A bit misdirected?

Implications: A small article that really doesn't do justice to the topic and makes a few misdirected comments.     

Analysis: Real time claim adjudication is more about denial management after the fact than identifying patient responsibility at the time of service, that's really the domain of advanced Insurance Eligibility transactions upon registration.

Point of Service collections can often be tracked down to previous balances with the proper custom reports from many billing systems.

EFT is a banking process, not something to be built into a hospital or practice management system.

Graphical dashboards - yep I agree, this would be great to have directly from your billing system, but easy enough to create in a spreadsheet from existing reports.

PQRI and Clinical reporting has to come from the EMR, not a billing system. Only EMR's manage the clinical data in sufficient detail to report this information effectively to support a Pay for Performance initiative.