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Introduction toIntroduction toPower Billing & Revenue Power Billing & Revenue
CollectionCollectionOliver Tatlow-LordOliver Tatlow-Lord
2008 PPM User Conference2008 PPM User Conference
Slide 2 PowerHealth Solutions 2008 PPM User Conference
Hospital billing is changing!Hospital billing is changing!
Rising populationsRising populations
Ageing populationsAgeing populations
Increasing demand for servicesIncreasing demand for services
Numerous health cover optionsNumerous health cover options
Complex & changing lawsComplex & changing laws
Slide 3 PowerHealth Solutions 2008 PPM User Conference
What is PBRC?What is PBRC?
1.1. Front office - Point Of Sale Front office - Point Of Sale
Slide 4 PowerHealth Solutions 2008 PPM User Conference
What is PBRC?What is PBRC?
2. 2. Charge CalculationCharge Calculation
Slide 5 PowerHealth Solutions 2008 PPM User Conference
What is PBRC?What is PBRC?
3. 3. Back office - Revenue CollectionBack office - Revenue Collection
Slide 6 PowerHealth Solutions 2008 PPM User Conference
Workflow EnabledWorkflow Enabled
Runs automatically, or Runs automatically, or can be invokedcan be invoked
Updates search Updates search indexesindexes
Creates audit recordsCreates audit records
Runs scriptsRuns scripts
Calculates chargesCalculates charges
Creates invoicesCreates invoices
Slide 7 PowerHealth Solutions 2008 PPM User Conference
PowerBilling & Revenue PowerBilling & Revenue CollectionCollection
FlexibleFlexible
IntegratedIntegrated
PowerfulPowerful
Easy to useEasy to use
Slide 8 PowerHealth Solutions 2008 PPM User Conference
FlexibilityFlexibility
Reference TablesReference Tables
Workflow ScriptsWorkflow Scripts
Charge Calculation RulesCharge Calculation Rules
LanguagesLanguages
LocalisationLocalisation
Customisable User InterfaceCustomisable User Interface
Slide 9 PowerHealth Solutions 2008 PPM User Conference
IntegrationIntegration
Connects with existing Integration Connects with existing Integration ArchitectureArchitecture
IMM – Incoming Messaging ModuleIMM – Incoming Messaging Module
IMM Pre ProcessorIMM Pre Processor
OMM – Outgoing Messaging OMM – Outgoing Messaging ModuleModule
OMM Post ProcessorOMM Post Processor
Slide 10 PowerHealth Solutions 2008 PPM User Conference
IMM OMM
OMMPost Processor
IMMPre Processor
Incoming Messaging Incoming Messaging ModuleModule
Slide 11 PowerHealth Solutions 2008 PPM User Conference
IMM Pre ProcessorIMM Pre Processor
IMM OMM
OMMPost Processor
IMMPre Processor
Slide 12 PowerHealth Solutions 2008 PPM User Conference
IMM OMM
OMMPost Processor
IMMPre Processor
Outgoing Messaging Outgoing Messaging ModuleModule
Slide 13 PowerHealth Solutions 2008 PPM User Conference
IMM OMM
OMMPost Processor
IMMPre Processor
OMM Post ProcessorOMM Post Processor
Slide 14 PowerHealth Solutions 2008 PPM User Conference
PowerfulPowerful
Multi-threadedMulti-threaded
DistributedDistributed
ScaleableScaleable
Hundreds of usersHundreds of users
Fast and complex Fast and complex
searchingsearching
Massive amounts of dataMassive amounts of data
Slide 15 PowerHealth Solutions 2008 PPM User Conference
Easy to useEasy to use
Visually appealing Visually appealing interfaceinterface
Intuitive structureIntuitive structure
Cross-referencingCross-referencing
Complex operations can Complex operations can be abstracted over or be abstracted over or performed automaticallyperformed automatically
Slide 16 PowerHealth Solutions 2008 PPM User Conference
Invoices
Container for chargeable items
Encounter
Days 1-3
Days 4-6
Days 7-9
The Entities of PBRCThe Entities of PBRC
Slide 17 PowerHealth Solutions 2008 PPM User Conference
Legal documents listing payments owed for chargeable
items
Invoices
Days 1-3
Days 4-6
Days 7-9
Encounter
The Entities of PBRCThe Entities of PBRC
Slide 18 PowerHealth Solutions 2008 PPM User Conference
The Entities of PBRCThe Entities of PBRC
Invoices
Receiver of chargeable items during the Encounter
Recipient
Days 1-3
Days 4-6
Days 7-9
Encounter
Slide 19 PowerHealth Solutions 2008 PPM User Conference
Invoices
Recipient
Days 1-3
Days 4-6
Days 7-9
PayorPays the
bills
Encounter
The Entities of PBRCThe Entities of PBRC
Slide 20 PowerHealth Solutions 2008 PPM User Conference
Invoices
Payor
Recipient
Days 1-3
Days 4-6
Days 7-9
Financially ResponsiblePays the bills if the payor
can’t
Encounter
The Entities of PBRCThe Entities of PBRC
Slide 21 PowerHealth Solutions 2008 PPM User Conference
DemonstrationDemonstration
General useGeneral use
EntitiesEntities
Cross referencingCross referencing
Slide 22 PowerHealth Solutions 2008 PPM User Conference
Edit LockingEdit Locking
Hundreds of simultaneous usersHundreds of simultaneous users
Interdependent tablesInterdependent tables
Data is edited in discrete sessionsData is edited in discrete sessions
Preserves data integrityPreserves data integrity
Enables multi-tiered editing Enables multi-tiered editing permissionspermissions
Slide 23 PowerHealth Solutions 2008 PPM User Conference
DemonstrationDemonstration
Barcode readerBarcode reader
ReceiptsReceipts
AllocationAllocation
Slide 24 PowerHealth Solutions 2008 PPM User Conference
DemonstrationDemonstration
Work List ItemsWork List Items
Work FlowWork Flow
Invoice CreationInvoice Creation
Slide 25 PowerHealth Solutions 2008 PPM User Conference
Charge DeterminationCharge Determination
Quick & continual Quick & continual evaluationevaluation
Configurable business Configurable business rulesrules
Strengthened partnership Strengthened partnership with Idiomwith Idiom
Improved technologyImproved technology
Slide 26 PowerHealth Solutions 2008 PPM User Conference
PowerBilling & Revenue PowerBilling & Revenue CollectionCollection
Flexible, powerful, reliableFlexible, powerful, reliable
Growing PHS as a companyGrowing PHS as a company
Growing PHS technologyGrowing PHS technology
Created due to a recognised Created due to a recognised need in the industryneed in the industry
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