Introduction to Power Billing & Revenue Collection Oliver Tatlow-Lord 2008 PPM User Conference

Slide 2 PowerHealth Solutions 2008 PPM User Conference Hospital billing is changing! Rising populations Ageing populations Increasing demand for services Numerous health cover options Complex & changing laws

Slide 3 PowerHealth Solutions 2008 PPM User Conference What is PBRC? 1. Front office - Point Of Sale

Slide 4 PowerHealth Solutions 2008 PPM User Conference What is PBRC? 2. Charge Calculation

Slide 5 PowerHealth Solutions 2008 PPM User Conference What is PBRC? 3. Back office - Revenue Collection

Slide 6 PowerHealth Solutions 2008 PPM User Conference Workflow Enabled Runs automatically, or can be invoked Updates search indexes Creates audit records Runs scripts Calculates charges Creates invoices

Slide 7 PowerHealth Solutions 2008 PPM User Conference PowerBilling & Revenue Collection FlexibleIntegratedPowerful Easy to use

Slide 8 PowerHealth Solutions 2008 PPM User Conference Flexibility Reference Tables Workflow Scripts Charge Calculation Rules LanguagesLocalisation Customisable User Interface

Slide 9 PowerHealth Solutions 2008 PPM User Conference Integration Connects with existing Integration Architecture IMM – Incoming Messaging Module IMM Pre Processor OMM – Outgoing Messaging Module OMM Post Processor

Slide 10 PowerHealth Solutions 2008 PPM User Conference IMMOMM Post Processor IMM Pre Processor Incoming Messaging Module

Slide 11 PowerHealth Solutions 2008 PPM User Conference IMM Pre Processor IMMOMM Post Processor IMM Pre Processor

Slide 12 PowerHealth Solutions 2008 PPM User Conference IMMOMM Post Processor IMM Pre Processor Outgoing Messaging Module

Slide 13 PowerHealth Solutions 2008 PPM User Conference IMMOMM Post Processor IMM Pre Processor OMM Post Processor

Slide 14 PowerHealth Solutions 2008 PPM User Conference Powerful Multi-threadedDistributedScaleable Hundreds of users Fast and complex searching Massive amounts of data

Slide 15 PowerHealth Solutions 2008 PPM User Conference Easy to use Visually appealing interface Intuitive structure Cross-referencing Complex operations can be abstracted over or performed automatically

Slide 16 PowerHealth Solutions 2008 PPM User Conference Invoices Container for chargeable items Encounter Days 1-3Days 4-6Days 7-9 The Entities of PBRC

Slide 17 PowerHealth Solutions 2008 PPM User Conference Legal documents listing payments owed for chargeable items Invoices Days 1-3Days 4-6Days 7-9 Encounter The Entities of PBRC

Slide 18 PowerHealth Solutions 2008 PPM User Conference The Entities of PBRC Invoices Receiver of chargeable items during the Encounter Recipient Days 1-3Days 4-6Days 7-9 Encounter

Slide 19 PowerHealth Solutions 2008 PPM User Conference Invoices Recipient Days 1-3Days 4-6Days 7-9 Payor Pays the bills Encounter The Entities of PBRC

Slide 20 PowerHealth Solutions 2008 PPM User Conference Invoices Payor Recipient Days 1-3Days 4-6Days 7-9 Financially Responsible Pays the bills if the payor cant Encounter The Entities of PBRC

Slide 21 PowerHealth Solutions 2008 PPM User Conference Demonstration General use Entities Cross referencing

Slide 22 PowerHealth Solutions 2008 PPM User Conference Edit Locking Hundreds of simultaneous users Interdependent tables Data is edited in discrete sessions Preserves data integrity Enables multi-tiered editing permissions

Slide 23 PowerHealth Solutions 2008 PPM User Conference Demonstration Barcode reader ReceiptsAllocation

Slide 24 PowerHealth Solutions 2008 PPM User Conference Demonstration Work List Items Work Flow Invoice Creation

Slide 25 PowerHealth Solutions 2008 PPM User Conference Charge Determination Quick & continual evaluation Configurable business rules Strengthened partnership with Idiom Improved technology

Slide 26 PowerHealth Solutions 2008 PPM User Conference PowerBilling & Revenue Collection Flexible, powerful, reliable Growing PHS as a company Growing PHS technology Created due to a recognised need in the industry