Billing System Documentation

In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.

The use of technology in HIM department works out well and effectively. Each patient who is new is assigned a unique medical record number and it always remains the same for the patient each time he/she want to get health care from this health care system. Another system

According to Depoy and Gittin, research is a way individuals think about problems in systematic way. Research is generally described as description, exploration, analysis, prediction and problem solving. There are different types of research and these researches are called the experiments, quasi-experiments and non-experiments. The purpose of research is to provide the insight to practice, it also enhance individuals understanding as well as developing new approaches with different topics, get to test your research for effectiveness. Understanding research is important because it helps to build individuals knowledge bases and informs decision making in practice. Research also enable us to make sure that our practice are up to date with relevant information.

Super Users are select team members who have been extensively trained in the EMR system and whose primary role is to be accessible and act as a resource to team

55. Can you confirm that all computers used to administer servers conform to the requirements for RIT-owned or leased computers as stated in the Desktop and Portable Computer Security Standard. (5.12.1)

“New users are assigned access based on the content of an access request. The submitter must sign the request and indicate which systems the new user will need access to and what level of access will be needed. A manager’s approval is required to grant administrator level access.”

Once you have installed Server roles as outlined in the previous chapters, additional Administrative Tools will be loaded. Some of these tools include:

If user name or password is incorrect the system will show a message “User name or password is incorrect” .

13). The clinical services department within the hospital is responsible for the accurate charting of any procedure or service that was provided to the patient. This process begins with patient registration and verification. The healthcare provider then will perform their job as necessary and will indicate what billable tasks were performed which can later be processed. The patient accounts department is responsible for going through the patient’s chart and recording the patient’s bill by use of the hospital’s chargemaster to send the bill to the payer by the health information department. In this department the initial coding of the patient’s medical record is done. Once overviewed for the sake of accuracy, the final coding is done and sent to the payer. Any inaccuracies by any of these departments could directly impact the hospitals reimbursement process through a slowing for the process or simply by failing to bill for a procedure performed, ultimately hurting the hospital’s financial stability. The patient financial services (PFS) department is responsible for ensuring compliance within the billing and coding policies through training and with quality assurance checks and regular audits. This ensures that the revenue and reimbursement cycle continues without any inaccuracies in patient charges. It is especially important to have quality management within this department, as it has the potential to affect the entire organization, reflective of the institutes financial situation. Poor PFS management can lead to a loss in revenue and can lead to a loss in budget if the hospital is losing too much as a result. Ensuring compliance with medical coding and billing guidelines and policies ensures a more accurate representation of the hospitals financial and budgetary situations, while

34. What command-line toll can be used with a standard user account to reduce the risks associated with the Administrator account? Run as

Currently, the clinic provides medical services to the local businesses. These services include physical examination and treatment of the staff who work in these businesses. In order to determine whether clinic is the best option, it is important to analyze the financial records to determine its feasibility. Word Count: 71

The maximum estimated number of users at any given time will be set as 10. Administrators will be given top priorities.

The key elements to a healthy and successful medical practice are a reliable and properly trained staff and a sound revenue cycle that produces satisfactory reimbursement. Revenue cycle management starts at the front-end with pre-registration of the patient. Complete and accurate recording of patient insurance and billing information is imperative. Insurance verification plays a major role in the assurance of reimbursement. The front desk should counsel and confirm financial responsibility with the patient during the registration process. Patient encounter is equally as important. Correct coding of patient diagnosis and procedures minimizes the likelihood of claim rejection. The next step in the revenue cycle is claim submission. The claims process begins with the provider treating the patient then sending a bill to the designated payer. Before the bill is sent, a certified coding specialist or medical billing specialist prepares and reviews the claim for any inaccuracies. There are a few ways the claim is submitted, either manually or electronically. Once the claim is submitted, follow-up with third party payers is a necessary step in the

A medical officer while taking data does them through billing in most of the occasions. The medical officer or the physician should use a universal billing form and also the global facility form on this occasion. The preferred form by the medics, in this case, is the AICPA and for the universal billing is from 1500. It is advantageous in that all patients can use it especially for the outpatient ones (Greene & Martel, 2012).

Users accounts should be limited and not granted excessive authorizations especially ability to access to administrative functions such as read and/or write source code and source code trees.