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PRIOR AUTHORITAIZATION PROCESS, REQUIREMENTS, RULES, DIFFERENCE, SUMMARY
Author: Mythili Suresh PRIOR AUTHORIZATION PROCESS OBJECTIVE – In-some cases under the medical and prescription drug plans, some of the major treatments, procedure and medications may need approval from your health insurance carrier before you receive care from the provider of health insurer. INTRODUCTION – Prior authorization is usually claims to require if you need a complex treatment, mitigation, Prevention or prescription. Since the maximum Coverage will not happen without the prior authorization process. And hence that was the major
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PHARMACY BILLING PROCESS
Author: Kasamma Definition: When a prescription is sent to the pharmacy bills the patient’s medicine insurance and dispenses the medication either directly to the patient or to the suppliers office. This process is known as pharmacy billing. Introduction: It entails documenting information about patient discharge, physician changes, etc. All of the information is crucial, especially if one of the clients wants to file a medical claim. Importance of billing step in pharmacy: The importance of pharmacy billing services in health
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Standards of Healthcare Outsourcing Companies in India
Author: Nikhil Gupta Abstract: The idea of outsourcing denotes a connection focused on results with an outside service provider for tasks that are typically carried out within the company. Transformational outsourcing is focused on innovation and business advancements, as opposed to traditional outsourcing, which is based on business methods to lower costs and improve a firm’s efficiency and flexibility. The upshot of international economic and technological advancements is the offshore outsourcing of services. In India, this gained popularity after the
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ROLE OF OUTSOURCING IN HEALTHCARE FIELD
Author: Chetana Menda ABSTRACT: Business Process Outsourcing (BPO) is the topmost business across the globe and is aligned to transform businesses with fully-managed expert solutions to provide the trusted independent resource. Health care service providers from all around the world are going to countries like India to outsource their non-core business procedures, making healthcare outsourcing the newest buzzword in the industry. The article’s goal is to briefly explain the function and significance of healthcare outsourcing. Keywords: Business Process Outsourcing, Global Healthcare,
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Article on Pharmacist Clinical Review Process
Author: Bhagwat Sahebrao Bhakre One of the main responsibilities of the pharmacist is to perform clinical reviews of patient medications. These reviews are important in order to ensure that patients are taking their medications correctly and that the medications are working properly. The clinical review process typically includes four main steps: Review the patient’s medical history and current medications. Identify any potential drug interactions or side effects. Make recommendations to the prescribing physician about changes to the medication regimen, if
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Patient Demographic Entry Process
Author: JESSICA SEQUEIRA “We must manage the population today if we want to rescue the world and safeguard tomorrow.” Patient demographics is a compilation of the patient’s basic characteristics, including full name, age, sex, date of birth, education level, marital status, address, phone number, past medical history, family history, personal history (desires, aversions, dreams, etc.), socioeconomic status, and past medical history. The gathering of all this data serves as the foundation for all medical institutions’ data. They enable the identification
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The role of outsourcing BPO: In the health and medical industry in India
Author: Mallika Kaparthi What do you mean by Healthcare Outsourcing? Outsourcing in healthcare is a process of contacting with a third-party provider to perform certain functions or services. Simply, Healthcare BPO means outsourced business that provide support to the medical institutes, staff and organizations. Commonly outsourced activities include coding, billing services, transcription etc. India has one of the largest Healthcare systems as the world’s democratic country. The Healthcare industry is growing fast in these days and providing healthcare services to
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A REVIEW ON DRUG ASSISTANCE PROGRAMS AND PATIENT RESPONSIBILITIES ON DRUGS
Author: Bandi Niharika ABSTRACT Drug assistance programs are also called as patient assistance programs(PAP). The main aim of this is to reduce the medication burden on patients who are unable to meet their needs. These drug assistance programs are provided by the pharmaceutical industries. These are like health cards which are given to people who don’t have insurance or are underinsured or people who can’t afford medication cost. Not only healthcare professionals has their roles and responsibilities towards the treatment
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