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

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IMM OMM

OMMPost Processor

IMMPre Processor

Incoming Messaging Incoming Messaging ModuleModule

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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

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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

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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

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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