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360 Degrees of Revenue Cycle Management (RCM) Process

360 Degrees of Revenue Cycle Management (RCM) Process Author: Palak Jethva   The Three Pillars of Healthcare Revenue Cycle Management (RCM) are People, Process, and Technology. There is a symbiotic relationship between financial issues and patient health. Today patients are responsible for more of their healthcare spending than ever before, and many are delaying treatment because they are concerned about the expense. People who regularly save money for a nest egg show that they value their future selves and are

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doctor holding a prior authorization document, looking at the camera, symbolizing the insurance approval process for Vancomycin HCL under Caremark Medicare.

Implementing IT in Healthcare Revenue Cycle Management

Author: Elizabeth Rachal James   Over a few decades, hospital expenditures have increased. As a result, there is tremendous pressure on key industry stakeholders to mitigate further growth in hospital spending and Welter. Government healthcare programs, example Medicare and Medicaid, have responded to these pressures by mandating lower increases in hospital reimbursement rates. Hospitals have mainly focused on cost management to deal with these pressures. Hospital revenue cycle management includes all clinical and administrative functions related to the generation, management,

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Medical Outsourcing – A step toward Global Evolution in Advancement

Author: Wasif Rana, St. Pauls College of Pharmacy   ABSTRACT: The demand for international healthcare services is rising dramatically. In order to lower their healthcare costs, US patients are looking for internationally competitive healthcare. We contend that factors such as economic situations, political environments, and regulatory frameworks all affect the choice of country. Companies today can outsource a number of tasks or services. Companies can outsource entire divisions, such as its entire IT department, or just parts of a particular department. Pharmacy industry

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OUTSOURCING IN MEDICAL HEALTHCARE

Author: Raj Priya   Outsourcing itself implies that receiving sources from out, in other words we can says that it is a process of contracting business function to specialized agency. Let’s understand with example specially Outsourcing of canteen facilities in hospitals, colleges, schools etc. Healthcare outsourcing process used by organisations like hospitals, nursing homes, etc. The global healthcare BPO (Business Process Outsourcing) market is growing due to rapid increase in outsourcing of clinical process and reduction of error in non-essential

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{Duplicate} RISE OF MEDICAL OUTSOURCING SERVICES IN INDIA

RISE OF MEDICAL OUTSOURCING SERVICES IN INDIA Author: P A Thanseeha Thasneem  Health care industry is flourishing at a hair-raising rate. While running at the same pace of growing demands from patients and maintaining the position in the race, expenses the hospital has to manage has also hiked up. Apart from the expenses, the workload has also become a burden to the hospitals. It is extremely arduous to manage the core and non core areas altogether. There came the need

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INDIVIDUALIZED CLINICAL PROFILE; AN IDEALOGY OF NOVELTY IN PATIENT DEMOGRAPHICS DATA ENTRY PROCESS

Author: Vinod Kumar*, R Hruthika* (Guided by: Prof. Gouhar Sultana*, Asst. Prof. K. Naveen Kumar) “One’s Health Status is Always A Prior Responsibility’’ KEYPOINTS Individual clinical profile defines one’s health status (patients) during their lifetime (birth to death) by providing the demographic and medical details. It serves as a memory bank of individual’s clinical history and as a platform of resource or reference. The medical history of each patient can be stored in the electronic format which can be easily

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PROFESSIONAL ROLE OF CLINICAL PHARMACIST

Author: Jisa Elizabath Sabu IV Year Pharm.D Nirmala College Of Pharmacy, Muvattupuzha   Clinical pharmacy involves the activities and services of clinical pharmacists to optimize pharmaceutical care and proper use of medications for the purpose of optimal patients outcomes. Clinical pharmacy services are not limited to certain areas but applies to all medical fields such as cardiology, infectious, ambulatory care, oncology, nephrology, internal medicine also covers in-patient and out-patient services. The American College of Clinical Pharmacy (ACCP) defines clinical pharmacy

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MEDICAL CODING – NEED OF THE ARCH

Author: Piyush Goel   “Like a musician who interprets the written music and uses their instrument to produce what’s intended, Medical Coding requires the ability to understand Anatomy, Physiology, and details of the services, and the rules and regulations of the payers to succeed.” What is Medical Coding? Medical coding is something that is related to ‘Translation’. In Simple terms, medical coding is the translation of medical terms for diagnoses and procedures into code numbers from a standardized set of codes.

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