Examinando por Materia "Medical bills"
Mostrando 1 - 3 de 3
Resultados por página
Opciones de ordenación
Publicación Acceso abierto Auditoría de cuentas médicas como eje fundamental para el proceso de facturación en salud(2020-11-20) Martínez Cogollo, Luis Enrique; Racine Vergara, FabiánThe 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 explainedPublicación Embargo Plan de sistematización para la consolidación de los medios magnéticos FURIPS en una institución de salud, Montería 2023(2023-08-11) Villadiego Nerio, Dina Luz; Espitia Cabralez, Enalbis EstherPara el diseño de este plan de sistematización para la consolidación de los medios magnéticos FURIPS en el área de radicación de cuentas de la Clínica Traumas y Fracturas de Montería-Córdoba, se realizó una práctica de intervención a través de un diagnóstico situacional por medio de la aplicación de la matriz DOFA con el fin relacionar las oportunidades, amenazas , debilidades y fortalezas del área, y establecer oportunidades de mejora en beneficio a la empresa teniendo en cuenta los tiempos establecidos para su cumplimiento y los objetivos de su implementación; mediante este diagnóstico se observó que todos los procesos están interconectados y ejecutados de forma sistemática; implementando una herramienta informática como lenguaje de programación llamada Visual Basic for Applications (VBA) que funciona de forma bilateral por medio del programa Excel, de igual forma se observó la falta de acceso fácil y oportuno a los medios magnéticos FURIPS; como respuesta a esto surge la idea de diseñar e implementar una herramienta informática que permita consolidar información necesaria de este formulario para un mejor desarrollo de las actividades del área y la productividad de la empresa. Con la implementación de esta herramienta se evidencio la agilidad en los procedimientos del área, de igual forma, esta información consolidada sirvió como respaldo a la hora de dar respuesta de forma rápida, fácil y segura a glosas y devoluciones.Publicación Acceso abierto Procedimiento de auditoria a cuentas en la ESE Camu Santa Teresita(2023-01-20) Ballesteros Coneo, Duván José; Nieves Julio, Yesenia PatriciaThe health audit is a process of systematic evaluation of the quality and management of resources in health care, in order to identify deficiencies and produce improvements for the benefit of the population. The general objective is oriented to design the procedure of audits to medical accounts in the E.S.E CAMU SANTA TERESITA, in order to know the set of pertinent actions that help to carry it out, which allows obtaining the expected results, and strengthen the finances within the accounts system. Therefore, the type of work is identified in the methodology, which is represented by a diagnosis based on the health accreditation standards 152, 153 and 154 of resolution 5095 of 2018 where the situation found in the E.S.E. CAMU SANTA TERESITA. However, and also importantly, the population that will benefit from the development of this product will be the workers, since they will have the opportunity to learn about the audit procedure for medical accounts of the E.S.E CAMU SANTA TERESITA. It is important to guarantee the development of the product, among the steps to be developed are the following: Situational diagnosis of the area of audits of medical accounts of the E.S.E CAMU SANTA TERESITA, prepare the prioritization of needs, dialogue with those in charge of executing the audit activities and design the step by step and value chain to elaborate the procedure and present work end of the institutional practice plan. Within the techniques and instruments is the collection of information, which will be recorded, evaluated and obtained from secure sources that will validate what is stated. In this way, the pertinent route that gives rise to what has been exposed will be sought and the expected results will be achieved.