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 | Chronically Rejected Services |
| Invalid Health Card Number Rejections |
| Stale-Dated Claims |
| Client No-Shows |
Five strategies are used to accomplish these goals :
1 : An Intuitive, Integrated-Task InterfaceClarity is designed to group several related tasks together on a single screen. This strategy greatly simplifies the whole data entry process and leads to fewer entry errors.
2 : Comprehensive Error Checking and Correction
Clarity automatically checks for input errors as you enter data. As well, Clarity provides a secondary error checking report which you can run to ensure that all data is correct. Clarity's on-screen accounts reconciliation module allows you to correct and resubmit rejected claims quickly and easily.
3 : Rigorous Health Card Validation
The client data and scheduler modules employ a health card update and verification tool which ensures that client billing information is always up to date. You may also submit client card data to the ministry for verification through our OBEC function.
4 : Client Schedule TrackingClarity allows you to enter client service data right from the scheduler and it verifies these entries to ensure that no services go unprocessed. The scheduler also identifies those who failed to show for previous appointments so that you or your staff can remind them of their next appointment. This is particularly important because losses due to no-shows can be staggering. In one office, we employed our strategy to reduce no-shows from 550 the previous year to about 250 in the next year.
Clarity's DaySheet Tally report provides a comprehensive overview of clients processed for billing, health card confirmations, and reminder calls made from the schedule. This will allow you to verify that your staff is following the procedures required for successful management of your practice.
5 : A Hierarchical Reporting Structure
We understand that physicians have little time to manage their practice so we have designed a reporting system that allows you to quickly comprehend the breadth of your practice, identify areas of concern, and take effective action to correct problems.
Our strategy begins with a single, two page, revenue status report which outlines, in monthly tabular form, your billings, resubmissions, payments, reconciliation, overdue and unbilled accounts. This report also provides an analysis of the losses you have incurred. In less than five minutes, you can review the report and determine exactly where you are having problems.
Once you have identified areas of concern, you or your staff can then employ a suite of sub-reports to isolate the exact cause of a problem and take corrective action. For example, our adjustments analysis report will tell you which services are being repeatedly rejected or adjusted by OHIP and why. Similarly, our aged accounts report identifies all outstanding claims which are in danger of falling behind the OHIP six-month cut-off date, and our receivables report allows you to quickly find, correct, and resubmit all outstanding accounts right on screen.
In addition, Clarity provides a number of reports which allow you to analyze your services according to a host of parameters, including time, RA codes, billing type, billing status, specialty, and sub-codes. Sub-codes are a feature unique to Clarity. They allow you to sub-type your services according to a scheme of your own devising. Physicians have used our sub-code feature to categorize services for geriatrics, ER, chronic care facilities, lab work, and so on.
