PATIENT DEMOGHRAPIC ENTRY PROCESS - Healthcare Outsourcing Services (BPO)

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PATIENT DEMOGHRAPIC ENTRY PROCESS

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Author: Gopu Rachana, st.Peter’s, Institute of Pharmaceutical sciences

 

What is patient demographics entry?

Patient Demographic entry is the basic information of the patient filled in the health insurance claim. Demographics is a generic term for the inclusionary and exclusionary criteria used when recruiting human subjects for a clinical trial. patient demographic form the core of the data for any medical institution. They allow for the identification of a patient and his categorization into categories for the purpose of statistical analysis. When patients arrive for an appointment or download a health app, they’re usually asked to provide some information, which will become part of your medical records. Demographic information can include:

  • Date of birth
  • Gender
  • Sex Ethnicity/race
  • Address
  • Contact information
  • Medical history
  • Drug allergies
  • Surgeries
  • Medical conditions
  • Current medications
  • Family medical history
  • Insurance provider
  • Employment Education
  • Ensuring patient’s demographics are collected accurately and kept up to date is essential to running an efficient healthcare organization.

 

IMPORTANCE: Patient Demographics is not only important for reimbursement but assist the doctor. Critical information like medical history or allergies, help the doctors make the best treatment protocol. Capture with care: The information provided by the patient must be captured with utmost diligence and care and patient demographics streamline the medical billing process, improve healthcare quality, enhance communication and bolster cultural competency.

ADVANTAGE:

Patient Demographics is not only important for reimbursement but assist the doctor. Critical information like medical history or allergies, help the doctors make the best treatment protocol.

DISADVANTAGE:

In patient demographic information if any inaccurate capture causes claim denials, and consequently, and delayed payments. Research shows that healthcare organizations lose as much as 7% of their annual revenue due to errors in demographic data capture.

 

Error Type Impact on Claims Revenue Loss Risk Prevention Method
Incorrect Patient Name Claim rejection Up to 18% ID verification at registration
Wrong Insurance ID Payment delay Up to 22% Real-time eligibility checks
Missing Date of Birth Claim denial Up to 14% Mandatory field validation
Outdated Address Data Statement delivery failure Up to 11% Patient portal updates
Incomplete Contact Info Follow-up delays Up to 9% Front-desk checklist system

PURPOSE:

Not only does the data captured in the demographic entry process form the base for the medical record, but it also affects insurance claims payment. Error-free capture of patient information is essential for clean claim submission and facilitates quick claims processing by Payers.

The patient demographics are essential as the information collected from the patients can tell a lot about their needs and allowing to provide better care and the most effective treatments.

REFERRAL LINKS

https://cntinfotech.com/healthcare-solutions-revenue-cycle-management-demographics-entry.htm

https://www.ehealthsource.biz/demographics-data-entry/

 

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