FINANCIAL SUBSYSTEM. The financial subsystem must provide the necessary data for 100% of all accounting functions including cost accounting, inventory, fixed assets, payroll, general ledger, accounts receivable, accounts payable, financial statement presentation, and any additional data required by TDH. The financial subsystem must provide management with information that can demonstrate that the proposed or existing HMO is meeting, exceeding, or falling short of fiscal goals. The information must also provide management with the necessary data to spot the early signs of fiscal distress, far enough in advance to allow management to take corrective action where appropriate. Functions and Features: (1) Provide information on HMO's economic resources, assets, and liabilities and present accurate historical data and projections based on historical performance and current assets and liabilities. (2) Produce financial statements in conformity with Generally Accepted Accounting Principles (GAAP) and in the format prescribed by TDH. (3) Provide information on potential third party payers; information specific to the Member; claims made against third party payers; collection amounts and dates; denials, and reasons for denials. (4) Track and report savings by category as a result of cost avoidance activities. 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 98 (5) Track payments per Member made to network providers compared to utilization of the provider's services.
Appears in 1 contract
Samples: Contract for Services (Centene Corp)
FINANCIAL SUBSYSTEM. The financial subsystem must provide the necessary data for 100% of all accounting functions including cost accounting, inventory, fixed assets, payroll, general ledger, accounts receivable, accounts payable, financial statement presentation, and any additional data required by TDH. The financial subsystem must provide management with information that can demonstrate that the proposed or existing HMO is meeting, exceeding, or falling failing short of fiscal goals. The information must also provide management with the necessary data to spot the early signs of fiscal distress, far enough in advance to allow management to take corrective action where appropriate. Functions and Features:
(1) Provide information on HMO's economic resources, assets, and liabilities and present accurate historical data and projections based on historical performance and current assets and liabilities.
(2) Produce financial statements in conformity with Generally Accepted Accounting Principles (GAAP) and in the format prescribed by TDH.
(3) Provide information on potential third party payers; information specific to the Member; claims made against third party payers; collection amounts and dates; denials, and reasons for denials.
(4) Track and report savings by category as a result of cost avoidance activities. 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 98.
(5) Track payments per Member made to network providers compared to utilization of the provider's services.. 1999 Renewal Contract Bexar Service Area August 9, 1999
Appears in 1 contract
Samples: Contract for Services (Centene Corp)
FINANCIAL SUBSYSTEM. The financial subsystem must provide the necessary data for 100% of all accounting functions including cost accounting, inventory, fixed assets, payroll, general ledger, accounts receivable, accounts payable, financial statement presentation, and any additional data required by TDH. The financial subsystem must provide management with information that can demonstrate that the proposed or existing HMO is meeting, exceeding, or falling short of fiscal goals. The information must also provide management with the necessary data to spot the early signs of fiscal distress, far enough in advance to allow management to take corrective action where appropriate. Functions and Features:
(1) Provide information on HMO's economic resources, assets, and liabilities and present accurate historical data and projections based on historical performance and current assets and liabilities.
(2) Produce financial statements in conformity with Generally Accepted Accounting Principles (GAAP) and in the format prescribed by TDH.
(3) Provide information on potential third party payers; information specific to the Member; claims made against third party payers; collection amounts and dates; denials, and reasons for denials.. 1999 Renewal Contract Harrxx Xxxvice Area 107 August 9, 1999
(4) Track and report savings by category as a result of cost avoidance activities. 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 98.
(5) Track payments per Member made to network providers compared to utilization of the provider's services.
Appears in 1 contract
FINANCIAL SUBSYSTEM. The financial subsystem must provide the necessary data for 100% of all accounting functions including cost accounting, inventory, fixed assets, payroll, general ledger, accounts receivable, accounts payable, financial statement presentation, and any additional data required by TDH. The financial subsystem must provide management with information that can demonstrate that the proposed or existing HMO is meeting, exceeding, or falling short of fiscal goals. The information must also provide management with the necessary data to spot the early signs of fiscal distress, far enough in advance to allow management to take corrective action where appropriate. Functions and Features:
(1) Provide information on HMO's economic resources, assets, and liabilities and present accurate historical data and projections based on historical performance and current assets and liabilities.
(2) Produce financial statements in conformity with Generally Accepted Accounting Principles (GAAP) and in the format prescribed by TDH.
(3) Provide information on potential third party payers; information specific to the Member; claims made against third party payers; collection amounts and dates; denials, and reasons for denials.
(4) Track and report savings by category as a result of cost avoidance activities. 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 98.
(5) Track payments per Member made to network providers compared to utilization of the provider's services.
Appears in 1 contract