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Rich,

We are 5.5 MAGIC and also use Client routine quite a bit.  I agree that
MT completely broke this rather than make it better.  I can only offer
this one piece of help.  You CAN demand a second bill with the same date
range as a previous bill (you will get a soft warning, but can enter
past).  This is how we are dealing with our "lost charges".  We then
hand write on the bill when it prints something like "late charges not
previously billed" so the SNF knows why they are getting another January
bill.  Hope that helps.  

Amber Holcombe
B/AR Analyst, Patient Accounts
Olympic Medical Center

-----Original Message-----
From: Rich Griffith
Sent: Thursday, May 18, 2006 6:28 AM
Subject: RE: [MEDITECH-L] CS BAR 5.5 Clients


Lynn:  We have now been live with 5.5 Magic and we use the client
billing routines extensively for corporate health and skilled nursing
facility clients.  Although we are Magic, and you are C/S, my
understanding is that the changes are nearly the same on both platforms.

In our opinion, they took something that was working reasonably well,
and broke it completely!

On the surface, the ability to define client billing groups seemed like
a very positive change.  That is ok, but the real change that surprised
us is the fact that everything is driven by service date, not
transaction date. 

When you run a cut-bills, you do it for a range of service dates.  The
problem is that if there are additional charges that are added for that
service date after the cutoff date, they will not be included the next
time you cut bills, because their service date is not in the range of
dates you are now compiling.  Your choices are: 1) delay your cut-bills
run a number of days, to be reasonably certain you are capturing all the
charges for your range of service dates (and thereby delaying your
bills, and extending days in A/R), or 2) cut your bills early after the
period ends, and then sometime later run the "missed bills" report to
find out what you missed.  I am still somewhat at a loss to figure out
what to do with those missed bills to get them onto a bill to the
client.

I hope if anyone out there in L-land has found ways to make this work
reasonably well, they will help the rest of us.  Meditech will be having
an online seminar on the client billing changes (for both Magic and C/S)
on June 13th, and we will be listening to that.  So far, our B/AR
consultant and her supervisor have been of very little help, and it is
my belief that they (and perhaps all of Meditech) have no idea how
client billing ought to work.

Rich Griffith
Coordinator, Info Mgmt, QM & Compliance
Hagerstown Medical Laboratory
Washington County Health System
Voice:  301-665-4906
e-mail:  [EMAIL PROTECTED]


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