Software tools for professional hospital bill auditors

Thank you for making the time to review Audit PMS.    Audit PMS has been designed to automate as much of your practice administration as possible.  The system is designed to operate on almost any PC compatible machine running Windows XP Pro or Home.

Audit PMS is based on the Microsoft Access 2000 (or higher) relational database.  We recommend that your computer be configured with at least 128MB of system memory and sufficient disk storage capacity to store several years of information.  This will generally be approximately 15 - 25MB of disk storage capacity.

The system has been engineered to provide you with a robust set of tools from which your practice can be managed.  System highlights are as follows:
Audit Case Storage

 

 

 

 

Audit PMS will allow you to enter each of your cases into a database for storage and immediate recall.  Each case file contains all of the normal information regarding your audit such as:
 
Provider Audit Firm
Patient Number Insurer
Patient Name Date Audit Appointment Requested
Dates of Confinement Audit Appointment Date
Total Charges Unlimited Comments
Current Audit Status Audit Completion Date
Authorization on File Flag And More
 

Audits may be stored indefinitely and recalled almost instantly by entering the patient's name or Patient Number + the Provider.

All audits are available for reporting on demand.
Audit Breakdowns

 

 

 

 

 

 

 

Audit PMS contains a full featured audit breakdown software sub-system.  You may break bills down for an almost unlimited number of hospitals.

As you enter each new service code the computer will save the information into a database for this specific audit breakdown as well as its "Charge Master", database.  Once you use a hospital service code on any audit you will never again need to enter the information about that code again!

Audit PMS constantly monitors the current pricing in the "Charge Master" against any breakdowns that you perform.  If the admission that you are currently breaking down is more current than the price that is currently in the "Charge Master" Audit PMS will automatically update the service code charge with the more current pricing.

Audit PMS provides you with a series of tools that you may use to make sure that your breakdown balances to the bill.  You will no longer get to the end of a $150,000.00 breakdown only to find out that you're out of balance by $37.41!

Audit PMS will provide you will a breakdown report that sorts each service code into its respective department and then alphabetically within that department.

Audit PMS provides you with the ability to email your breakdown results.

 
Findings Documentation

 

 

 

 

Once you have completed your audit Audit PMS provides you with tools to document and report your findings. 

You simply enter each service code with a discrepancy into your audit breakdown file.  The computer will attempt to automatically classify the discrepancy into "Overbilled, Underbilled, or Unbilled".  You may manually override the computers determination at any time.  You may also attribute a discrepancy to "Personal or Non-Covered" classifications.

Audit PMS will prepare a report for you which lists each of the discrepancy classifications along with the specific item detail.  Your findings may be emailed directly to the hospital's internal auditor for review and sign-off.

You may also email this report to the auditing firm, thereby eliminating having to write up those lengthy "discrepancy reports".

Audit PMS also contains a sign-off document that you may use to finalize your audit.
Reporting

 

 

 Audit PMS contains a robust set of reports that will help you manage your practice on a daily basis.  These reports include:
Aged Audits Attempting to Schedule
Audits by Hospital Audits by Status
Audit by Audit Firm Audit Appointment Schedule
Progress Report Accounts Receivable
Savings by Hospital Savings by Audit Firm
Analysis

 

 

 

 One of the most powerful features in Audit PMS is the analysis suite. 

As you enter your findings into Audit PMS it becomes part of a powerful database that allows you to examine each hospital in detail over any period of time.

The system will present to you a targeting list of your results by department and each service code within that department.  This information allows you to track like a laser beam to the items in each hospital which historically are error prone and present the highest return on your time investment.
Electronic Document Storage and Retrieval

 

 

 

 

 

 

 How many times have you had to tear your office apart trying to find a Audit Finalization Agreement or other audit related document?

Audit PMS allows you to scan and associate documents with your audits.  You can electronically save, view, and email any of the following documents:

Audit Finalization Agreement
Your hand written audit discrepancies report
The check you've written for the Hospital Audit Fee
Up to two miscellaneous case related documents

When you want to view or email one of these documents you simply recall the case in Audit PMS and "click" the review documents tab.

This capability not only reduces the confusion and time it takes to find documents but at long last to can ELIMINATE all of those paper records that have been littering your office!

(You must have a scanner and Microsoft OutLook to email documents)