FOR IMMEDIATE RELEASE
Contacts:
Deb Larson, Executive Vice President, 402-489-1207, deb.larson@telcor.com
Jennifer Schultz, Marketing Director, 402-489-1207, jennifer.schultz@telcor.com
TELCOR Implements Significant Upgrades in OIS® Revenue Cycle Management v12.6.0
Lincoln, Nebraska – June 22, 2011 –TELCOR Inc announced Wednesday it released version 12.6.0 of software products OIS® Revenue Cycle Management and Lab Outreach Business Pro. The new version contains significant upgrades, including compliance with the newest set of standards for electronic transactions mandated by the Health Insurance Portability and Accountability Act, or HIPAA. The compliance deadline for HIPAA’s new requirements, referred to as 5010, go into effect Jan. 1, 2012.
Upgrades in version 12.6.0 of the software products include:
New look and feel — The GUI presentation was updated entirely. Ribbons are used for functional access with a complete reorganization of functions into common work groups. Additionally, commonly used functions can be pinned for quick access, and the color theme option may be personalized. Grids included updated sort and filter features.
HL7 Charge Inbound — For customers that receive charge transactions into billing based on when the order is placed in the LIS (charge on order), new fields were added to the inbound charge transaction — a unique Order Identifier and a Test Complete Flag — to facilitate processing of these transactions into the billing system. Transactions received as charge on order are eligible to process through rules and be priced, but they are held from a bill eligible status until a second message is received indicating that testing is complete.
Error Workqueue — Error auto-correction can be configured to provide workflow efficiencies when the same data update can be applied to multiple transactions for the same patient, same date of service and same error type.
Manual Charge Entry — This was enhanced to allow customers to configure the fields that are presented on this entry form and indicate whether certain fields are optional or required.
Pricing — Pricing enhancements were added to meet customer-requested billing requirements, including the ability to:
- Price Self Pay with Client Contract Pricing; true self-pay transactions will be priced based upon a client's contract.
- Price by Analyte Quantity for selected procedures and Contract for Pricing by Project Code or Financial Class, designed for use by environmental labs.
- Define contract limits for clients. When contract limits are reached, transactions will error to the Error Workqueue. Here, a client Attention Level may be added for management to follow up on when this milestone has been achieved.
Enhanced EOB processing — EOBs can print automatically for next payer claims, and they are customer configurable for format and literals.
Claim Error Workqueue — This was enhanced to allow customer-defined error categories to better manage work assignments. Additional Workqueue searches and correction options were added to improve efficiency when working denials.
Claim Appeal Processing — This was added to the application and includes:
- Customer-configurable payer rules for appeal levels and turnaround requirements.
- The ability to define an unlimited number of appeal-letter templates to use when appealing claims.
- Appeal-letter generation that can be defined as an automated schedule with the option to include the associated claims.
- Claim Appeal Workqueue to monitor and manage claims that have been appealed. This Workqueue allows the user to review, edit and submit claim appeals to payers for claims that have been assigned an appeal status. The user also can manage claims in the appeals process by generating views of what is due for submission and what appeals have met the expected response time but have received no response yet.
- Monitor Claim Appeals Workqueue was added, which provides current counts or dollars in appeal with the ability to view data by Assigned To, Appeal Classification, Financial Class and Payer search parameters.
Electronic Remittance and Manual Payer Payment Entry — This was redesigned to improve efficiency for dealing with Payer Payment Adjustments, automatic crossovers, rules applied based upon reasons (advice) received, as well as updated processing of reversals.
ANSI ASC X12N 4010 processing — This version includes a redesign and update of ANSI ASC X12N 4010 processing for electronic claim submissions (837 professional and institutional) and electronic remittance (835).
ANSI ASC X12N 5010 837 Professional and Institutional Claim submission and 5010 835 Electronic Remittance standards — These were added to the application to meet the new standards required for these billing and remittance processes.
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TELCOR, an employee-owned company founded in 1995, is an industry leader in the outreach/reference laboratory and laboratory point of care markets, providing unparalleled software products and services and exceptional customer support. TELCOR’s proven implementations are performed by clinically experienced, IT knowledgeable resources who understand each customer’s unique environment. |
