Examinando por Autor "Racine Vergara, Fabián"

Mostrando 1 - 2 de 2
  • Miniatura
    PublicaciónAcceso abierto
    Actualización del protocolo para el procedimiento de nasofibrolaringoscopia del proceso de endoscopias en la IPS Otorrinolaringólogos Asociados de Córdoba
    (2022-03-21) López Peñata, Jeiny Paola; Racine Vergara, Fabián
    Within the IPS OTORRINOLARYNGOLOGOS DE CÓRDOBA (OTOC S.A.S), where the following study was developed, a protocol for the development of the Nasofibrolaryngoscopy procedure is detailed. This protocol presents a lack of activities that would be beneficial when applied, as well as shortcomings in terms of procedures and document updating. This type of inconsistencies could be harmful to the IPS in the short and long term; due to this a restructuring of this is determined, which allows improving the procedure, through an improvement plan. Which left as main result the update of the protocol for the execution of the Nasofibrolaryngoscopy study, based on the NTC-ISO-90001 and the PHVA cycle, allowing to recognize the importance of documentation, within a company, which implies review and verification of compliance with the documented process or procedure, in search of carrying out improvement actions for the IPS, The main basis for updating this protocol was to optimize the information through three methods, which were the documentary review of this process, the direct observation of its conducting and interviewing one of its managers, all based on the continuous improvement approach within the institution.
  • Miniatura
    PublicaciónAcceso abierto
    Auditoría de cuentas médicas como eje fundamental para el proceso de facturación en salud
    (2020-11-20) Martínez Cogollo, Luis Enrique; Racine Vergara, Fabián
    The medical accounts audit process improves the billing process through the performance of technical, evaluative and preventive procedures, basing its activities on the components of structure, process and result, constituting within the process, the clinical record or the medical history the cornerstone. In addition, its responsibility to issue corrective measures or continuous improvements aimed at quality of care is established, all in order that the entity responsible for payment does not find any flaw when performing the external audit of the account and thus carry out the respective payment of care. Thus, the audit is conceived as the expert analysis and systematic evaluation of the billing of the health services provided by the IPS, carried out by the Medical Auditors with the fundamental objective of identifying and solving deviations in the billing process and the relationship between The different actors in the health system have as their starting point the agreements established between the Benefit Plan Management Entities (EAPB) and the IPS. The audit of medical accounts observes the need for EPS and IPS to integrate the health care process with the invoices that demonstrate their collection. This activity manages to interrelate the validation of: the provision of services, application of the scientific knowledge of professionals, the use of diagnostic and therapeutic aids and the real costs of the services billed, among others. The objective of this research is to evaluate the audit of medical accounts as a fundamental axis for the good process of billing in health, identifying the generalities of the audit of medical accounts to avoid glosses or returns by the entities responsible for payment, in turn medical account protocols are verified for detailed review before being filed with the entity in charge of payment and finally the billing process in the entities providing health services is explained