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by health plans to coordinate benefits with other health plans; by health care clearinghouses in their internal files to create and process standard transactions and to communicate with health care providers and health plans; by electronic patient record systems to identify treating health care providers in patient medical records;
The relationship between healthcare providers and insurance companies resembles that of a vendor and subcontractor: healthcare providers contract with insurers to deliver services to covered patients. Step 1: Patient Registration [4] The process begins when a patient schedules an appointment.
Revenue cycle management (RCM) is the process used by healthcare systems in the United States and all over the world to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. It is a normal part of health administration. The revenue cycle can be defined as, "all ...
Patient registration is used to correlate the reference position of a virtual 3D dataset gathered by computer medical imaging with the reference position of the patient. This procedure is crucial in computer assisted surgery , in order to insure the reproducitibility of the preoperative registration and the clinical situation during surgery.
HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.
After completing the social service, a doctor obtains a "medical registration" at the governor's office (Gobernación) of the Department (province/state) where they served the obligatory term. This registration is the same as a license in other countries, and authorizes the physician to practice medicine anywhere in the national territory.
Credentialing is the process the healthcare facility or managed care organization/health plan uses to collect and verify the “credentials” of the applicant. This includes verification of many elements including licensure, education, training, experience, competency, and judgment.
Core business systems are systems used in a health care facility for financial payment, quality improvement, and encouraging best practices that research has proven beneficial. Used in health care, an ADT system is usually the foundation for other types of health care information systems because it holds valuable patient information such as a ...