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1 http://www.ihs.gov/NonMedicalPrograms/Business Office/index.cfm

2 HOMEABOUT I H SSITE MAPHELP Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ The alliance between the Office of Information Technology (OIT) and Office of Resource Access and Partnership (ORAP), Division of Business Office Enhancement are working in Partnership for the improvement of Third Party Collections and Resources for Indian Health Service.

3 PAMS requires that many sites change business related processes to accommodate front end data capture and ensuring reimbursement related procedures are in place. Sites will also need to become current with backlogs in PCC data entry, coding, billing and accounts receivable. Business Assessment Survey File: 101K Business Process Grid File: 26k Process Changes Business Office PAMS File: 28K The new RPMS billing and account management package will be (Graphic User Interface) GUI based and will require many process changes before it can be installed. PAMS Status of Project File: 892K PAMS Web board

4 New content will go here... Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ

5 Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ Third Party Revenue Accounts Management and Internal Controls Part 5, Chapter 1

6 Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ PART 5, CHAPTER 1 THIRD PARTY REVENUE ACCOUNTS MANAGEMENT AND INTERNAL CONTROLS Part 5, Chapter 1. Table of Contents Transmittal Notice(s) TN 05-12 First Issuance.

7 Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ RPMS User Manuals Current issues: 1.Form Locator 4 is wrapping on the UB92. This issue was addressed in Patch 9 for those sites that needed their UB92 to be re-aligned. This will be corrected in Patch 10. If an immediate fix is needed, please notify the RPMS helpdesk for assistance. 2. Form Locator 1a is not populating on the HCFA-1500. Due to the recent Patient Registration changes in Patch 1, the policy identification number field was modified. Patch 10 will address this but if an immediate fix is needed, please notify the RPMS helpdesk for assistance. Third Party Billing & A R Technical Advisory Group (TAG) File: 14k Point Of Sale (POS) Version 2.5 Patch 9 released 3/17/2006 Patch 10 is currently under development.

8 Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS)) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ Version 1.8 released 11/05/05 Version 1.8 P1 in review IHS Claim Status Codes - 10/31/2005 - (DOC, 679 kilobytes) IHS Remittance Advice Remark Codes - 08/18/2005 - (DOC, 729 kilobytes) Transworld PowerPoint Presentation - (PPT, 201 kilobytes) V1.8 The Accounts Receivable package (B A R) is an R P M S application designed to automate the management of account receivables. Indian Health Service offers this free software to allow sites to effectively handle collection and reporting activities

9 Home Health Insurance Portability and Accountability Act (HIPAA) Patient Account Management System (PAMS) Revenue Operations Manual (ROM) Third Party Internal Control Policy Patient Registration Third Party Billing Accounts Receivable Management Tools Training ListServ View the list of Position Descriptions Arizona Health Care Cost Containment System (AHCCCS) Electronic Health Record (EHR) Health Insurance Portability and Accountability Act (HIPAA) IHS HelpDesk Patient Customer Care Plus (PCC+) Trailblazers HIPAA Trailblazer United Gov Services IHS Sponsored Code Workshops 2006 Flyer (DOC, 88k) American Academy of Professional Coders (AAPC) Trailblazers American Health Information Management Association (AHIMA) Medicare Secondary Payer (MSP)

10 PAMS

11 Kris Kirk is logged in.11-Apr-06 02:59 PM Process Changes for Business Office Operations Required Before PAMS Implementation Main Menu Reports: View Grid List Percentage Completion List Facilities That Have Entered Data User Utilities: Change Password Logout

12 Kris Kirk is logged in.11-Apr-06 03:00 PM Process Changes for Business Office Operations Required Before PAMS Implementation Choose a Facility: CHOOSE FACILITY

13 Kris Kirk is logged in.11-Apr-06 03:03 PM Process Changes for Business Office Operations Required Before PAMS Implementation Business Process Implementation Grid W. W. HASTINGS INDIAN HOSPITAL Checklist Started Jul 29, 2005

14 TASKWHOComment Assigned Due Completed to Date Management (Last Updated Mar 17, 2006) Obtain Administrative Support for implemeting PAMS and obtain commitment for long- term success. CEO, Administrative Officer, Clinical Director

15 Kris Kirk is logged in.11-Apr-06 03:24 PM Process Changes for Business Office Operations Required Before PAMS Implementation Facilities That Have Entered Data Click on a Facility Name to View the Grid for that Facility FacilityDate Checklist Begun CLAREMORE INDIAN HOSPITAL08/01/2005 CLINTON INDIAN HOSPITAL08/19/2005 EUFAULA INDIAN HEALTH CENTER03/08/2006 HASKELL INDIAN HEALTH CENTER08/02/2005 KICKAPOO HEALTH CENTER12/02/2005 LAWTON INDIAN HOSPITAL07/22/2005

16 Percentage Completion Report Facility Overall Percentage Completion Important Questions Percentage Completion Critical Questions Percentage Completion CLAREMORE INDIAN HOSPITAL CLINTON INDIAN HOSPITAL EUFAULA INDIAN HEALTH CENTER HASKELL INDIAN HEALTH CENTER KICKAPOO HEALTH CENTER LAWTON INDIAN HOSPITAL MIAMI HEALTH CONSORTIUM Total Area %:


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