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A.
Level - Setup & Data Entry Getting Started
Getting Started
•
Elements of the Main Screen, including Title Bar, Menus & Toolbars
• Controls and Navigation
System
File
• Setting up system information (users, security, other preferences)
Hospital
File
• Hospital File Windows & Data Pages
• Updating & Modifying Hospital information
• Add new information
Data
Lists (Menu) & Codes
• Description of each Data List
• Access & Update Data List information
• Sorting files and Locate/Seek for records
• Adding new entries to Data Lists
• Warehouse, Category, Products, Kit & Receive Codes
B. Level 2 - Patient & Inventory Control
Patient
Registration Process
• Patient File Windows & Data Pages
• Sorting files and Locate/Seek for records
• Accessing Tabs/Pages (E.g. - Index Tab, Insurance Tab)
• Add new Patient
• Access & Update Patient information
• Recalls
Inventory File
• Inventory Maintenance
• Add new parts from vendors
• Updating Quantity
• Tracking
C.
Level 3 - Orders & Claims Processing
Order
Processing
• Order Windows & Data Pages
• Creating new order's
• Deliveries
• Order Auto Claims
PhilHealth Claims Processing
• Review PHIC claim entry
• Claim Windows and Data Pages
• Claim Transaction Entry
• Claim Status (Hold, Bill to and Last Bill Date)
• Charge Entry/Charge Groups
• Co-Payments
Recurring Claims
• Set-up Duplicate claims
• Generate Recurring claims
Level 4 - Payments & Patient
Billing
Posting Payments
Single - posted directly to claim
Automatic - PhilHealth Remittance Notices
Additional Payments - Adjustments, Refunds, etc.
Patient Invoices
Generate & print individual
Updating Claim Status
Patient
Statements
Generate & print individual & batch
Process of billing Patients
Level
5 - Reports
Reports
Inventory
Orders
Electronic Billing
Setup of Claims
Create Claim Files
Transmit Claim Files
Retrieve Reports (Claim Status, Rejects etc.)
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