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Healthcare Financing (Lesson 10 Counter collection (Counter collection:…
Healthcare Financing
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Lesson 9
Stages of billing
Unbilled or interim bill - is ongoing bill, is still open to new additional chargers
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Cancelled bill- refer to the period when the bill or invoice is re-opened for addition of new charges
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2 approaches to fee cap:
Fee cap is the maximum charges
1) Traditional method or 3 individual fee caps
2) modern approach or One major fee cap
Billing category: is a categorization code used to group service code in a pricing catalogue Bill summary code: is a code that is used for purpose of presentation on summary bill. It does not display the individual items consumed for a particular episode.
Downtime bill- occur when billing system is out of service due to server issues
1) permit patient to depart from the clinic without billing patient
2) only applicable to outpatient setting and collection in advance and deposits
Lesson 8 Charging
Charge form must consist:
1) patient information
2) item description
3) Quantity
4) Service code
5) Acknowledgement of data entry completion
A charge form is a document used by nurses to record the service render for a patient - Charge entry: it is a service that has been performed and is pending data entry Order entry: Is a service that has not been performed and is pending data entry
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Batch interface (benefits)
1) shift the time of job processing to when the computing resources are less busy
2) It avoid idling the computing resources with minute-by-minute manual intervention and supervision
3) keeping high overall rate of utilization, it amortizes the IT system
4) effective use of manpower, key entries only once