Pulse Practice Management software is a modular solution that allows clients to take advantage of a customized Practice Management solution capable of growing and shifting with the practice over time. Pulse Practice Management easily scales from single-physician practices to large physician groups, multi-site practices, ambulatory surgical centers, Management Services Organizations, and Integrated Delivery Networks. Pulse compliments its software with an unparalleled host of services designed to optimize productivity by applying automated workflow logic capable of seamlessly integrating financial, clinical and administrative processes into one comprehensive system.

Master Patient Index

• Keeps a unique identifier for each patient
• Mapped to multiple medical record numbers if needed
• Compliant with Interoperability standards to connect to HIE’s (Health Information Exchange) and RHIO’s(Regional Health Information Organization)

Scheduling

• User friendly screens with the flexibility and controls
• Intuitive and straight forward scheduling, viewing and navigating
• Manage scheduling functions in a simple environment or across multiple financial entities, faculties, locations and resources
• Verify patient eligibility electronically and prevent revenue loss
• Collect co-pay and patient balance
• View service and facility restrictions per patient’s insurance policy
• Manage and track appointment requirements by visit type
• User preferences and template-based design can be customized
• user-defined alerts and warnings aid the scheduling process by providing critical information to front office staff
• Tracking of patient flow from check-in and through the multiple stages of care
• Appointment statistics give administrative staff the data needed to streamline and improve patient flow as well as manage patient wait time
• Data flows seamlessly between Scheduling, Clinical Dashboard, Patient Tracker, Pulse EHR, Mobile MD, and billing for complete workflow with all involved in the patient visit
• Surgery Scheduling Module (optional)
  • Provides complete out-of-office-procedure and surgical scheduling functionality
  • Surgical and out-of-office-procedure appointments interact with compliance rules for tracking the completeness of documentation and regulatory compliance
  • Communicate with hospitals and surgical facilities
  • Automated online surgery book and hospital rounds/walk-lists insure that every patient visit or procedure is accounted and billed

Revenue Management

• Comprehensive patient accounting, billing and collection system
• Designed to increase clinic cash flow by improving the quality and efficiency of operations and workflow
• Automated posting of charges using electronic superbill and electronic charge ticket
• Automated posting of payments and write-offs using the Electronic Remittance Advice (ERA) with the 835 ANSI Standard
• Fully manage receivables, collections and bad debt using sophisticated tools such as push technology and controlled dynamic lists
• Facilitates rapid and intuitive navigation within a patient’s ledger resulting in increased collections productivity
• Generates electronic patient statements resulting in cost savings in paper supplies, printer costs and man hours
• Rapid and intuitive online patient statements resulting in cost savings in paper supplies, printer costs and man hours
• Captures charges in the Pulse EHR and Mobile MD applications flow directly and are posted automatically
• Access to clinical data is readily available to billing users for validation of billing codes and claim accuracy supporting clinical documentation
• Co-payments and fee schedules by provider and/or location are accessible across the enterprise
• Payer-specific electronic remittance advice is received from payers, and payments are electronically posted against patient claims using ANSI 835 standards
• electronic reimbursement automatically posts payments to patient accounts with a history of expected payments, write-off amounts, and automatically generated secondary claims and EOB’s
• Administrators can assign accounts to individual employees and track the status of their work
• Automated validation of insurance payments and write-offs maximizes revenue and eliminates income leaks
• Supports Fee-for-Service, Managed Care, and Capitated billing using HCFA and UB04 standards

Claims Management and Automated Claim Scrubbing

• Claims Management allows claims aging, claims collection, comprehensive reporting and auditing
• using the automated workflow design along with “push” technology, management can easily monitor each employee’s progress
• Claims Administration provides formatting, editing,and electronic submission for primary and secondary claims in ANSI 837 standard
• Electronic review of claim status using ANSI 276/277 transaction standard
• Automated “Incomplete Claims” and “Code Check” functionality simplifies processing by providing claim scrubbing and on-site editing according to each payer’s unique specifications prior to claim submission
• Claim scrubbing ruels are updated weekly accoriding to RVU, CPT, ICTD, CCI and state specific LMRP edits
• Only clean claims are electronically submitted, minimizing denied claims and maximizing cash flow
• Easily manage claim refilling, inquiry and demand

Collection Management

• Delivers an online workbench for patient due balances
• define a specialized set of collection actions based on individual practice criteria and policies
• Extensive and comprehensive patient indexing allows the consolidation of statements and automated billing cycles in addition to customized collection letters and other actions that can be requested on demand or by criteria batches
• Automated and customized demand cycles with auto-generate of demand letter and other collection actions
• Keeps track of all collection activities
• generates electronic patient statements resulting in cost savings in paper supplies, printer costs and man hours
• Rapid and intuitive online patient statement review resulting with less time spent on the phone with patients after statement cycles

Managed-Care Contract Administration

• Manage any type of traditional insurance or managed care contract at the insurance plan or employer level
• Comprehensive tracking and management of multiple managed-care contracts including multiple plans, fee schedules, co-pays, and plan restrictions are supported
• Workflow is enhanced using advanced tools to provide the ability to easily adjust contracts over time
• Automated validation of insurance payments and wrtie-offs maximizes revenue and eliminates income leaks
• Manage patient volume by insurance plan

Authorization and Referral Management

• Guides practices to set up rules for appropriate referrals, including authorizations and consent requirements, resulting in a decrease of lost revenue and streamlined work flow and cash flow
• Rules are incorporated throughout the application and the wide array of modules
• At scheduling or check-in, the referral rules activate immediately and set in motion a process of checks and warnings
• Transmission and receipt of eligibility data is automated using ANSI 270/271 standards and are fully interactive with patient records
• Eligibility requests can be sent on a per patient basis or in batch mode

Reporting

• Over 200 standard reports, touching on every aspect of data reporting
• Reports include a wide variety of productivity, accounts receivable, aging, appointment, patient statistics, clinical and more
• Ad-hoc reporting module
• Optional PulseIQ data mining tool integrates patient, clinical, administrative and financial data from the core application
• PulseIQ monitors practice, clinic or enterprise performance and tracks productivity using data analysis tools for querying the database
• PulseIQ provides a sophisticated graphing and decision support reporting tool which allows for high-end data mining and extensive drill down reporting options for organizations seeking to manage their practices’ data at the highest levels

Security Managment

Electronic Data Interchange-Pulse Gateway

• Fully integrated providing extreme efficiencies and virtually eliminating repetitive tasks and data entry
• HIPPA compliant transaction processing that facilitates clean electronic data interchange for claims submission, electronic remits, claim scrubbing, statement processing and other and other services
• EDI information is sent directly to insurance companies or through clearinghouses and incorporates all aspects of the request and receipt of patient eligibility status (ANSI 270/271), submission of electronic claims (ANSI 837), request and receipt of electronic claims status (ANSI 276/277), and receipt of electronic remittance advices (ANSI 835)
• EDI services allow clinical information to be passed securely to other healthcare providers, referring sources, and patients using Patient Portals, HIE, RHIO and other communication platforms

Learn more or schedule a live product demo by contacting a Pulse representative.