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Medical Billing Process
Author: Deepjyoti Saikia Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The healthcare provider, usually a doctor or hospital, will send a bill or claim to the insurance company, which will then review the claim and determine the amount of coverage based on the patient’s policy. If the claim is approved, the insurance company will pay the healthcare provider
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THE IMMENSE PERSPECTIVE OF CLINICAL PHARMACIST DURING COVID-19 PANDEMIC: A REVIEW
Author: Divya Suthar*1 Abstract: Clinical pharmacy concerned with science and the rational medication use and it is widely recognised as an essential profession in the multidisciplinary environment of patient care. Clinical pharmacists are the one who works directly with the physicians and patients. The purpose of this study is to emphasis clinical pharmacist’s importance in several regions. The study also concerned with clinical review where the pharmacist check the drug therapy to ensure that the patient is getting appropriate
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The raising level of specialized services provided by LTC (Long Term Care) pharmacies for senior citizens and adolescents with disabilities: A review
Author: Jyoti Suthar Abstract LTC (Long Term Care) pharmacies provide smashing services to patients suffering from chronic ailments and those who continuously rely on medication for health care. They have an essential role in health care and communities such as individualized and care-centered services. Ensures patients receive the right medications in the right doses at the right time. They have more focus on improving clinical outcomes, reducing costs, and providing good quality care to the residents. Figure 1: Long-Term
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Medical Coding Process
Author: Bhavika Birpan Data generated in all clinical trials are recorded on data collection instrument case report from Electronic case report from By investigators located at various sites in various countries. In multicentric clinical trials, different investigators or medically qualified experts are from different sites. Center recording the medical terms uniformly is a big challenge. medical coders from the clinical data management team process these teams and perform medical coding is performed to categorize the medical terms reported appropriately
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REVENUE CYCLE MANAGEMENT(RCM) PROCESS
Author: SHALU KUMARI ABSTRACT Revenue is defined as “income, especially when of an organization and of a substantial nature” by Oxford Dictionary. Revenue is the money a company receives in payment for its products or services. Revenue is not the profit, but instead, it is the total amount of money earned by an organization before deducting any expenses or taxes. Revenue has a significant impact on the profit. It is important to create the widest possible difference between the
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Pharmacist clinical process review
Author: D. Kalai Selvi Introduction: Pharmacists play a crucial role in educating them and encouraging the care for the patient by counseling them as well as communicating with the prescriber. Clinical pharmacists are the ones who fill the gap between the patient and the medical practitioner. The need for clinical pharmacists becomes more important. A clinical pharmacist is defined as a discipline that focuses on improving the rationality and efficacy of drugs and minimizing drug-related problems in patients. The
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EFFECT OF PATIENT DEMOGRAPHICS ON THEIR TREATMENT IN MODERN HEALTH CARE SYSTEM
Author: Anila Talluru Introduction: Patient demographics entry plays a key role in patient treatment. Patient demographics include age, biological sex, race, ethnicity, income, name, allergies contain, occupation and about their social life along with medical insurance. According to these demographics details doctor and other health care professionals can give efficient treatment, which improve their therapeutic efficacy. They help in medical billing and medical coding process and make easy to claim. Collecting this data provides higher quality care and better
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Medical Coding Process
Author: Palivela Mahathi ABSTRACT: Medical Coding Process aims error-free diagnosis for suffering mankind, which opts the excellent careers for professionals. To assist the victims for various medical processes, claiming for reimbursement from providers, felicitous code allotment. They abstract the information from the documentation during Medical Billing Process thus assigning medical codes for specific diseases or diagnoses. INTRODUCTION : India’s enriched progress with the developments made particularly in Public Healthcare System, besides new version technologies fill with the standardized opportunities
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Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
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Medical Data Entry
Medical Coding
Revenue Cycle Management
