| | Description | The module is required to provide and manage the charges, the aged unpaid invoices, the credit facilities and limits, the guarantors accounts, and their various splits
Accounts Receivable module should take into consideration Customers as :
Patients , Employees , Business , Education , or Government Institutions , Insurance Companies and other Guarantors |
| 1 | | Ability to maintain comprehensive customer information | | 2 | | Ability to receive and maintain items from Billing module , as well as items entered directly. | | 3 | | Ability to Streamline payment application with cash application | | 4 | | Ability to manage draft creation and remittance | | 5 | | Ability to Update worklists for credit managers | | 6 | | Ability to use customer profiles and inquiry to track credit issues | | 7 | | Allow for online account inquiry with a real-time update of customer demographic information | | 8 | | Provide for account follow-up and management reports on demand | | 9 | | Provide for uniform access to all accounts: inpatient and outpatient, unbilled, accounts receivable, and bad debts | | 10 | | Provide for complete account details and history for all account statuses | | 11 | | Possibility to view /print all changes, payments, adjustments, refunds, and late charges for an account based on transaction type selected | | 12 | | Ability to list all input transactions on audit trails | | 13 | | Ability to provide for closed item reporting | | 14 | | Ability to allow closing of open items by selecting equal debits and credits from the customer account | | 15 | | Ability to reinstate closed items | | 16 | | Ability to have once cheque split into multiple payments | | 17 | | Ability to support the application of partial payments to specific statements | | 18 | | Ability to allow for user defined automatic cash application algorithms , and possibility to re-sequence | | 19 | | Ability to have automatic cash application algorithms defined to select open item based on summarized open item selection criteria: a) by total balance b) by combinations of aging categories c) by period | | 20 | | Ability to provide a facility to automatically apply payments to an open item and report the results | | 21 | | Ability to have payment amounts which do not match open item amounts applied as cash on account | | 22 | | Ability to have cash placed on account by automatic cash application | | 23 | | Ability to generate cash receipts | | 24 | | Ability to have user defined automatic write-off tolerance level ( ex: by amount or percent of payment ) | | 25 | | Ability to have users create a chargeback against a specific receivable | | 26 | | Ability to write-off debits and credits ( document reason ) | | 27 | | Ability to write-off individual open items to bad debt | | 28 | | Ability to have write-off reversed | | 29 | | Automatically generate reminder letter for overdue invoices. |
| >>> Maintaining Customer Information | | | | 31 | | Customer number and name | | 35 | | Credit terms: credit limit and payment period, effective dates | | 36 | | Payments: cheque number, date, invoice number, discounts, accounts charged | | 38 | | Ability to assign customer identifiers automatically | | 39 | | Ability to maintain customer information interactively online | | 40 | | Ability to transfer customer information from Human Resources and Patient Data Base | | 41 | | Ability to maintain multiple levels of customer relationships, with their own credit profiles | | 42 | | Ability to maintain unlimited addresses and contacts | | 43 | | Ability to user define payment terms | | 44 | | Ability to set up classification codes , including customer type and risk class | | 45 | | Ability to set up credit analysts and collectors | | 46 | | Ability to maintain complete history of customer dispute status, credit hold, and collection status | | 47 | | Ability to drill down to variety of customer information for items inquiry | | 48 | | Provide for automatic purge of inactive customers per user-defined criteria | | 49 | | Ability to identify an account by patient name , number, unit number, or guarantor’s number | | 50 | | Ability to edit demographic data , inquire on the billing and collection history, reproduce bills and claims, add comments, reminders, and letters | | 51 | | Ability to display accounts from most recent to oldest |
| >>> Updating Customer Information / Tracking and Write-off | | | | 52 | | Track and report charges entered for inactive account numbers | | 53 | | Assign unique transaction number to all charges for audit trail purposes | | 54 | | Support entry of individual messages to print on selected patient’s statement | | 55 | | Support automatic small balance write-offs by user-defined parameters for each insurance | | 56 | | Print list of accounts with credit balances for supervisor review | | 57 | | Cross check credit balance accounts to patient’s other open ( or bad debt ) accounts | | 58 | | Process patient refunds online with interface to accounts payable for printing refund checks | | 59 | | Support payment contracts and calculate payment schedules for private pay patients | | 60 | | Allow automatic write-off of bad debt accounts by user-defined parameters | | 61 | | Print audit report of account write-offs | | 62 | | Show accounts flagged for bad debt in active A/R records |
| >>> Receiving Items and Deposits | | | | 63 | | Ability to receive items automatically from Payroll Module or reverse | | 64 | | Ability to enter items interactively | | 65 | | Ability to receive items automatically from Billing Module | | 66 | | Ability to enter items in total or by line item | | 67 | | Ability to correct billing interface errors online | | 68 | | Ability to enter payments manually or use an EDI interface where legal legislation allows it | | 69 | | Support multiple banking destinations for transfer of payments | | 70 | | Ability to receive deposits from a cash control account |
| 71 | | Ability to process any kind of item : invoices, debit memos, credit memos | | 72 | | Ability to view detailed invoice content in Billing Module | | 73 | | Ability to distribute line items to General Ledger | | 74 | | Ability to perform matches , transfers and other maintenance functions | | 75 | | Ability to automatically match debits and credits | | 76 | | Ability to define unlimited entry types and reason codes | | 77 | | Ability to define payment terms to calculate due dates | | 78 | | Ability to flag disputed items | | 79 | | Ability to archive closed items as needed |
| >>> Cash/payment Application, Receipts Processing | | | | 80 | | Ability to identify, apply, and post payments online or through batch processing | | 81 | | Ability to base item selection on any information maintained about items | | 82 | | Ability to identify customers by name , identifiers , or any other reference | | 83 | | Ability to apply payments to more than one customer, among business units, without dividing or splitting the payment | | 84 | | Ability to process cash through automatic payment application based on user-defined methods | | 85 | | Ability to create multiple deductions per payment, with user-defined entry type and reason code, for analysis and tracking | | 86 | | Supply item identifier for a new item created by a deduction as desired | | 87 | | Ability to establish prepayments based on item identifiers | | 88 | | Ability to Write off receivables using user defined control options | | 89 | | Ability to create partial items payments or deductions when payment is less than item amount | | 90 | | Ability to maintain complete history of all activity by item | | 91 | | Ability to Write off small remaining balances based on user defined tolerances | | 92 | | Ability to enter and apply payments in any currency to items in any currency | | 93 | | Support online cash receipts posting with immediate update to accounts | | 94 | | Ability to validate online cash receipt entry for valid patient account numbers | | 95 | | Ability to display online warning if cash receipt entry will create a credit balance on patient account | | 96 | | Allow distribution of single payments among multiple accounts | | 97 | | Print or display list of account activity on demand | | 98 | | Support batch entry and posting of payments with batch control totals |
| >>> Analyzing Customer Credit | | | | 99 | | Ability to generate worklists- personalized , online lists of follow-up customers- according to user defined credit conditions | | 100 | | Ability to suppress various recurring conditions from displaying on worklists | | 101 | | Ability to keep track of customers that need follow-up attention, and set review dates | | 102 | | Ability to dial customers automatically from item inquiry panels | | 103 | | Ability to record and track conversations with contacts and customers | | 104 | | Ability to examine customer history, aging, and activity through inquiries and profiles | | 105 | | Store history and aging data for divisions within customers | | 106 | | Display all the open items for a customer, and drill down to view detail on a single item | | 107 | | Ability to prepare finance charge invoices | | 108 | | Ability to define user rules to control unlimited levels of dunning letter creation, and exclude items as desired | | 109 | | Establish user defined correspondence text and formats | | 110 | | Allow transfer of accounts from accounts receivable to bad debts | | 111 | | Allow reinstatement of zero accounts, retrieving all customer information in history file |
| >>> Journal Voucher Processing | | | | 112 | | Prohibit posting of payment batchs that are out of balance | | 113 | | Print detail cash and adjustment journal showing detailed receipts and adjustments | | 114 | | Print summary cash and adjustment journal showing total of receipts and adjustments by payor | | 115 | | Provide reference to returns/ allowances to support credit memos | | 116 | | Provide for advance recording of receivables | | 117 | | Capability to Chargeback | | 118 | | Provide for multiple General Ledger account distributions per memo | | 119 | | Capability to reverse payments ( bad cheques/errors ) |
| >>> Accounts Receivable Ledger Posting | | | | 120 | | Allow posting payments and adjustments up to 15 digits of monetary value | | 121 | | Provide for General Ledger posting in detail or summary at user option | | 122 | | Provide for daily summarization and update of individual General Ledger accounts | | 123 | | Provide for Correction of prior period/ year transactions | | 124 | | Support Contra accounts – offsetting billings with Accounts Payable | | 125 | | Support user specified General Ledger account overrides | | 126 | | Provide for Daily fiscal journals | | 127 | | Provide for Accounts Receivable transactions and controls | | 128 | | Provide for transaction listing and totals report |
| 129 | | Online access to customer accounting detail | | 130 | | Provide ability to page forward and backward when viewing account detail online | | 131 | | Display account status showing balance, charges, payments, and adjustments | | 132 | | Provide direct search and access to account transactions by date, without having to scroll through screens of transactions | | 133 | | Support online search for patient accounts by last name | | 134 | | Support online search for patient accounts by phonetic ( soundex) last name search | | 135 | | Support online search for patient accounts by account number | | 136 | | Support online search for patient accounts by guarantor name | | 137 | | Maintain and allow inquiry into a bad debt history file | | 138 | | Inquire about specific deposits, payments, customers, and payments for vendors | | 139 | | View automatic cash application exceptions and errors | | 140 | | Online inquiry for summary of delinquent account | | 141 | | Online inquiry for delinquent account | | 142 | | Minimum balance inquiry | | 143 | | Credit balance account inquiry |
| 144 | | Automatically print account statements at user-defined periods | | 145 | | Print daily and monthly days in A/R report including totals by financial class, inpatient, and outpatient | | 146 | | Provide ability to print A/R reports with user-defined report parameters ( ex: sort order, selected data , etc..) | | 147 | | Print standard payment agreement form for patient’s or guarantor’s signature | | 148 | | Print bills based on terms of payment contracts | | 149 | | Print monthly report of accounts transferred to bad debt by financial class | | 150 | | Period-end aged accounts receivable analysis report | | 151 | | Prepare customer statements, finance charge invoices, dunning letters, and follow-up letters | | 152 | | Accounts receivable collection analysis reports | | 153 | | Minimum balance listing | | 154 | | Credit balance account listing | | 155 | | Accounts receivable analysis | | 157 | | Account receivable self-pay analysis | | 158 | | Inpatient self-pay analysis | | 159 | | Outpatient self-pay analysis | | 160 | | Accounts receivable status report | | 161 | | Dunning statements:- Number of statement selection parameters ( cycle length ) | | 162 | | Dunning statements:- Allowance for contract billing | | 163 | | Dunning statements:- Availability of data mailers | | 164 | | Dunning statements:- Statements produced on request ( daily , weekly ,..) | | 165 | | Dunning statements:- Statements include next payment date | | 166 | | Dunning statements:- New accounts receivable from billing report by : financial class , and other | | 167 | | Dunning statements:- New accounts receivable from transaction input report present by : financial class, other | | 168 | | Dunning statements:- Deleted accounts receivable report by : zero balance, administrative write-off | | 169 | | Dunning statements:- Changed account receivable report | | 170 | | Dunning statements:- Cash receipts and adjustments report | | 171 | | Dunning statements:- Contractual allowances report: summary by transaction, detail by patient |
| 172 | | Batch controls ( comparison of batch header or trailer record totals with machine accumulated totals) | | 173 | | Validation reject report | | 174 | | Posting reject report | | 175 | | File balancing controls ( control record for each file ) | | 176 | | Log of valid and posted transactions | | 177 | | Print zero account audit report | | 178 | | Accounts receivable update exception ( error ) report | | 179 | | Statement exception ( error ) report | | 180 | | Cash receipts and adjustments report | | 181 | | Diagnosis delinquency report | | 182 | | Self-mailing statements |
| >>> Aged Trial Balance ( ATB) | | | | 183 | | Print aged trial balance with account number, name, dates of service and last statement, payor code, and balance | | 184 | | ATB should include number of statements, last payment date and amount, current credits and payments, billed-to insurance date | | 185 | | Print separate ATB for inpatient and outpatient | | 186 | | Print ATB in alpha order of patient last name | | 187 | | Print ATB in descending order of account balance | | 188 | | Print ATB by financial class | | 189 | | Print ATB by bill date | | 190 | | Print ATB by guarantor | | 191 | | Print ATB of accounts over certain age | | 192 | | Print ATB summary with up to nine aging categories, showing amounts, percentages, and number of accounts | | 193 | | Compare aging trial balance in summary or at the detail level | | 195 | | Aging by activity date, due date, effective date | | 196 | | Dispute items aged as current | | 197 | | Ability to have aging buckets defined | | 198 | | Ability to have the number of aging buckets = 7 | | 199 | | Guarantor aged trial balance | | 200 | | Doctor aged trial balance |
| 201 | | Support archival of all reports to microfiche, tape, optical disk or other media | | 202 | | Ability to delete accounts that have not have any activity | | 203 | | Ability to flag customers for deletion ( or deactivate or reinstate) | | 204 | | Maintain zero accounts history for Hospital defined time period |
| 205 | | Order Management system |
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