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Tuesday 30 July 2013

Medical billing, a world of hurt: Error-prone system is a headache for insurers, doctors, patients



National reports show that 60% of medical bills created have errors in India. The world of billing problems is as vast as medicine itself. Many frequent complaints from patient side are: receiving double billing for the same treatment, being billed for the wrong treatment, getting a bill for unexpected costs etc. Problem comes because of human involvement in the entire process before billing creation. It’s generally an estimated that approximately  10-15 people are involved in generating a single patient bill, from the receptionist who collect the personal information from patients, doctors and nurses who treat the patient, pharmacy , lab and housekeeping who provide added services to the patient. So from a billing perspective it becomes very difficult to bill for 50 items in a single time.

Here are some examples of scenarios that happen all-too-often while creating billing:
1) Medical Error #1: Billing for procedures that were not performed
An old man received a bill for his annual physical examination. The charges included a line for a pap smear, which even general people know is a test that is only for women. Had he reviewed the bill right there at the time of discharge?  That charge would have been removed before the claim was ever sent in to the insurance. No generally people have tendency not to view at the same time while it gets created. When same bill will be produced for claim settlement and it won’t get reimbursed then the person will blame to hospital

2) Medical Billing Error #3: Duplicate charges
Hospital bill that itemized 55 of the same item at Rs.300 each. This item is something that no one could have done to them 55 times in the period of a four-day hospital admission. Can you make any guess? We're talking about a urinalysis process. Not only they charge very high, but the number of laboratory tests just didn't make any sense were done. If this patient had ever requested and had a glance of the bill, I'm pretty sure she would have picked this up.

3) Mistake #3: Not asking for itemized statements and then reviewing it
The best way to avoid medical bill errors is to make sure that the charges are correct. While no one expects you to be an expert in medical terminology but by requesting and reviewing a detailed itemized statement following every episode of care provided, you can easily avoid some of the general problems. Always take the time to ask for and look at an itemized bill. 

DocEngage provides complete itemized statements at the end of episodes what you request from the hospital at the checkout window.

DocEngage now has advanced billing features!! It is aimed at simplifying the billing process for doctor, concern staff and the patients. DocEngage provides benefit for doctors and concern staff in following manners:

·        Provide complete track of billing done for a particular patient
·        The ledger will give a complete overview of the total billed amount and total amount paid
·        Provide complete  track of the due amount
·        Settlement against advance payment can be made.
·        Payment can be made by the patient for a single invoice generated multiple times
·        Any time payment can be added
·        Provides notes option to write information related to the bill
·        Electronic tracking of payments
·        Doctor Will have a track on the revenue generated by him
·        Through care plan he/she can have a track of how many procedures has been completed
·        For how many procedures performed invoice has been generated
·        Transparent payment process

Friday 5 July 2013

The Relationship between Computerized Patient Record Use and Quality Of Care



There is unanimity that widespread adoption of health information technology (IT), in particular computerized patient record, will result in increased efficiency and improved patient care. Computerized patient record is an evolving concept defined as a collection of electronic health information about individual patient or populations. It is a record in electronic format that is capable of being shared within across different healthcare providers, by being embedded in the network.

The main constraints in adopting computerized patient record are the physical barriers  and impact on the patient-doctor relationship that could result from the use of computerized patient record during the consultation. Initially there will be resistance in adopting electronic health record system but once doctor will expose the benefit of electronic health record, they will feel a need for an information system.

Computerized patient record helps in presenting  patient-specific information in the form of assessments or recommendations, or alerts or reminders during consultation. Computer based patient record system is designed to be used by care providers as a direct aid in clinical decision- making. In current scenario medical information required for clinical decision-making has increased; but  the accessibility of health data is still poor, resulting in inappropriate decisions and medical errors.
To increase the accessibility and management of patient related health information the use of electronic health record should be promoted. The first electronic health record will be used for the management of patients and collecting medical information.

Medical information is conceptually organized the patient’s paper medical record, and combine clinical and therapeutic  patient history. Computerized patient records are designed to be used directly by doctors during consultation and to provide online information and messages to help doctors in their practice.

The aim of DocEngage ( An Electronic Health Record) is to offer support in clinical decision-making, to increase coordination among health care providers, and to promote the correct care, thereby improving quality of care. The aim of DocEngage is also : to decrease the time duration for retrieval of medical records, allowing many care providers to have simultaneous access to the same patient medical record; to improve data confidentiality; and finally to collect routine data related to patient.

DocEngage increases quality of care by followings:
1) By providing timely access to patients’ related health information
2) By tracking patients over time of period to ensure that they receive accurate care
3) Helps in decision support-support  mechanisms to reduce medical errors
4) Provide accurate and complete data
5) Improved knowledge of patients’ medical history
6) Better Medical Examination