Transformation of Electronic Billing Systems From Military Term Paper

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Transformation of Electronic Billing Systems From Military Use to Public Medical Facilities

The advent of the twenty first century brings with the new dawning a time of extraordinary technological advancement, mega informational system development, and expanded scientific discovery. Without argument, these new developments bring with them an explosion in the informational database that must be reconciled and dealt with. No longer can service organizations and businesses rely on a central data base for gathering storing and retrieving information as these type of systems are unwieldy - and becoming more so. Individuals responsible for budgeting, marketing, invoicing, and consumer demographics are in need of immediate and accurate, ready-to-use, and updated information with respect to services and/or products offered. Unfortunately the healthcare industry has been slow in updating information retrieval systems in keeping with the need for immediate patient information retrieval and the dearth of new information being created.

The majority of healthcare systems are, unfortunately, are still captured in the era of the 1970's when centralized mainframe informational depositories were they only means for information storage. As such many healthcare systems continue to rely on a single financed-based system (billing and scheduling) wherein needed information is stored at a site that is not easily accessed for immediate usage. When information is stored at another site, getting the necessary information means requesting a report to be run which oftentimes is long in coming, inaccurate, not up-to-date, and limited. Further, the resulting report is generally paper generated and valuable time must be taken to transfer the information to a personal office computer for further use. The reasons for keeping with a centralized information program generally focuses around the concern of protecting patient information from non-approved personnel vs. The patient's welfare.

The present investigation was designed to inspect and comment upon the need for a more informational compatible system in private healthcare visa via patient information retrieval. To this end a historical descriptive study was designed with respect to an examination of current practices as well as the feasibility of employing the U.S. military electronic billing system, Composite Health Care System (CHCS), in private healthcare systems. In addition, both systems not only were examined as to strengths and weaknesses but in terms of timeliness, cost, HIPAA regulatory compliance, and user-friendly adaptability.

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Conclusions drawn, although preliminary, suggest that the value of implementing the CHCS is pivotal to effective patient care.

Introduction

Historical Perspective of Healthcare Medical Record Practices

HIPAA Regulatory Compliance

Current Healthcare Billing Practices

Composite Health Care System

Research Question

Research Methodology

Definition of Terms

II Review of the Literature

Introduction

HIPAA

Electronic Medical Records

Role of the Healthcare Professional in EMR

CHCS

CHCS II

III Discussion and Summary

Feasibility of the Composite Healthcare System

Drawbacks to the Composite Healthcare System

IV Implications for Future Research

APPENDICES

REFERENCES

CHAPTER I

INTRODUCTION, RESEARCH QUESTION, AND PROCEDURES

Introduction

Historical Perspective of Healthcare Medical Records

Long past are the days when an "apple a day will keep the doctor away." In today's advanced society people are living longer, the population is growing and medical science is continually advancing. As such healthcare systems are becoming inundated with copious amounts of patient data that must be made available to the healthcare practitioner with immediate notice. Over the past fifty years patient record keeping has changed dramatically as a result of several factors, namely, advanced computer technology, patient expectations, and medical care regulatory compliance requirements. The literature is replete with articles published giving strong evidence of the value of IT systems in all of the various healthcare settings (Hammond, 2003). However, in spite of that evidence, slow growth is still the hallmark of the marketplace. Today, however, the major challenge to healthcare systems is to implement a patient electronic system across the storage systems that are a testament to the technological wealth of the twenty first century. In order to garner the best-fit patient record informational system all healthcare systems must strive to promote professional standards, target the latest and best system or systems being developed, and aggressively move forward toward developing the best system possible for healthcare organizations. In doing so all participants must continually exercise vigilance and care when deciding to initiate an electronic medical billing system within a healthcare organization. At no time can a healthcare organization afford to be careless or uninformed in the selection of a computerized billing system. Those….....

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