The system drives the appropriate solution for each patient so the registrar, front office personnel, financial counselor or collection person does not have to make the decision.
SPMS Live
SPMS Live enables healthcare service providers to revolutionize the way they interact with patients regarding patient responsibilities at the point of service, including offering price transparency and medical financing options. This process increases upfront cash and overall collections by providing registrars and financial counselors with interactive scripts that integrate patient demographic information with each provider’s unique business policies and rules. The system automatically identifies discounting and charity care options when applicable and helps to ensure that patient financial accounting – for both insured and uninsured patients – is handled appropriately and in a non-discriminatory manner. In addition, SPMS Live allows the healthcare provider to refer accounts to be screened for Medicaid eligibility and other local, state and government programs for which the patient may qualify.
SPMS Batch
Using a service provider’s aged trial balance, this process returns each individual patient’s capacity to pay. The process provides additional information to improve collection potential by creating a platform to create collection strategies or to launch implementation of the SPMS Live solution. Demographic data returned for each record include a relative value or descriptive label of debtors’ ability to pay as well as detailed demographic data.
SPMS Plus
Through integration with our strategic partners, nTelagent, Inc. offers a "one-stop" solution for the healthcare provider to enable total account review and resolution at the point of service. SPMS Plus enables the registrar to verify insurance eligibility, determine deductibles and co-pays, and perform all the processes identified in SPMS Live in one setting. Reporting through SPMS Plus allows the healthcare provider to monitor accuracy, effectiveness and collections on a daily basis.
Consulting Services
Billed as a per diem plus travel and expenses, nTelagent, Inc. staff are available to review and revise revenue cycle practices, including strategies to move collection practices from post-discharge to the point of service. Staff can also provide “Lunch and Learn” sessions for business office and revenue cycle personnel wishing to learn more about best practices for interactive scripting and how demographic, non-credit predictive modeling can be integrated into the collections process.
Self-Pay Management System: The Total Healthcare Accounts Receivable Solution
Instant and Automatic Functionality on the Front End
- Verification of patient name, address and phone number
- Assessment of patient's ability to pay (without the need for a credit report or Social Security number)
- Decision based upon automatic application of business rules to patient data
- Generation of financial assistance applications and forms (if charity eligible)
- Collection of upfront payment due/commitment for balance (if not charity eligible)
- Documentation of all charity care and patient discounting policies and activity
- Real-time monitoring of policy implementation and impact throughout entire organization and third-party provider network
