All of our products are designed with maximum flexibility to meet our customers needs

The American Census Management system allows you to build the Care Receiver database, track A/D/T’s, and produce a multitude of reports and listings. The American Census module accommodates multiple institutions, Financial Insurances, and Levels of Care quickly, easily, and accurately. Highlights include the following:

• You create your own masterfile coding structure, so all of the codes you use are meaningful to you and to your organization. Interactive search capabilities are used everywhere throughout the system, so if you don’t remember a code, you can find it whenever you need it, without having to leave the screen you’re on.
• Resident records can be accessed by Identification Number, by Name, by Location, or other attributes, appropriate to the screen or function you are running. Resident information can be looked up or modified with minimal effort by authorized staff from computers located anywhere in the facility. Related facility areas (dietary, housekeeping, pharmacy, etc.) are always up to date on the latest admissions, transfers and discharges.
• Inquiry features allow for instantaneous display of up-to-date Resident data.
• Track location and status, all the while sharing this valuable information with all of our clinical and financial sub-systems, eliminating redundant data entry.
• Enter information on potential admissions as inquiries about your facility are made. This information is maintained in our “waiting list”, which allows you to search for a best match as beds become available. We won’t let you waste any time—if the person is
  admitted, all waiting list information is brought forward automatically.
• All Administrative, Clinical, Financial, and Geographic information is maintained, tracked, and shared with all other American modules automatically.
• Our unique “Problem List” encompasses the total Care Receiver, including categories for Diagnoses, Allergies, Surgical Procedures, Therapies, and MDS-related. Resolve/ Reactivate a problem, combine it with another problem, view history, and enter Progress Notes. You can even prioritize diagnoses for clinical purposes differently than for billing/financial purposes.
• Annual comprehensive update of all ICD-9 codes on CD-ROM is standard.
• Medicare A MDS Assessment information is automatically sent from Clinical to the Census/Billing system, including the RUGS score, Assessment Effective Date, Assessment Reason/Modifier, and Benefit Period Start/End dates.

• Unique Payor List setup allows you to define all payors for a Care Receiver with appropriate benefit periods, so that payors are billed automatically at the appropriate time.
• Missing Billing Information reports are standard, alerting you to any information lacking before it becomes an issue.
• Charges are generated by our Room and Board processing, uploads from outside vendors, and from our unique clinical “actions”, where you can setup ongoing events such as therapy sessions (on the clinical system), and as the events are done, they are updated into the billing system, eliminating redundant keypunching. Manual entry of charges is also always
  an option if you wish.
• Monthly patient day proofs and billing statistics are available as reports and inquiry screens, so you always have an up-to-date picture of billable days and charges.
• Bill payors at the same time for primary and coinsurance charges, or bill coinsurance as step-down, where coinsurance is automatically billed after the primary charges are paid (no input or tickler files are necessary from an operational standpoint, the system simply flags the coinsurance to bill once payment is received).
• Medicare A (including No-Pay and On-Demand bills), Medicare B, HCFA-1500, Managed Care, Private Insurances are all standard features of the billing system, including electronic billing to these payors.
• Our business partnership with ACOM forms allows you to print any standard bill form (UB92, HCFA-1500, etc.) using plain paper and any laser printer, translating into no forms alignment, no printer jams, just easy printing of paper bills when you need them.
• User-defined billing cycles allow you to flexibly bill daily, weekly, monthly, etc., as allowed by the various payors you’ve setup.
• Retroactive changes in financial coverage automatically prompt you to rebill charges appropriately. Retroactive rate changes are processed automatically via adjustments made to accounts receivable, or can be processed as a re-bill.
• Bills can be reprinted anytime, and electronic submission files can be reproduced for any prior billing period.
• Billing Edit History, down to line item details, and rebill history inquiry screens are standard.
• Other standard billing reports include charge/allowance journals, income journals, Medicare Assessment Window reports, Private-Advance memorandum billing, and pending charges.

• Billing is automatically updated to A/R on your command, letting you control when you’re satisfied with your bill run and updating when you want to.
• You have complete control over how payments are applied to invoices. Automatic distribution by 'FIFO' (First in-First out), 'LIFO' (Last in-First out), by Invoice number, etc. In addition, this can be controlled by Payor, even down to specific line items on the bill.
• Automatic write-off of certain accounts based on small balance amounts in certain aging categories, specific financial classes.
• Use our A/R Inquiry screens to view summary of balances due by payor, then drill down level by level to find more details on any bill as you need them, right down to the item level.
• Find out if a charge has been retroactively rebilled to another payor, and when. Look up how many patient days were billed on an invoice, all on the same screen.

• FLEXIBLE chart of account setup gives you the room you need to design and realize the account setup of your dreams...Company (5) / Department (4) / Sub-Department (6) / Account (4) / Sub-Account (6)
• Journal entries support up to 999 lines of distribution per entry
• Special authorization required for posting out of balance entries prevents keypunch and posting errors
• General Ledger Allocation entry allows user to spread dollar amount or percentage from one account to other accounts.
• Recurring entries are applied on a month to month basis
• Unique Account Balance Inquiry lets you see period and YTD balance by account, “drill down” anytime to view details on the balance. Easily “roll” to prior or future periods for more balance information, at the touch of a button. Print balances and account details anytime.
• General Ledger Reports are, for the most part, user defined and therefore you have the flexibility to create your own unique reports. Standard Reports include:
  • Journals
  • Multiple Trial Balances
  • General Ledger (monthly and Cumulative YTD)
  • Balance Sheet
  • Statement of Revenue and Expense
  • State of Changes in Financial Position
  • Account Analysis
  • Departmental Expense Report.
• The system provides for the following classifications or levels of reporting, by detail account number, by group number, by type of account (income, expense, asset, liability), by department or cost center, by corporation, consolidated by regions or groups of corporations (user defined), total consolidations.
• Interactive Budgeting features let you manually enter budgets or base budget numbers on prior year budget or actual dollars.
• Easy to use year end processing allows you to continue processing in current year while simultaneously working on prior year’s auditing entries and reconciliation. Changes in prior year are automatically updated to the new year.

• Voucher Entry
  • On-line interactive editing for valid vendor codes, distribution account number and internal voucher balancing
  • Optionally setup standard expense distribution by vendor to avoid keypunch errors
  • Up to 999 expense distribution lines per voucher
  • Optional setup of recurring vouchers for vendors with standard orders eliminates repetitive keypunching
• A/P Inquiries on-line and real-time - as soon as vouchers are posted, view the results anywhere throughout the A/P or G/L system.
• Post Adjustments to existing vouchers whenever appropriate
• Cash Requirements Reporting and Inquiry screens
• Vouchers are expensed to the General Ledger by the transaction date assigned to it
• Flexible check generation allows user to easily and efficiently rerun jammed checks without wasting checks printed prior to the jam
• Manual payment of vouchers is quick and easy--and check registers automatically note if check is computer-generated, manual payment, void, etc.
• A/P vouchers, checks, voided checks are updated to General Ledger immediately upon posting
• Easy check reconciliation process makes reconciling bank statements easier than ever! Or, optional EDI processing lets you send your checks to your bank electronically, letting the bank do the work for you!
• Standard monthly reports include Expense Distributions, A/P to G/L reconciliation, check register, etc.
• A/P Agings, Open A/P, Paid Vouchers, Purchases by Department, Vendor Labels, are all just a few of the reports standard to the system.
• 1099 processing lets you efficiently handle end-of-year tasks, and includes 1099 electronic submission.

• Interactive Purchase Order Entry by any of the following methods:
  • Detail Line Entry
  • Quotes
  • Copy P/O
  • Requisition Line Entry Selection
  • Drop Shipments
• Vendor and alpha search capabilities.
• Purchase Order print and reprint capability.
• Reports early shipments and over/under shipments.
• Vendor item cross reference and Vendor pricing.
• Multiple line item types: to reflect non-stock and stock items.
• Purchase order or line item level reflecting: Freight, Special Charges, and Comment Lines.
• User defined freight codes.
• Three way matching to inventory receipts and Accounts Payable.
• Automatic update of inventory.
• Buyer identification.
• Multiple vendor mail to's.
• User defined history retention.
• Inquiries by item, vendor, purchase order number, or requested date.
• Standard reports include:
  • Vendor Master List
  • Mail To List
  • Vendor Item Cross Reference Report
  • Purchase Order Edit List
  • Purchase Order Receipts Register
  • Purchase Orders
  • Open Purchase Orders by item, vendor, P.O. Number and Buyer
  • P.O. Matching Variance Report
  • Unmatched Items Report.

• Requisition entry and Detail entry: Create, Change, Delete, Display, Status.
• Automatic Inventory Management Updates.
• Multiple Access/Approval Levels.
• Search by vendor; buyer; item; warehouse.
• Open new Purchase Order; add to Purchase Order, add to Purchase Order Line.
• Requisition Line Item Selected.
• Reports available by submitter and by warehouse/buyer.
• Ability to define three stock keeping units of measurement for both tracking and allocation purposes.
• Interactive inventory transaction entry either by "In Transit" Tracking; Warehouse to Warehouse; or Zone, Aisle, Tier, Bin.
• Item search by alpha or keyword.
• Item balance inquiry.
• Ability to assign a buyer code to items.
• Item costing by weighted average cost; last cost; freight cost; acquisition cost; or miscellaneous cost.
• Multiple warehouse supporting capabilities.
• Lot control items: Average Cost/Expiration Date.
• Serialized Inventory.
• Decimal Quantities (4).
• Automatic update of General Ledger.
• Automatic update from Order Entry and/or Purchasing and Requisition.
• Inventory Adjustments:
  • Cost
  • Dollar
  • Quantity
• Reports include Item Master List; Warehouse Master List; Inventory Transaction Register; Stock Status Reports by Item, Warehouse, Vendor, and Product Class; and Physical Inventory Reports.
• Order control calculations.
• Inventory planning by order point or minimum/maximum.
• Usage analysis.
• Automatically create requisitions.
• Usage disqualification's:
  • Inadequate Sales
  • Stock Out
• Freeze Out Item Lock to prevent automatic ordering by item.
• Safety Stock by Item allows for automatic reordering by item.

• All Census transactions are integrated with Clinical, with no re-entry of critical information.
• Calculate Medicare RUGS scores before admission, using American’s standard Referrals/Pre-admissions button.
• Admissions are automatically picked up by our MDS Scheduler, which schedules Medicare and regular MDS assessments. We won’t let you miss out on the Medicare reimbursement you’re due—our system insures that you enter all Medicare MDS’s within the proper assessment window, every time.
• MDS entry is as easy as “point”, and “click”. View responses to prior assessments right on the screen, changing information where appropriate.
• Automatic calculation of Medicare RUGS score is available anytime during the assessment entry process. Watch the score recalculate as answers are updated. Once the MDS is finished, the RUGS score is sent automatically to Billing, taking the guesswork out of determining the proper Medicare benefit periods.
• Don’t lose out on reimbursement you’re due by not completing and submitting assessments on time. Let our system tell you what assessments are in progress, right down to MDS Sections and questions that are incomplete, all at the touch of a button.
• Direct Electronic Submission of MDS assessments is a standard feature available in all states.
• Care planning is completely integrated with the MDS and triggered sections. Let the system make suggestions for “standard” plans of care, design and enter your own standards, or write care plans as you go. It’s quick, it’s easy, and it’s completely up to you.
• Our care plan scheduler tells you when the next care plan meeting is due for each Resident. Review specific Goals and/or Interventions outside the regular meeting schedule, whenever you wish, without impacting the regular care plan schedule.
• Resident Roster, Census & Conditions, Case Mix, Progress Summaries, Flow Sheets, and “Problem Area” reports (psychotropic drugs, weight loss, chemical and physical restraints, etc) are all available at the touch of a button, all updated by the latest MDS information available.
• Calculate Quality Indicators anytime, based on the latest MDS information available. American Health Care is fully accredited by JCAHO, through which you can compare your facility to others in your area or nationally.
• MDS Security Profiles allow setup of MDS access by Section, allowing for update or view only access. Additionally, define who can create, change, or delete assessments, down to the type of assessment being entered (reason for completion).
• Enter Progress Notes anywhere throughout the Clinical System, anytime, based on categories you define. Later, look up Progress Notes based on a specific person, subject, day, or time.
• Track a Resident’s Mental and Physical Status, Hearing, Vision, Vital Signs, and more. Once entered, this information is updated right into the MDS for you automatically.
• Resident Problem List can include a variety of items, including Diagnoses, Allergies, Therapies, Medical and Surgical procedures, etc. All Problems are assigned a start date, and when applicable a resolution date. Resolve an item on the list, and reactivate if it comes back. Problems on the list can be prioritized differently for both clinical and financial applications, allowing maximum flexibility.
• View Problem List History any time, and add Progress Notes whenever applicable.
• Setup automatic notification of significant events to any users of the system. For example, send messages automatically when new admission is complete, physician orders updated, MDS completed, etc.
• Target Residents at risk for weight loss using our comprehensive Weight Change Inquiry screen. This screen allows you to find those Residents who meet the criteria you define over any period of time (example, those who have had more than a 3% change in body weight in the last month).
• Use American’s unique Actions to setup regularly occurring activities and events, such as therapy sessions, Care Giver appointments, and other interventions. Once Actions are defined, tell the system when they happened, and update the MDS and/or Billing whenever appropriate. Just imagine having the system calculate the number of therapy minutes in the last seven days (in MDS Section P) automatically!
• American’s Physician’s Orders allows entry and automatic or manual renewal of orders, discontinued and new orders lists, and custom print options to fit your facility’s needs.
• American also offers interfaces to the GERI Menu system, and to outside Pharmacy programs.

Physician’s Orders

This module provides for entry of all scheduled/emergency, routine/prn orders, activities, consultations, laboratory tests, diets, reviews, services, medications, etc. for every Resident. Recurring and specific schedules of administration (date and time) are entered; follow-up dates are automatically tracked and reported in advance of discontinue/review dates. These orders automatically generate the schedule of services/activities to be administered to every Resident, and are automatically printed by the system in the required formats at the required times.

Assignment/Flow Charting Sheets

The system automatically produces an administration/charting form with an abstract of the Resident's medical record. Medications, treatments, therapies, care plan, and restorative procedures are all controlled by a preprinted form noting administration dates, time, special instructions, and notes. Automatic reminder notices (e.g. take pulse/blood pressure before administering certain drugs) are also included.

• Data is entered once to produce all forms and reports.
• Produces legible, easy to read forms.
• Allows you to better utilize the time of staff professionals.
• Conforms to the highest level of accreditation standards.
• Focuses data once to greatly reduce the possibility of transcription/spelling errors.
• The use of tables and codes throughout the system allows for a great deal of individualization by each facility. For example, the system allows you to set up a schedule of administration codes (and times), diet codes, diagnosis codes, drug codes, etc.