The Progresa Home Care Management System encompasses home care, hospice, and private care services, giving you complete and quick access to patient demographics, accounts, payers, PPS, billing, and personnel information. Information can be easily updated and flows throughout the system.

• Supports your need for comprehensive billing and financial services
• Provides expert management of Prospective Payment System and other reimbursement options
• Enables integration of clinical information with financial and payroll data for comprehensive business management
• Enables business management of complex organizations through unique hierarchical structure

Comprehensive Billing & Financial Management Solution

HCMS is a Microsoft Windows-based software application that helps you manage diverse payment options, including Prospective Payment System (PPS) reimbursement. It is a comprehensive billing and financial management solution that allows you to manage your business with a focus on improving services, operations, and reimbursement. Your corporate structure defines the system hierarchy and controls access to information based on organizational needs. Regardless of the complexity of your corporation, this patient-focused database easily handles multiple business entities, branches, programs, services, and contracts. Based on accepted accounting practices, the software provides you with the tools for good financial management.

• Provides a single database that integrates scheduling, clinical, and financial information
• Drives consistency across Plans of Care, 485s, and orders for home care and hospice
• Meets HIPAA requirements for applicable transaction sets for electronic claims processing for home care
• Ensures data privacy and security
• Provides flexible accrual methods for revenue
• Offers extensive reporting for QI activities, clinical, scheduling, and financial management
• Tracks referrals, admissions, non-admits, discharges, and physician orders
• Supports the requirements for agency and regulatory compliance and risk management
• Provides an integrated, automatic HHRG calculation of RAPs, LUPAs, SCICs, PEPs, and low utilization for PPS billing
• Allows easy management of receivables, cash transactions, and adjustments
• Processes claims and invoices as needed without batch
• processing, based on a flexible billing cycle
• Supports daily PPS and hospice per diem billing
• Captures hospice routine, continuous, respite, and inpatient charges
• Enables tracking of bereavement services
• Manages unlimited insurance and contract plans
• Supports human resource management, including key employee dates and activities
• Supports collections management and tracking

Synchronization with Clinical Point of Care

The software synchronizes with the Progresa Clinical Documentation System, to provide an objective basis for making quality decisions about care and services, business management, and organizational performance.

Converting Data into Powerful Information

The software generates standard and custom reports with a report writer, so you can monitor and evaluate clinical, financial, scheduling, and personnel resource utilization. Reports are also viewable on screen with the print option.

Standard reports allow you to sort or select data by such data elements as company, branch, program, and time frames for clinical, patient, financial, PPS, hospice, statistics, team, scheduling, lists, payer/contract, export, and personnel reports. With the report writer, you can also create report formats and store them in a report library, so you can easily select and run reports to view data that is essential to you.

Seamless Integration

The Progresa Home Care Management System, a single fully integrated database, works with the 3M Codefinder Software, ICD-9 coding, and reference options for accurate identification of primary and secondary diagnoses.

The MediSpan drug formulary, drug interactions, and teaching tools are embedded in the system in English, Spanish, and French.

HCMS also offers such diverse interface options as HL7, tele-systems, payroll, general ledger, cost reporting, and other vendor systems.