For Authorization Personal Care

For agencies providing both private duty and Authorization personal care, eRSP™ is the perfect solution. The eRSP™ Medicaid/Insurance feature suite enables agencies to manage both business processes with a single integrated solution.


Clinical

Patient Management

Care Forms
  • Plan of Care (485)
  • Support of ICD9 / ICD10
  • Physician Orders
  • Medication Administration MAR
  • Treatment Administration TAR
Patient Eligibility
  • Integrated Electronic Eligibility
Calendar Integration
  • Authorization Service Plans
  • Visibility to Nurse Notes
Assessment Process
  • Reassessment Task Calendar

Calendar

Authorization Controls

Authorization

Service plans are fully integrated with the eRSP™ Calendar preventing services from exceeding the authorized weekly amount or from going beyond the total authorization hours and period end date.

EVV Electronic Visit Verification

The eRSP™ Telephony and Mobile Connect features are fully integrated with the new State Medicaid Visit Verification (EVV) requirements and solutions.

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Employee Credentials

The eRSP™ Care Provider profile enables you to track your Nurse Credentials to be sure that all required credentials are active and current before being eligible to perform services.

eFiling

Electronic Claims

The eRSP™ financial module has a fully integrated electronic claim processing feature.

  • Professional (1500) 837p
  • Institutional (UB04) 837i
  • Paper Form Options
  • Primary and Secondary Claims
  • Late Time Sheet Merge Claim
  • Claim Filing Status
  • Alteration and Resubmissions

eRSP™ partners with several national clearing houses to ensure support for the largest possible base of Medicaid, Private Insurance, Veterans Affairs and Special Program payer sources.

Nurse Notes

Point of Service

The eRSP™ Nurse Portal and Mobile Sites support entering Nurse Notes real time while on-site. No more need for chasing paper processes.

  • Initial Patient Assessment
  • Periodic Vitals
  • Intake and Output Log
  • Periodic Free Form Text
  • MAR and TAR
  • Ventilator Log
  • Seizure Event Log
  • Clock In & Out
  • Client and Care Provider Signatures

Posted notes are immediately available for review and approval or rejection by the Back Office. Rejected notes are pushed back to the nurse for more input.

Payer Profiles

Set Up for Billing

The eRSP™ Payer Account profiles enables users to set up special rules for eFiling and paper billing form requirements.

  • Special Payer Rules
  • Custom Pricing Per Payer
  • Services Fees

The payer account configuration also supports defining custom pricing for diagnosis or procedure codes making it easy to set up Authorization Service Plans that accurately flow into the eRSP™ eFiling process.

Payments

Electronic Remittance

The eRSP™ Payments module enables you to process electronic remittance deposit batches from Medicaid, Veterans Affairs and Private Insurance providers. Deposit batch features enable you to review payment data prior to updating your accounts receivable.

  • Electronic Remittance
  • Deposit Batch Reconciliation to bank deposit
  • Payments Tracking Per Date of Service
  • Payments feed to Accounting
  • Agency and Payer Initiated Corrections
  • Account Balance Reports

The Payments Module is fully integrated with the eRSP™ eFiling module making it very easy to resubmit partially paid claims or submit payment corrections.