Issue #6
January 8, 2008
Editor: Jeff Johnston
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Issue #6 January 8, 2008 Editor: Jeff Johnston |
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In last week’s article, we looked at the new split-screen format for the Special Price Matrix and learned where CPR+ stores the prices used to generate the Billed Price and the Expected Price. You did read last week’s article didn’t you? It was New Year's day so, if you’d like a quick refresher click here to access the newsletter archives. This week, we’re going to define all of the fields on the Special Price Matrix so that there’s no confusion about what each does. On the left side of the split screen, there are columns for the item Name, CD, HCPC, $ and Auth?. As you scroll down the list, the “Item Information” on the right-side of the split screen changes to correspond with the item highlighted.
Left Column: Name, CD and HCPC – These columns display the item’s Name, Price Code and HCPC codes. All are stored in the Inventory table and cannot be edited from the SPM. $ - The $ sign column corresponds to the ‘Billable’ field on the right hand column and is used to indicate whether this item is billable under this contract (or SPM). A ‘Y’ indicates the item IS billable under this contract and CPR+ will put a “X” in the “B” column of a Delivery Ticket. An ‘N’ indicates it is NOT billable (no “X”) and a “0” indicates that the user wants the item to be added to a Delivery Ticket with an “X” in the “B” column but with an Expected Price of $0.00. Auth? - The Auth? column corresponds to the ‘Req. Auth.?’ checkbox on the right hand column and is used to indicate whether this payor requires prior authorization for this item under this contract (or SPM). Right Column: Sale Modifier – This field allows you to define up to four modifiers (including the spaces between) that will be copied to a line item when this item is pulled onto an invoice. You also have the ability to define specific modifiers for rental items. Documentation – This field allows you to define what type of Supporting Documentation is required by this payor for this item – CMN, SMN, or Prompt. If you select SMN, a second field is revealed labeled ‘Template.’ This allows you to select a default SMN template to associate with this item. Special Code – If this payor requires a non-standard code, i.e. something other than the HCPC that is assigned to the item in the inventory file, you may enter this Special Code in this field. Guide - This new field allows you to specify a ranking or guide for particular items for this payor. For example, a Medicaid program may only pay for generic drugs and not the brand names. The guide would assist in selecting the correct drug item to use when filling an Rx. The Guide is user defined and the results are displayed when items are being selected from inventory for a Compounding Record or Delivery Ticket. Not Covered – This new checkbox is a definitive indication that this item should not be dispensed to a patient with this payor. When an item is checked “Not Covered,” it does not appear in the selection grid when inventory is being added to a compounding record or to a Delivery Ticket. Req. Auth? – As noted, this checkbox allows you to decide which items require authorization for this payor. Special Price – Formula / Multiplier – The Special Price field displays the price CPR+ will use when calculating the bill price for this payor for this item (i.e., the price to charge). The Formula and Multiplier displays how the Special Price is derived (e.g., List x .65, AWP x .8, etc.). Expected Price – Formula / Multiplier – The Expected Price field displays the price CPR+ will use when calculating the expected amount for this payor for this item (i.e., the amount of revenue and A/R to book). The Formula and Multiplier displays how the Expected Price is derived (e.g., List x .65, AWP x .8, etc.). Override Special / Expected – These fields enable you to apply a different formula to this item for Special and Expected Price than the standard formula applied to all items in the Price Code, allowing you to “carve out” certain items of a common category and price them differently.
Rental Price Type – This field is used to identify equipment (“Rental”) items as Sale only, Rental only, or Prompt. These options will override the option set at the Inventory level, enabling you to define how each payor handles various equipment. Rental Modifier – This field is used to indicate the default modifier to use for this payor when renting this piece of equipment. Sale Price - Special & Expected – These fields are used to define the price to bill and expect when selling, rather than renting this piece of equipment. In addition to the new look and the new fields, creating your SPM’s is easier too. Filling the matrix with the “F3 button” is now performed in a single grid for both the Special and Expected prices! So it’s a new year – invest a little time and get your SPM’s setup correctly and let the system start working for you - you won’t regret it! For more information on understanding and using the Special Price Matrix, contact a CPR+ Trainer today or check out the free, comprehensive On-Demand Training video available at http://ondemand.cprplus.com. Take the HME Survey and Win a $100 Best Buy Card Do you or a related organization provide HME services? If so, be sure to take our CPR+ for HME survey. Join the 41 customers who took the survey last week and are entered to win a $100 Best Buy gift card. Many customers who use CPR+ for their Infusion business also manage their HME operation with CPR+, although some of you use other systems. We’d like to hear from all of you. Take this quick 5 question survey and tell us what HME system you use, how happy you are with it and the one new HME related feature you’d most like us to add to CPR+. We’ll enter you into a drawing to win a $100 Best Buy gift card and announce the winner in next week’s issue. Click here to take the survey. Remember, we’ve just introduced an CPR+ for HME only version of CPR+ that you can run concurrently with the original version (sharing all the common data files). Our New Year’s Resolution is to eliminate the dual entry that some of you are suffering through because you’re using two different systems for your HME and IV operations. CPR+ for HME is a streamlined and simplified version of CPR+ that excludes all of the clinical, pharmacy and drug inventory aspects of the main system, and adds some great new functionality designed especially for an HME provider. Employees who are focused on the HME aspects of your business can run the HME version and still share patient data, inventory, billing, A/R, etc. If you’d like more information or a demonstration of CPR+ for HME, contact a sales representative today.
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Customer Profile - Pediatric Home Services Take the HME Survey for a $100 Best Buy Gift Card Pediatric Home Service by Tara Waldron, For almost 20 years, Pediatric Home Service (PHS) has existed for one reason: to take care of the child. Recognizing and understanding the differences between the needs of infants, children, and adolescents, PHS provides specialized health care services to technology-supported children - in their homes, with their families. PHS works together with health care professionals, payers, and family caregivers - ensuring continuity of care, one child at a time. PHS is an independent pediatric home health care company that exists because children do. Offering extensive pediatric and neonatal expertise in Infusion, Pharmacy, Respiratory and In-Home Asthma Management Services, PHS is a leading resource when complex therapies for children are required or desired in the home setting. And with over 1,100 active patients, PHS relies on technological advancements that improve and enhance the home health services they provide. The capabilities of CPR+ that lets multiple people simultaneously access complete patient information allows the focus of the entire staff to remain on the child instead of tracking down a paper file. Electronic charting and physician orders for infusion patients are linked directly to the patient so all departments; billing, customer service and clinical service have the most up-to-date information. PHS has little control over payer reimbursements and any delay in receiving payment can cause a ripple effect throughout the organization. Submitting claims electronically with CPR+ ensures that ?clean claims? are sent, and since using the system the number of days outstanding for PHS bills has decreased from 83 to 28.7 days! PHS' team of dedicated respiratory therapists, nurses, pharmacists, dietitians, social workers, educators, and support staff rely on clinical excellence, innovation, and cutting-edge technologies to improve quality and care of life. And PHS is pleased to partner with CPR+ in that mission. Editors Note: Pediatric Home Service (PHS) is the leading pediatric homecare provider in the greater Minneapolis area. Over 100 PHS employees work from their 40,000 sq. ft. facility to provide Infusion, Respiratory and HME services to over 1,100 patients throughout Minnesota and western Wisconsin. After a failed implementation with another software vendor, PHS successfully implemented CPR+ in the spring of 2007. Darren Young, Ted McGraner and I recently had the privilege to visit PHS and spend a day working with their management team. We were so impressed with their staff, facility and unwavering focus on positive patient outcomes that we couldn't wait to feature them in the Weekly Infusion. Special thanks to Tara for writing the profile and to all of the PHS staff for their input and support. We are delighted to have PHS as a CPR+ customer. For more information on PHS, go to www.pediatrichomeservice.com or call 800-225-7477. Lookup Patients by Policy Number By Vincent Thompson Did you know that you can look up patients by the policy number in CPR+? No? Well, from the Main Menu you can go to Billing / Financial (5), Create Invoices (1), and then press the <CTRL+F8> keys. CPR+ displays the Enter Policy # screen. Enter the policy number in the available field, click the Save (F2) button and the matching patient is displayed in the grid. Creating Custom Assessments Employee Bio - Shelly James Recent Reports in the RLS
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