• Q: How can I manage my Medicaid Pending process in a way that is not as resource intensive?
  • A: You can resolve Medicaid Pending process issues with an Account Status that doesn't dun, but keeps the patient aware of potential patient obligation.
  • Q: I am concerned that there are accounts on my system that are aging past my normal collection turnover process. How do I identify them?
  • A: The highest dunning level in your Dunning Table should never be set to a number. Always define it as I to Increment so you can track potential problems. This will allow the levels to continue to increment, easily indicating the true level, rather than repeating at the highest defined dunning level
  • Q: My denial volume for registration is excessive. How can I best reduce the number of denials and decrease the waiting time to receive this information?
  • A: Why not use the IMS fields for eligibility to drive claim edits instead of waiting for denials?
  • Q: Ticklers in PCS are out of control. I can hardly use them since my staff is basically ignoring them based on the volume they receive. How can I manage this more effectively?
  • A: Ticklers in PCS should follow the motto, ‘set it so you don’t get it’, so that ticklers are valuable instead of a nuisance.
  • Q: I need a method to track staff productivity. I migrated from PCS to ETM and still don’t have solid production numbers
  • A: Consider an Outcomes based productivity model in ETM so you not only know how many a user worked, but what kind of resolution they used.
  • Q: I am looking to implement ETM in the next few months. What are the basic planning steps I should be looking at now?
  • A: We always start with the Claim Edits workflow. Begin now by looking at your entries in Dictionary 33202 and understanding how you would allocate those edits and clean up redundancies in entries. Don’t worry so much about the SQL aspect of ETM. With the KAV design, it is more important to take care of the workflow definition than understanding a query language
  • Q: Should I start diagraming my workflow now as I prepare for an ETM implementation?
  • A: Don’t allow your system to design your workflow but rather design your system to support an effective process. ETM is a very complex tool that allows options beyond what you are used to with PCS and ATBs. Make sure you take advantage of these options!
  • Q: I am concerned that our organization has not taken advantage of previous upgrade capabilities. How can I understand this better?
  • A: Run a search on upgrade security categories used within your system. You may be surprised by great upgrades you have not implemented. Options like B- Global Updates in Dictionary Activities and T – Task within I More Inquiries in Invoice Inquiry are just a few of the options we have seen restricted from previous upgrades
  • Q: I just feel like there is so much out there that my organization is not taking advantage of. Where do I start?
  • A: Make a practice to research issues within the GE Knowledge Center documentation. It takes time but you will likely find that you can resolve many more of your issues than you realized.
  • Q: I am at a loss as to how to define goals for my staff. Where do I even begin?
  • A: Avoid setting generic goals of success for individual employees like increasing cash. To participate employees need a narrower, individualized goals that support the company’s overall goals. This will breed competition by allowing individual employees to succeed or fail rather than the whole company succeeding or failing together