.
- Appeals: Resubmit claims with necessary corrections or additional information to appeal denials.
- Statements: Generate and send billing statements to patients for any remaining balances.
- Payment Plans: Set up payment plans for patients who need to pay their balances over time.
- Follow-Up: Follow up with patients and insurance companies on outstanding balances.
- Collections Agencies: Involve collections agencies for overdue accounts, if necessary.
- Financial Reports: Generate reports to analyze financial performance, including revenue, expenses, remittance, denials and profitability.
- Compliance: Ensure compliance with healthcare regulations and standards.
- Clearing House
- Payment Collections
- Self Pay
What Our Customers Are Saying
“Northern Path Recovery’s successful go-live was made possible with the support of our electronic medical system, HCS. By providing a reliable and efficient platform, HCS ensured a smooth transition while prioritizing patient safety and operational excellence every step of the way. I’m so very appreciative of the expertise offered to my staff.”
Nat Williams
“Our hospital system selected HCS to help us implement a full documentation system which augmented the pharmacy module we had been using at one of our 147 bed free-standing psychiatric hospitals. HCS worked with our key clinical leaders in designing our assessments and workflows for the new documentation modules. They customized our electronic bed board as well to enhance our operations. Over the past three years, we have implemented the EMR to our sister sites as well.
HCS is responsive to changes we request for our clinical documentation, quickly and continually providing guidance on the workflow and enhancements.
I highly recommend HCS as they understand psychiatric hospitals needs and are always willing to improve their system as well as work with you on improving documentation and workflow.”
Gerald M. Cholewa, MSN, MS, PMHNP-BC, RN
“PharmaCare Services’ first choice for pharmacy software is HCS, and there’s a reason for that. It has robust functionality, but is still easy to use. Our company provides Pharmacy Management Services to a variety of Health Care Facilities, and HCS fits well in all of them.”
John Fuller
“No task is too small and no request has ever been overlooked.”
Shawn Burrow R.Ph.
“There are so many vendors out there feeding us the ‘we want to be a partner with you’ and ‘you are a very important client to us’ lines. Very few, if any, back it up the way you guys did.”
LifeCare
“After implementation we were able to reduce medication administration errors from 1.10 errors per one-thousand doses to 0.31 errors per one-thousand doses.”
Bill Wilson, on the implementation of HCS eMAR