Careficient Terminology

  • Associate - any person that works for your agency, including Caregivers, Contractors, and Administrative individuals
  • CUP - Clinical Update Interim Order allows you to update the 485 with any changes so that you always have a working plan of care.
  • DSO – Days Sales Outstanding is a measure of the average number of days that it takes to collect payment for a sale; Careficient FDSO is determined based on a 90 day measurement (A/R divided by total sales for that same 90 days times the number of days in period)
  • Encounter - Patient Admission, Patient Start of Care, Patient Chart, Patient can have more than one Encounter
  • EVV – Electronic Visit Verification technology used to ensure that services are delivered and that providers only bill for services rendered; EVV typically verifies vist information through a mobile application or a web-based portal.
  • HHA Patient Survey - HHCAHPS Report (Home Health Consumer Assessment of Healthcare Providers & Systems)
  • Hospice Patient Survey - CAHPS® Hospice Survey Report (Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey)
  • Lookup Tables - Pre-defined set of options/responses available that are categorized by where Careficient uses the information; Information from tables lets you standardize responses to fields for selection and reporting purposes
  • Match – Analyzes Patient Schedule and determines inf the Caregiver is a good match based on territory assignment an compliance
  • Organization Payer – you agency’s master payer file that has all information required for billing purposes, including  requirements for authorizations, services, co-pay, bill rates as well as other billing rules
  • Pay Only – Non-Patient Care Time such as Case Conference, Team Meeting, Vacation, Since Time, Orientation, In-Service,  Holiday that an associate worked other than providing actual patient care; you can enter pay only information to create complete time reporting for an Associate
  • QA Review - the process of reviewing service note (assessments) before approving them for billing
  • Resource - Can be an associate, facility, organization payer, physician or referral source
  • Service - a visit, a supply
  • Service Note - Form that a caregiver (associate) uses to document services provided to a patient
  • Transition Patients - Patients that were already admitted in your old system that you will be bringing into Careficient without doing a new admission.
  • Verification – process to review scheduled services provided for accuracy; creates a billing record for invoicing and a payroll record for payroll reporting
  • Work Basket - Electronic To-Do List that requires some type of action to complete the process within Careficient as well as communications reporting for important information others may need to know (i.e., new referrals, new admissions, patients on-hold, discharges, etc.)