alloFactor - An integrated clinical platform covering all clinical roles
alloFactor will solve all integration issue by acting as the single platform to
interface with external entities. No longer does a clinic need to have go to a clearinghouse
to submit some claims while faxing a prescription to the pharmacy. alloFactor brings
technology to the point of care.
alloFactor is a integrated, workflow based, clinical transaction platform that has
modules for each clinical functions built into it so that it works seamlessly to
increase productivity, speed and accuracy across the system. A list of systems that
are relevant to the proposed solution is discussed below
Appointment Scheduler
An integrated appointment scheduler helps front-desk manage providers’ calendar.
User can easily setup patient appointment including recurring appointments. The module
also help front-desk track number of cancellations and postponements .
Registration
Registration module helps the front-desk gather patient information during the initial
visit including demographics, employer, guarantor, policyholder and insurance.
Insurance companies once setup can be effortlessly mapped to other patients.
EMR
Electronic Medical Records allows provider to review medical history and record visit
related information including Chief Complaint, History of Present Illness, Review of
System, Physical Examination, Medication and treatment plan. EMR module has wizards to
help generate information using appropriate templates with defaults for each field.
While EMRs have achieved close to 50% penetration, they seem to be largely restricted
to larger practices due to associated costs and skill level requirements.
Billing
Billing module helps track claims from the patient visit to payment. Once a visit is
completed, the claim automatically flows into the billing module. The system eases
claim creation and filing of claims electronically or on paper. Payment manager help
enter payments either manually or through Auto payment posting. Also it helps scan and
store superbills and EOBs. Custom Patient statements may be generated and printed as
well.
Reports
The Reports module helps office manager assess the performance of the clinic. Aging and
collection reports are popular amongst
Administration
Typically each individual software system will have separate user management. This
leads to multiple user id/passwords that are hard to remember.
Electronic Claim Submission
Electronic claim submission results in faster claim adjudication (typically 3 weeks
compared to 6 weeks for paper claims). Electronic claim submission has been adopted by
majority of practices as a standard. Few billing software packages have backward
integrated clearinghouses while majority of them are clearinghouse neutral allowing
practice to choose any clearinghouse to submit claims. Enrolling with clearinghouses
is paperwork intensive and most have bad customer service.
Eligibility Verification
As increasing number of uncovered patients utilize practices, it becomes important to
ensure patients coverage. This typically involves manual phone calls to insurance
company which could take upto 15 minutes for each patient. Electronic eligibility
verifications systems are increasingly becoming popular.
Auto-payment posting
The exact payment amounts for the treatment rendered will be known only after
insurance company processes the claim. When the practice receives the details, the
billing team needs to key them in manually into the system to reconcile the charges
which is a tedious and error-prone process. Insurance companies have started providing
auto-payment posting options which automates the entire payment entry process.
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