Helpful Tips and Tricks
  • ✓ You can resolve Medicaid Pending process issues with an Account Status that doesn't dun, but keeps the patient aware of potential patient obligation.

  • ✓ ETM can provide a solution for email and paper transfers of work responsibility. Make sure your PCS Action Codes are defined to tell the story. Using COM make it more difficult to read and track work.

  • ✓ 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.

  • ✓ Using the Done button in ETM doesn't necessarily mean the task is complete. Make sure the task is evaluated to eliminate black holes.

  • ✓ Why not use the IMS fields for eligibility to drive claim edits instead of waiting for denials? Ticklers in PCS should follow the motto, ‘set it so you don’t get it’, so that ticklers are valuable instead of a nuisance.

  • ✓ 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.

  • ✓ Don’t allow your system to design your workflow but rather design your system to support an effective process.

  • ✓ Run a search on upgrade security categories used within your system. You may be surprised by great upgrades you have not implemented.

  • ✓ 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.

  • ✓ Avoid setting generic goals of success for individual employees like increasing cash. To participate employees need a more narrow, 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.