Two assignments best reflect
PBM Advantage™'s capabilities:

In 1992, PBM Advantage™ was contracted by University Hospitals, in Cleveland, Ohio, to provide its practice management application to over 30 hospital-managed practices. Why? PBM Advantage™ is so easy to learn that new office staff was quickly trained on the system and the functionality it provides, allowed the facilities to operate with unprecedented productivity.

Northeast Surgical has been using PBM Advantage™ since 1994. The web-based application is the backbone of their practice and handles everything from appointment scheduling, to billing, to practice management reporting and electronic claims and statements. PBM Advantage™ software and technical capabilities flexibly support a dynamic number of providers in different specialties and locations.

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PBM Advantage™ manages all of the following, PLUS much more...

• Registration & Charge Posting
• Patient Billing
• On-Account Payment Posting
• Delinquent Account Collection
• Patient Relations
• Appointment Scheduling
• Practice Management Reporting
• Medical Records

REGISTRATION & CHARGE POSTING

• Automatic patient account numbering
• Family or individual patient registration
• On-line insurance carrier and employer lookup
• Multiple charge posting via one screen
• Mandatory and optional charges may be attached to a basic fee
• Time-of-service, itemized statements, homegoing instructions, and return to work instructions, superbills by specialty
• Numerous "edits" to ensure accuracy
• Case Management Alerts

PATIENT BILLING

• User selected billing methods, including encounter, patient, family, employer, or group account
• Insurance forms are generated daily
• Automatic insurance re-filing at user determined intervals
• Cycle billing is run every Saturday for eligible patients
• User selected "on-demand" insurance forms, and letters
• Multiple fee schedule processing by location, insurance carrier, billing class or physician
• Time-of- charge discounts
• Electronic claims processing to Medicare, BCBS, Medicaid, and over 500 commercial insurance companies
• On-line treatment and diagnosis code tables
• Complete capitated line item processing

ON-ACCOUNT PAYMENT POSTING

• Batch payment posting to ensure accuracy
• Complete payment batch reports for filing
• Patient claims may be selected by name, patient number, guarantor, or Social Security Number and more
• On-line lookup of open claims by payer or employer
• Unapplied payment processing and transfer
• Easy to use credit balance transfer
• Automated refund check processing
• Easy capitated check posting
• Line item payment posting or post to account

DELINQUENT ACCOUNT COLLECTION

• "In-house" collection tools include letters, final notices, broken promise tracking
• Collection letters and notices sent at user defined intervals
• Patient reports and payment plans for use by outside collection agencies
• Outside collection agency efficiency reports
• Automated access for outside agencies

PATIENT RELATIONS

• Complete on-line patient information and claim status inquiry
• Comments may be placed on one, or all, of a patient's claims
• Complaint tracking
• Easy to update patient information

APPOINTMENT SCHEDULING

• Scan for available appointment times by date, day of week, time, or number of months
• Next available appointment key by day of week, time, date, doctor, or any doctor in the practice
• Choose from a variety of reason for visit codes - or type in a free form reason
• Time "blocking" by physician/location, complete physician scheduling or ancillary personnel
• Waiting list · Track "No Shows", canceled apts., etc.
• Print appointment reports by day, week or month, for any doctor or location
• Scheduling is integrated into collections, case management and superbill modules

PRACTICE MANAGEMENT REPORTING

• Complete accounts receivable aging reports
• Procedure and diagnosis code tracking
• Payment and adjustment analysis reports
• Admit/discharge time reports
• Insurance carrier follow-up reports
• Physician referral reports
• User defined daily and monthly closing reports
• Monthly closing reports include month-to- date and year-to-date
• User defined special report generator
• Physician revenue analysis reports
• MSO reporting
• Capitation reporting
• Case Management Reporting
• MCO Processing - EOB, checks
• Extensive User Reports

MEDICAL RECORDS

• System handles multiple sites/practices/physicians
• All files may be updated by user
• Extensive on-line "HELP" text
• System access is 17 hours daily, seven days weekly
• Telephone and on-call pager support provided
• A complete USER'S GUIDE is provided on CD ROM
• On-site user training
• On - Line PBM Advantage™ News and Updates
• Lowers your mailing costs
• Pertinent Medical Records Module
• Extensive reporting designed for major medical institutions at your finger tips

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