PDS MEDICAL

PDS MEDICAL
Managed Care Module

Making Managed Care Work For You
with the Managed Care Module of PDS Medical

	Connection is the key to making the Managed Care portion of PDS Medical an integral part of your medical billing system. By using the extensive features of the Managed Care Module, you can:
	Maintain parameters established for managed care plans. Monitor & track patients within the network of insurance plans. Tie capitated & insurance payments to the insurance payers and the managed care plan. Record plan benefit limits by employer. Print reports that show statistics by plan either individually or as a group and in detail or summary. Make automatic adjustments for services covered under capitation. Calculate discounted and withhold amounts during payment posting. Print detailed reports to track & analyze the performance of managed care plans.

Take control of your managed care plans...

Track referrals in and out of the practice.
Compute patient copay amounts which can be collected at time of service.
Track physician status with an insurance carrier.
Set your own parameters for each managed care plan.
Establish databases of the contracted allowed fee schedules, network insurance payers, employers, & plan benefit limits.
Print insurance member lists, capitated & non-capitated patients.
Produce yearly updates on the Relative Value Unit (RVU) schedule in addition to the Medicare-Allowed Schedule.
Assign RVUs to managed care plans.
Produce comparison reports on a physician's production based on RVUs.
Compute what your fee schedule should be based on multipliers you enter into the system.

Evaluate your practice's performance through a variety of reports...
Care Plan Patient List Discounted Accounts Receivable Summary Discounted Transaction Summary Analysis Managed Care Evaluation Visit Volumes Employer Visit Volumes ...and many more.

If you want to take control of Managed Care, please give me a call. PMG is a PDS Medical reseller that actively uses every facet of the program.

Donna Barnhart
Managed Care Specialist
Practice Management Group, L.L.C.
4700 Forum Boulevard
Columbia, MO 65203
phone: (573) 449-4936