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The Authorizations tab is used to review and authorize coverage for charges on visits that have an insurance that requires service authorizations, allowing those charges to be included on the insurance claim and for Billing to process the visits. An authorization provides coverage for a defined date range and can cover all charges within a range of days orRead more

Activate Medicare Lifetime Reserve Fields The Lifetime Reserve and Psych Lifetime Reserve fields and authorization options on the Insurance > Coverages tab can be activated by enabling Location Registry keys. These fields allow lifetime reserve information, and the patient’s accompanying authorization or denial to use those reserve days, to be stored in RCM Cloud®. This is informational, and the application does not enforce any limits. TheRead more

The Insurance tab lists all insurances associated with the selected visit and allows the user to add, update, delete or re-rank the insurances assigned to a visit. It allows insurances to be verified, while subscriber, bill code, coverage, and exclusion information can also be managed. A visit can have multiple insurances with the same or different rankings,Read more

Assign Guarantor ID A unique guarantor ID can be assigned to a guarantor for use in guarantor statements by enabling the Global Registry key GUAR_UNIQUE_ID. When enabled, the guarantor ID is assigned to the guarantor upon saving the visit, and the Guar ID field displays in the common Guarantor tab. There is also a Search button enabled to allow the user to searchRead more

The Guarantor tab is used to indicate who is responsible for paying any charges accrued during the visit. The guarantor can be a patient, relative, or company/group. A guarantor is required in order to register a patient. A Payment Plan can be set up for the guarantor through this option as well. To complete guarantor information, follow these steps:Read more

Allow Referring Physician in Referral Information The referring physician can automatically be added to the visit via the Referral Info tab by configuring Global Registry keys. The Ref Phys field is activated when Physician is selected in the Ref Type dropdown and when the value in the Global Registry key REFERRAL_TYPE_PHYS_CD matches the Referral Type Master Code (in Codes Maintenance) for a Physician. ForRead more

The Visit tab displays a variety of visit-specific information and allows the user to update visit, arrival, accident and some patient information. At the bottom of the tab, read-only information displays for the visit’s Admit Date, Discharge Date, and Room/Bed. Its child tabs allow the user to manage notes, diagnoses, procedures, physicians, additional facility-defined information, and referral information.Read more

Display All Images All image files that are part of the patient or visit record can be listed in the Patient Images tab even if a user does not have access to view them by enabling the Global Registry key DISPLAY_ALL_IMG_FILES. User access to specific image form types is determined in Imaging Security Maintenance. Although the image file isRead more

The Patient tab is used to add or update the patient’s address/contact information, special designations (smoker, diabetic, etc.), employment, emergency contact, and alert information. Most patient demographic information is patient-level information, meaning it is carried forward automatically to future visits. Employer information and the Publish designation are visit-level information. Information entered here can be used to record contact informationRead more

A pre-admit visit is a visit that exists in the system but has not been admitted. A pre-admit is designed to ready the patient’s hospital visit, requiring little information but allowing as much information as available to be entered prior to the patient’s actual admit date. To register a pre-admit visit, follow these steps: SelectRead more