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Healthpac Computer Systems, HPlusPro

Healthpac Computer Systems, HPlusPro

Billing/Accounts receivable/RCM systems, May 2017

Contact Information

Healthpac Computer Systems
Melinda Lewis
1010 E. Victory Drive
Savannah, GA 31405

Name of billing/accounts receivable/revenue cycle management system HPlusPro
Configuration of billing/AR/RCM system available as a standalone product that can interface with other companies’ central LISs or EHRs
• Percentage of billing/AR/RCM system clients that use another company’s LIS
Year company began selling billing/AR/RCM systems 1981
Most recent billing/AR/RCM system installation (based on March 2017 survey deadline) March 2017
Last major release or update of featured billing/AR/RCM system March 2017 (version 2017.11)
No. of contracts for sites operating billing/AR/RCM system 237
• No. of sales of billing/AR/RCM system between March 2016-March 2017 13 laboratory sites
• No. of installations of billing/AR/RCM system between March 2016-March 2017 13 laboratory sites
No. of sites operating billing/AR/RCM system (HL/IL/PP/PO/OL/FI)* 237 (0/27†/0/200†/9–public health labs, lab billing companies/1–in Jamaica)
Market billing/AR/RCM system outside the U.S. no
Human languages (other than English) supported by system none
No. of inpatient invoices handled by installed sites annually
No. of outpatient requisitions handled by installed sites annually
No. of user workstations in sites operating billing/AR/RCM system 1–150+ (average, 5)
No. of employees in company 27
• No. of employees dedicated to billing/AR/RCM system development, install, support 21
Provide list of client sites to potential customers on request yes (a list of comparable sites)
Clients restricted from sharing with others their experience with company or software no
• Patient demographics transferred via interface from LIS to billing/AR/RCM system installed
• 1500 claim form generation (paper version) installed
• UB-04 claim form generation (paper version) installed
• Client invoice generation installed
• Patient or family invoice generation installed
• Generate reprints of claim forms and invoices on demand installed
• Key indicator tracking (online view of site-assigned key indicators) installed
• Billing by test profile installed
• Component billing installed
• Medical-necessity screening for Medicare installed
• Professional component billing installed
• Auto delete of nonbillable procedures installed
• Billing for technical component only installed
• Retain demographic data for repeating patients installed
• Account and patient payment posting installed
• Accounts receivable system installed
• Management and/or marketing report generation installed
• Automatic balance billing to patients installed
• Capitation billing plus billable tests installed
• Generate utilization reports for managed care installed
• Generate global charges for lab tests installed
• Unlimited user-defined fee schedules installed
• Track financial classes installed
• Allow open-item accounting (each line item on bill can be handled separately) installed
• User report writer installed
• User-defined collection system installed
• Client services or call tracking module available via third-party agreement
• Credit card processing available via third-party agreement
• Business analytics available via third-party agreement
• Patient Web portal available via third-party agreement
• Benefit eligibility checking installed
• Guarantor billing installed
Means by which billing/AR/RCM system tracks profitability test, payer, client (user’s choice)
Advanced system capabilities rules-based processing, claims scrubbing, bundling/unbundling, 72-hour rule
Standards and coding systems supported HIPAA transaction sets, X12 5010A1, IAIABC EDI guidelines, ICD-9-CM, ICD-10, CPT, HCPCS level II
System supports electronic data interchange with third-party payers and claims clearinghouses yes
• Electronic functions offered claims, payments, eligibility, rebill, many others
Third-party rules and coding updates supported by system 3M, The Coding Network, others
Billing/AR/RCM system provides indexed field in each test definition for LOINC code yes
• Provides LOINC dictionary for each new installation no
Client receives copy of source code placed in escrow
Methods by which users can tailor billing/AR/RCM system in their own setting ad hoc query tools, user-defined interfaces, dictionary settings
Billing/AR/RCM system received ONC-ATCB certification no
Billing/AR/RCM functionality available via ASP or cloud-based data center available as a local server or an ASP or cloud-based product (client’s option); for the latter, $400/user, (monthly fee decreases with more users), one-time set-up and training fees
Total cost for smallest standalone billing/AR/RCM system install** starts at $19,500; $750 for training; $3,500+ for bidirectional interfaces (annual fees, 20% of contract)
Total cost for largest standalone billing/AR/RCM system install** $122,295 for unlimited federal tax IDs and 25 user log-ons; $650/user beyond 25; 2 bidirectional interfaces and 4 days of training included (annual fees, 20% of contract)
Total incremental cost for smallest install using billing/AR/RCM** as a dedicated LIS module
Total incremental cost for largest install using billing/AR/RCM** as a dedicated LIS module
Distinguishing product features (supplied by company) • PMSAP/EHNAC-accredited software • 2016 Healthcare Billing & Management Association Vendor Service Award • ProVision Lab Enhancement committee of Healthpac users contribute to software enhancement
* HL=hospital labs, IL=independent labs, PP=pathology practices (only surgical pathology/ cytology services), PO=physician offices, OL=other U.S. locations, FI=foreign installations †various specialties
** total cost includes hardware, software, installation, and training software also marketed by Aspyra
Note: A dash in lieu of an answer means company did not answer question or question is not applicable.
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.