Collection Manager

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Collection Manager User Guide

Introduction

The Collection Manager provides the ability to gather Statements, to create Statements and to re-run Statements.
One important new feature in the Collection Manager is that all Statements are gathered into batches,
created into a a PDF printable format or electronic file, and if the user chooses, the option is available to add a
newly gathered batch to an existing batch.

Upon entry into the Collection Manager, There are three tabs at the top left of the screen:

  • Patient Statements for basic statement gathering
  • Advanced Statements for more versatile manipulation of statement gathering
  • Flag Tab to open previous batches

Terminology

  • Statement - A collection of one or more claims
  • Statement Run - the process of creating one or more statements based on a Statement Batch
  • Statement Batch - A group of statements created through the use of the Statement Filters
  • Statement Filters - The method by which claims are gathered together so they can be placed into Statement Batches

Section One - Statement Default Setup

Statement Setup provides a set of default options for all patient statements. These options control what information
is shown on printable statements and how to format it. Refer to the Statement Setup for details.

Section Two - Basic Statement Gathering and Creation

1. Accessing the Collection Manager and initial viewing.

File:Coll Mgr Access.png

Coll Mgr Init Entry.png

2. Gathering Statements

Statements can be gathered by selecting "View Open Statements" button. The result will be filtered by the filtered options that
are listed in the Action buttons.

NOTE: All of the other filter options associated with a Statement Setup, but not displayed here, also affect the Statement
gathering result. For example, if the Statement Setup has the Payer type set to "Medicare", the gathering will only be looking for
claims that are currently on file to Medicare.

ViewOpenStmts.png

3. Creating A Statement Batch

3.1 Select Statements that need to be included in a Batch

If the gathering process finds any Statements, they will be displayed in the "accordions" which can be in expanded view or
collapsed view showing the summary of Statements.

Accordians.png

Select an Accordion to view Statement Summary, Edit a claim, View Patient, or Preview a Statement. You can Preview a Statement
without adding the preview and print to Statement History.

AccordianExpand.png

3.2 Add selected statements to a Batch

There are two ways to add Statement to Batches:

  • Create a New Statement Batch
  • Add to Existing Batch

Create Batch.png

3.3 Choose Statement Batch actions at the time of creating the Batch.

At the time of creating a Statement Batch or adding Statements to an existing Batch, a dialog pops up to ask what is the desired
action after the Batch is created.

View Batch - opens a new tab and shows all Statements in that Batch.
Print Statement Batch - opens a new tab and shows all Statements in that Batch and creates PDF Statements, also creates
Statement History and Filing History.
Create Electronic File Batch - opens a new tab and shows all Statements in that Batch and creates an Electronic Statement File
with a prompt for the user to Download the file. This action also creates statement and filing history in the respective accounts.

CreatePopUp.png

3.4 Creating Statements in View Batch

In addition to the same action buttons described in 3.3, more action buttons are available in the Batch tab view.

Remove From Batch - remove selected Statements from the current Batch. Note: when a Statement Batch has been run,
this button will no longer be available.
Add More Statements - a prompt to open the Advanced Statements tab to gather more statements and add to the current Batch.
Note: when a Statement Batch has been run , this button will no longer be available.
Print Statement Batch - creates PDF to print statements in the batch.
Create electronic file Batch- creates electronic statement file.
Print Statement List Report - Creates a PDF report listing a summary of each account with aging.

BatchViewAction.png

3.5 Delete a Statement Batch

A Statement Batch can be set as "deleted" by setting the "deleted" option to "Yes" and selecting [Save].
Note: Deleting a Statement Batch will also delete all Statement History and Filing History created by the
Batch that has been deleted. The user will also NOT be able to undo the Delete.

DeleteBatch.png

The User will see a Pop-up that will ask to Confirm Batch Modification. Select "Yes" to proceed with deleting the batch
or "No" to cancel the delete.

ConfirmBatchDelete.png

3.6 Open a Statement Batch

By selecting the "flag icon", the Statement Batch Dialog will pop up and show all Statement Batches that have been created.
Deleted Statement Batches can be found by enabling "Show Deleted" in the Batch list dialog.

OpenBatch.png

Section Three - Advanced Statements

"Advanced Statements" Tab is is basically just a "Patient Statements" tab with additional filtering options.
By specifying these filter values, Statements can be targeted more specifically to Patients, Payers, Locations,
or by type of services.

1. One Button Click to Gather and Print Statement Batch

AdvancedStatements.png

There are times when a practice just wants to generate all Statements that are available without going through the
gathering [View Open Statements] result to select which statements to create.
There are three action buttons to perform [Batch & Print], [Batch & Create E-File], and [Print Statement Listing].

Batch & Print - gather Statements based on search criteria, add all Statements, if there are any, to new
Batch and create PDF Statements.
Batch & Create E-File - gather Statements based on search criteria, add all Statements if there are any
to add to a new Batch and create and electronic file to download.
Print Statement List Report - creates a PDF report listing a summary of each account with aging.

2. Filter Options

Filter options are labeled with self explanatory names and tool tips for additional information.

2.1 Statement Default Setup Predefined Values

All filter options can be predefined in a Statement Default Setup. Refer to the Statement Setup Guide for details.

Advanced Filters.png

Filter Options Explained

Options that are configured in the Statement Setup:

Statement Mode

Per Guarantor - The Collection Manager generates Statement Sets grouped by Guarantor. Each Guarantor will receive one
Statement showing all outstanding patient claims that each Guarantor is responsible for.
Per Patient - The Collection Manager generates Statement Sets grouped by Patient. Each Patient will receive one Statement
showing all of their out standing claims.
Per Claim - The Collection Manager generates Statement Sets grouped by Claims. Each patient/guarantor will receive one Statement
per Claim.
Balance Forward - If the Balance Forward Option is enabled, Claim line items such as services and payments which occurred on
previous statements are combined together as a single line item.

Advanced Statement Tab Override Options

Include Prepayments in Account Balance - Only debit Claims (balance greater than zero) are considered when the Collection Manager
gathers Statements unless the option is enable in the Statement Setup or it is overridden from the Advanced Statements tab.
This option controls whether or not to include Unapplied Pre-payments when calculating Account Balances.
Only Claims with a positive Account Balance are considered.
Account Balances must also fall within the Min/Max range.
Pre-payments, regardless of the setting, are not subtracted from Balance Due Now. Balance Due Now is caluclated as the sum of all claims that
appear on the Statement.
Choose (Yes) to count Pre-payments when calculating Account Balances. This option will consider Unapplied Pre-payments when calculating
balances to produce a statement.
Example 1: a patient has $100.00 in Unapplied Prepayments on their account, and $99.00 balance due on their account. A statement will
not generate.
Example 2: a patient has $10.00 in Unapplied Pre-payments, and $99.00 balance due on their account. A statement will generate.
Choose (No) to NOT count Unapplied Prepayments when calculating Account Balances. Example: a patient has $500 in Unapplied Pre-payments and $500.00 balance due on their account. The $500.00
Unapplied Pre-payment is ignored, and a statement will generate for the account.
Note: The best practice for handling unapplied money is for the practice to make sure that all unapplied payments, that should be,
applied to services, are done before a statement run.

Last Name Range From & To: filters statement gathering by patient's last name. The user can enter "a to bzzz: to capture all last
names beginning with "a" through last names "b".
Bill Code: Patient can have different Bill Codes to attribute to whether or not or how they will receive Statements.
Patient Account #: - if a patient's account number is input in this field, a statement will generate for this patient only.
Payer Type: -Filter by Payer Type to include all payer types and patient balances select "All". Normally Payer Type is defaulted to
Patient to only send statements for claims that are on file with the patient.
Payer Group: - Filter statement gathering by Payer Group.
Payer: - Filter statement gathering by a specific Payer. For example, selecting Medicare will only show statements with claims
filed to Medicare.


Section FOUR - Balance Forward and Statement Re-run

1. Balance Forward

The purpose of the Balance Forward option is to suppress Statement Details that have already been included in the previous Patient
Statement. Previous statement details will appear as a summary. All account details after the last statement date, will appear on
the new statement. See examples below:

1.1 Example of Statement Created when Balance Forward is OFF

Example of a Statement run on 9/23/2014 with the Balance Forward option OFF, and the last Statement Date was "09/11/2014".

BalfwdNo.png

The highlighted items above are activities prior to the last Statement Run.

  • In this Statement, there are two claims: 14245 and 14244. Notice Claim 14245 has no activities since "9/11/2014".
  • In Claim 14244, there are activities before "9/11/2014".


1.2 Example of the same Statement Run with the Balance Forward option ON.

Note:

  • All highlighted line items in the previous example are no longer listed.
  • The Balance Forward amount and the Claim Balances add up to the Balance Due amount.
  • claim 14245 has been omitted entirely since it doesn't have new activities.