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Agencies with a New York State PROS program face unique challenges, especially when it comes to billing. TenEleven's PROS functionality captures all of the elements on a day-to-day basis that will allow eCR™ to do the complicated billing calculations for you.
Billing compliance and automated charge entry driven from clinical documentation
Captures the number of hours in program in relationship to the number of services received in a day
Ensures compliance for billing combinations for base rate services and component add-ons (number and types of services for add-on charge eligibility)
Automated Medicare charges for clients enrolled as Medicare/Medicaid eligible for CT services
System generated pre-admission charge and tracking of units if client is converted to admitted status prior to month end
Coding progress for specific PROS base rate levels at end of month (levels 1 through 5)
Captures daily time-in-program
Clocking an individual in and out of a program multiple times
Counts only the hours the individual was actually in the program
Captures number of services attended by type
CRS (Community Reabilitiation and Support)
ORS (Ongoing Rehabilitation and Support)
CT (Clinic Treatment
PROS specifc forms (in addtion to the NYSCRI form set)
PROS Initial Services Recommendation
PROS Admission Decision Note
Case Record includes all necessary documentation to support PROS eligibility and medical necessity