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  Patient Management Decision Support Clinicals Financial Materials Management Human Resources IT/User Administration     |
Patient Management Systems a.
Master Person Index, Admit, Discharge and Transfer
(ADT), and Registration The Admit, Discharge and Transfer system relies on an enterprise-based Master Person Index to retain key demographic and financial information about each patient and to support the admitting/registration process. Tables can be tailored to cross-reference employer, payer, and health plan to simplify insurance coverage determination and identify preauthorization and utilization management requirements. The system’s flexibility is only surpassed by its overlying security. Meeting emerging HIPAA (Health Insurance Portability and Accountability Act ) requirements, the ADT system provides its end-user access only to the specific patient information needed to fulfill his or her role in the patient’s care as defined by the facility and institutional policies. Through the secured database, admitted/registered patients are tracked throughout their stay. Admission, transfer and discharge transactions are automatically reported to the appropriate departments. Routine management reports can be accessed in real time and provide complete census and statistical information. In conjunction with Order Entry, a patient’s complete financial responsibilities are captured automatically in real time. b.
Medical
Records Ensuring
the integrity of patient records is of top priority to our
customers. And we understand this need.
The Medical Records system combines automated control over
chart deficiency and routing with an interface to a Coder/Grouper
that supports appropriate reimbursement and ensures the integrity of
patient records. Additional
value is provided by an optional system – the Financial
Logs/Utilization system, which is optionally available to support
abstracting and case mix reporting.
Timely
processing of patient charts is equally important.
By producing deficiency reports and automated physician
notification, the Chart Deficiency module allows users to define and
maintain information on chart deficiencies.
The module ensures timely completion of patient charts.
The Chart Routing module then provides an automated mechanism
for tracking and subsequent recovery of patient charts. c.
Patient
Accounting The
Patient Accounting system allows health-care administrators to
perform a variety of functions related to accounts receivable.
For instance, users can issue and process invoices for both
patients and other responsible third parties.
Maintaining accounts receivable records from start to finish
is made simple by allowing users to track and respond to credit and
collection activities. The
Patient Accounting system can improve cash flow and overall
profitability. For instance, the system offers reliable controls over
patient invoicing, net revenue calculations for managed-care
patients, and timely and accurate bills and collection support.
The system is fully integrated with other SPIRIT
ENTERPRISE applications, ensuring data
consistency, expediting the flow of information, and improving
overall efficiency. d. Intake Costing and Inquiry The Intake Costing and Inquiry system provides a patient acuity-screening tool. Basic demographics, clinical, and financial information are evaluated prior to admission to estimate the cost/level of care for a patient. e. Patient
Scheduling A convenient and seamless scheduling of appointments of patient services may be hard to achieve in an efficient manner. However, staff members can use the SPIRIT ENTERPRISE scheduling system to automatically resolve scheduling conflicts between patient preferences and health-care resources through the use of rules-based artificial intelligence. The end user can draw on a single, integrated system to arrange for a patient’s use of any necessary equipment or facility. An added advantage is the system’s ability to provide usage patterns, which can assist hospital administrators in analyzing appropriate use of hospital resources, while ensuring patient service is flawless. f.
Coding Interfaces
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