PiMS Billing and Collections is a comprehensive billing and collections system designed to increase productivity of your billers and collectors. Automatic processes within PiMS provide follow-up worklists to augment the daily workload and organization. There is no need for a financial folder; all claim forms, patient bills, letters, statements, invoices, financial history, and financial notes are available for viewing on-line or printed as needed. It provides you control of your billing process by providing the ability to define your own billing cycle criteria, claim forms and patient bills, follow-up collection activities and collection letters. This concept provides complete control of the billing process from charge posting to billing events to payments and adjustments to zero balance accounts.

PiMS Billing and Collections is profile driven, therefore allowing a facility to make business decisions that meet their needs. Decisions for profile values are analyzed at installation time and are entered prior to go live to satisfy your business practices.

Billing Event

A billing event can be an interim bill, a final bill, a late charge bill, a late charge write-off or a small balance write-off. The financial information for account and charge level information (detail or summary) as well as the timing of bill production will be controlled by a combination of factors such as primary third party, amount of unbilled charges, and facility defined parameters. Based on these factors, an account will be evaluated nightly for such criteria to bill and start claim processing.

Daily Processing

Daily Processing is controlled by the facility by defining when your billing cycle is processed. Daily processing is normally scheduled to execute right after midnight so that all of the day’s transactions are included in the process and that it is completed prior to the early morning staff hours. The billing cycle is based on parameters set in a profile, allowing claims to be processed when you want and still generate bills according to the set parameters, not the cycle bill run date. PiMS processes a daily batch job which updates all of the worklists follow-up dates, bills charges, creates claims, letters, statements and extracts for reporting. The printed output is routed to specific printers or files, which can be released automatically or manually released.

Monthly Close

Although PiMS does not need a separate process that closes the month, the period in which revenue is reported is set by either post date or close date. The post date option defines the charges, payments, and adjustments are reported as revenue on the date that they were posted to PiMS. The close date option sets the revenue date by entering a day as your close date. This allows you to post late transactions for the previous month up to the close date and reports it as revenue for that month. This process enables transactions from the last few days of the month to be included in the correct reporting period.