Agenda - 03-13-2007-9c - Laserfiche WebLink

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15 supply purchases and allocates costs monthly to the various departments. Purchase of services is controlled by annual contracts established by the Contracts area in conjunction with the Provider Relations Department. Payroll is processed by ADPTM, a private payroll services company. All employees are established in a "home" department. The payroll system also tracks leave and sick leave accrual and use within the ADPT"" software. Payroll checks are direct deposited to employees' bank accounts to save on costs. Use of ADPT"" allows for the separation of duties from Human Resources as required by accounting principles. - __ "` Contracts and Claims Adjudication i' In July of 2006, OPC implemented Phase I of a new business system for Screening Triage and Referral (STR) and client registration. Billing aid reimbursement continue to be processed by our old system. Shortly after implementation of Phase I, the agency experienced significant staff turnover. These factors when coupled with `~the,~Pcreased volume of claims impacted the claims adjudication process, and resulted ,in delays in timely processing of provider billing. ~,`. Claims adjudication receives appro~cimately 82% of claims electronically submitted. by providers. The adjudicator reviews-: the--.invoice far accuracy in coding, invoice completeness and authorization. Once theclaim is reviewed, it is uploaded for billing through the State Integrated Payment Reporting System (IPRS) or Medicaid system. ~ :~ However, this remains a manual process, pending-full ~rnplementation of OPC's. new business system. Denials will be compiefetl and serf back to the providers for any claims that cannot be billed. These denia{s:, may come from the claims adjudication process or the billing process. '';.._ ,~ '~~~ The reimbursement department reviews any claims that are denied payment through the State>or Medicaid~corriputer edits. Any internal processing errors are corrected and denials'wit be sent to the providers for the claims that need their attention. Information~Technology Network administration-is'responsible for both the computers and phone systems of the agency. The network administrator handles all hardware, wiring and interface issues. This includes the telephone system and printers as well as the computer system. Currently there are thirteen servers, -fifty-six personal computers and a telephone system. The agency uses Microsoft Officer"" software for general office computing, Unicare's Pro-FilerT"' software to track consumer billing and reporting, and Blackbaud's Financial Edger"' software for the accounting systems. Additionally, the network administrator acts as the web master for OPC's Internet and Intranet websites. is