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Learn more about LogiSolve's Cash Management & Reconciliation experience:

 


CARS:  Cash Association & Reconciliation Solution

In a joint venture with Allina Health, LogiSolve built the CARS system which assists both Revenue Cycle Operations and Accounting groups by leveraging tools that helps automate daily tasks and provides enriched data to allow for comprehensive reconciliation and reporting related to a Provider Organization’s cash receipts.

One of the many challenges in the healthcare revenue cycle management process is reconciling claim remits against cash received. Inefficiently managing this process can create widespread issues across the finance, cash management and claims processing business units.

CARS can help you better manage this process while providing tight integration to your existing claims processing and financial systems.

Business Needs

When the reconciliation process fails or is delayed, each business unit involved is impacted in a unique manner. The ability to efficiently manage and reconcile cash receipts is critical. The system must:

  • Validate incoming data sources for errors
  • Handle data format discrepancies among payers
  • Provide adequate reporting and processing status
  • Produce output which is directed towards the appropriate billing system
  • Support quick addition of new payers, business units, and payment sources
  • Facilitate reconciliation between incoming payments, posted transactions, and General Ledger entries

These address the core processing needs of the reconciliation system. Additionally, the system must:

  • Reside on a robust operating platform
  • Scale to allow for future growth
  • Operate securely and efficiently
Business Process

Prior to sending 835 claims remit files to backend billing systems for processing; the files are reconciled with payments received. Remits can be split between multiple back-end systems as business logic dictates.

CARS manages claim remit and payment discrepancies, providing management tools and reporting to alert management and address processing issues.

After cash posting is complete, CARS validates the batch totals and provides cash posters the tools to balance deposits and assist in manual posting where required.

Through the CARS Finance Portal, the Accounting group is able to generate month-end cash related journal entries and complete reconciliation activities related to Cash Receipts and Cash Posted.

Benefits
  • Front-end validation, duplicate checking, and error handling of 835s
  • Automated association of 835s to payments
  • Ability to split 835’s between disparate back-end systems
  • Deposit reconciliation / Batch verification
  • Electronic handling of intercompany/miscellaneous transactions
  • Acceleration of cash posting process to provide same day posting of receipts to patient accounts
  • Provides management tools and reporting to alert and address processing issues
  • Financial reporting of posted & unposted cash transactions
  • Implemented without requiring modifications to existing systems
  • Fewer resources required to manage cash posting/reconciliation process
LogiSolve’s Approach

LogiSolve uses a light-weight project management methodology on top of an iterative development approach. Our approach to software development builds quality assurance into the construction process, producing thoroughly tested solutions at the unit, module and system level. LogiSolve's success as an organization is a tribute to its adherence to its principles toward clients, employees and quality.

CARS Processing


(A)  CARS retrieves 835 claim remits from clearinghouse and submits to Reconciliation Engine
(B)  Cash transactions retrieved from interface to bank
(C)  Association Engine associates claim remits to payments
(D)  Reconciled 835s are sent to appropriate back-end system(s)
(E)  Cash posters manage unbalanced deposits
(F)  Finance Portal provides tools for creation of Journal Entries and Reconciliation

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