Features & Benefits

The Revenue Cycle Management Rules engine is integrated throughout the application and surrounds all processes required to bill and manage AR. Rules can be defined to ensure accuracy of patient data, ensure transactions are complete and correct prior to billing, ensure payer claims and client invoices contain information as required by the recipient, ensure remittances process automatically, provide notification that you are getting paid according to contract, assist with efficiently managing any bad debt and much more. Rules can be modified and added as needed, and many are driven by effective date range for easy change management. Additionally, selected rules can be imported from Excel® data files to make compliance updates simple.

> Learn more about TELCOR’s Revenue Cycle Management Rules.

Pricing and invoicing to your client’s requirements are important to achieve customer satisfaction. The TELCOR Revenue Cycle Management solution was designed with the flexibility for you to keep and add clients to your billing practices, while also providing the tools to make this easy to manage. Workqueues make the daily work associated with client billing easy. Need to change responsibility of a transaction and reprocess quickly and easily, no problem. Need to apply attention levels to keep staff informed of any special practices for a client, no problem. Need to provide special pricing or contract limits, no problem. Additionally, statistics and metrics allow you to know how much each client contributes to your business as well as their individual payment history and how much extra work they may be creating by the number of errors that your organization has to correct. If you are expending a lot of effort to client bill, this is the Revenue Cycle Management solution for you.

> Learn more about TELCOR’s Revenue Cycle Management Client Billing and AR Management.

Patient billing done right with excellent customer service for billing questions makes it easy for the patient and encourages them to utilize your laboratory for services. The TELCOR billing system is designed to meet these goals. The application is patient centric, so those patients that have multiple services per month will receive one statement, avoiding confusion. The services and ordering provider as well as amounts paid and adjusted by their insurance and their own payments are presented to easily understand current amounts owed. Your pricing can encourage use of your laboratory as well. You can define unlimited fee schedules and for self-pay patients offer client based pricing in consideration of their non-insured status. Additionally you can have the application automatically adjust to a patient expected amount for services when their insurance is with a non-contracted payer. Patients may elect to pay with cash, credit card or even PayPal™. Yes, PayPal. The iLabBill option allows patients to view all services and pay by credit card or PayPal via a secure website. When patients call about their bill, the flexible patient search and comprehensive Account Inquiry function makes it easy to view the entire patient billing history to expediently respond to the patient and if the problem is that the patient can’t pay the entire bill, no problem the application supports payment plans. The billing system also provides significant functionality to manage the outstanding patient accounts receivable, process refunds, and transfer amounts to bad debt as well as write-offs. If you want to efficiently perform patient billing with the tools for your client services department and metrics for management, this Revenue Cycle Management solution will help you.

> Learn more about TELCOR’s Revenue Cycle Management Patient Billing and AR Management. 

iLabBill® allows you to provide your patients with the option to view their account of services performed with associated current balances and pay their bills securely online. Patients have the ability to review all payments made to their account from iLabBill and the organization can configure informational pages to be presented from iLabBill (e.g., post hours of operation, describe how to review statements, customize colors and logos).

> Learn more about TELCOR’s Revenue Cycle Management iLabBill module. 

Regardless of the ‘standard’ claim forms and electronic submissions every payer has their own requirements, which must be met to get paid. The TELCOR application is designed to allow each payer’s requirements to be configured to improve cash flow and efficiency when working transactions assigned to payer responsibility. The rules for each payer to compose 837 claims for submission (for both 4010 and 5010 standards) or print CMS-1500NPI or UB-04 forms can be defined within the application. Once transactions are clean and compliant they are posted and claims generated and submitted to the payer automatically. Additionally, the expected contractual adjustments can be posted immediately allowing views of accounts receivable to reflect the actual cash that can be expected.

The billing system supports 4010/5010 835 electronic remittances with automatic posting of payer payment adjustments along with claim payments, adjustments and reason codes per service line. Rules can then determine the next disposition of the claim, which includes placing denials to the Claim Error Workqueue or Claim Appeal Workqueue for user intervention, automatically processing the claim to the next payer or even closing the claim while automatically changing the transactions to be patient or client responsibility. And if the payer did not pay you the expected amount, not to worry – the Reimbursement Exception Workqueue will allow efficient management notification of all reimbursement not meeting your contracts for follow-up. Payer billing also includes functionality to post EOBs manually, print EOBs as needed, and create refunds. Management functions allow outstanding AR by payer to be viewed and worked, with automatic actions to streamline workflow when no payer response is received. Bring efficiency to your payer billing and denial processing with the TELCOR Revenue Cycle Management solution.

> Learn more about TELCOR’s Revenue Cycle Management Payer Billing and Working Denials.

The TELCOR Revenue Cycle Management system provides daily monitoring, AR aging, metrics and general ledger reporting that keep you informed at any time of the current status of your business. The business management functions are designed to allow you to search, filter and group data to meet your current business status question, e.g. which clients are providing the most revenue, what territory provides the greatest volume, what department has the highest expected reimbursement, what is the test mix by each pathologist, what payments have we received by payer and on and on and on. After the search, filter and grouping are selected then all data is retrieved and presented in a grid to allow further sorting, filtering and export to Excel. If you are an enterprise that has deployed the application for multiple companies (revenue centers), then data can be presented by company or enterprise. If you want real time data presented the way you want it to make informed decisions, not waiting until nightly or monthly processes are performed, then this solution is for you.

> Learn more about TELCOR’s Revenue Cycle Management Business Management.

While Business Management provides the toolset for timely and informed decision, the Analytics and Profitability Assessment functions allow you to analyze business trends to proactively make business changes to optimize your profitability. Analysis functions include the ability to analyze payer remittance per procedure, analyze how and what is being paid for services, or analyze your client sales by revenue or payments. Additionally, assess each client’s profitability and determine which clients did not meet their performance objectives so you can follow-up with what is happening before it may be too late. All analytics functions also include extensive search, filter, sort and grouping of data with export to Excel. Proactively make business changes with the information provided with this Revenue Cycle Management solution.

> Learn more about TELCOR’s Revenue Cycle Management Analytics.

The TELCOR Revenue Cycle Management system is designed with the future in mind. The modular architecture allows customers to adapt the system to their needs to manage a successful billing operation. The streamlined workflow created by this billing system automates many functions that you may be performing manually today. TELCOR strives to maintain a system that evolves as its customers’ needs evolve, and it is the most current lab billing system available on the market. However, no system can be successful unless it meets today’s compliance requirements. This application is fully HIPAA, NPI, ICD-10 and 5010 compliant. It can also be deployed with full data encryption to meet HITECH requirements and TELCOR as a company is fully HIPAA and HITECH complaint.

Our Revenue Cycle Management system is updated regularly based on customer requests, regulatory changes and updated payer requirements. Developed using the latest technology (TELCOR has Microsoft Partner status), the application is easy to navigate with multiple window access, workqueues with sorts and filters, and drill-downs to access detailed information. The integration with Microsoft tools makes it user friendly with all data easily exported to Excel and the ability to send documents by email.

> Learn more about TELCOR’s Revenue Cycle Management Design/Technology/Security.

Whether your IT department is big or small, our Revenue Cycle Management solution can be easily deployed to meet your IT objectives. TELCOR customers have the option to install the billing system on-site on their own purchased hardware or have it run remotely using the SaaS (Software as a Service) model. With a SaaS deployment, TELCOR acts as the lab’s IT staff by hosting the hardware and software and providing the technical maintenance and upgrades.

> Learn more about TELCOR’s Data Center.