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The majority of table maintenance is the same as the regular statement process. The following tables will show the difference when using Patient Friendly Billing.

 

 

AHIS, Page 8

 

 

Select Web Client > System Menu > Hospital Base Menu > Master Selection > Business Office Tables > Business Office Table Maintenance > AHIS > Page 8

 

AHIS Control Record, Page 8

 

 

•Print 1st Time Stmts:  M_ B_ C_W_S_ (Y/N/P): This field is used to suppress First Time Statements for the Financial Class specified. When a Financial Class is marked Y, a First Time Statement will print and a Cycle Code will be assigned. If marked N, a First Time Statement will not print, a Cycle Code will be assigned, and the Cycle Statement will print the account balance.

 

NOTE: Facilities using Patient Friendly Billing Statements cannot select P-Patient Portion as an option for this field. Patient Portion may only be used in conjunction with the regular TruBridge Statements.

 

 

Collection Tables

 

 

Select Web Client > Tables > Business Office > Collections Table

 

A/R Collections Table

 

 

•Use Patient Friendly Billing Statements: If answered Y, the Patient Friendly billing option may be used for First Time Statements and Cycles 1-4 Statements. The Patient Friendly Billing Table will need to be completed.

 

 

Statement Messages

 

Select the message to be changed. Each message allows up to four lines with 41 characters on each line. After selecting a message to view, the system will display the option to change the message. The prompt will read, “Do you want to change the message Y/N?” If Y is selected, the Daily Password will have to be obtained to enable the change to the message. Also, there is an option given whether or not a delinquent line should print on the statement. If Y is answered to “Delinquent Line”, the word “Delinquent” will print several times above the top line of the message.

 

•Outstanding Ins. Patient Portion Zero: This message will not display for Patient Friendly Billing, but may still be used with TruBridge Statement Procedures.

 

•Outstanding Ins. Patient Portion Greater Than Zero: This message will not display for Patient Friendly Billing, but may still be used with TruBridge Statement Procedures.

 

•First Stmt. After Ins. Has Paid: This message will pull for accounts whose insurance has paid in full and the remaining amount is the patient’s portion. For example, “Your insurance has paid its portion.  Please remit balance due at this time.”

 

•Insurance Automatic Rejection: This message will pull for accounts whose insurance has been automatically rejected by the system based on table maintenance in the Insurance Company table, page 1. It is important that this message is different from the Claim Rejected Wording. The patient needs to understand that their insurance company never sent a remittance with a rejection on it; instead they just never responded. An example of an appropriate message may be:  “We have not heard from your insurance. Please contact them at this time as this balance is now your responsibility.”

 

•Claim Rejected Wording: This message will not display for Patient Friendly Billing, but may still be used with TruBridge Statement Procedures.

 

•First Statement: This is the first cycle statement for Private Pay accounts to be sent to the patient. The message entered here will be the first message a private pay account will receive when utilizing Patient Friendly Billing.

 

•Second Statement (Missed a Payment): This message will pull when the second statement is printed, and there has been no payment or the minimum amount has not been met. An example of the message would be:  “Your account is past due. Please remit payment promptly!”

 

•Third Statement (Missed Multiple Payments): When the third statement is printed, and no payment has been made, this message will print. An example of this message is “Your account is seriously delinquent. Remit balance due or contact our business office.”

 

NOTE: If a facility chooses to start the first collect code at a 2 or 3, the first statement message that will appear on the data mailer will be Second Statement (Missed a Payment) or Third Statement (Missed Multiple Payments). Therefore, consideration needs to be taken when setting up statement messages.

 

•Accounts With Payment Terms: Any accounts that have been set up on Payment Terms will receive this message on their statement. A message may be entered on any of the three lines, but one line must have the word TERMS in the first position to print the message, “MINIMUM PAYMENT =  $XXX.XX”. The “$XXX.XX” above will pull the patient’s actual terms payment amount that is entered in Patient Functions, Payment Terms.

 

•Memo: The Memo option allows a message of up to 69 characters. This memo will print on Patient Friendly Statements- Cycle Statements only.

 

 

Physicians Table

 

Patient Friendly Billing works the same as TruBridge Statements and will look to the Physician table to pull the facility’s information.