Durán Rojas, ElviraCausil Lopez, Loana2023-07-182023-07-182023-07-06https://repositorio.unicordoba.edu.co/handle/ucordoba/7475The process of invoicing and filing of accounts is responsible for maintaining the financial information of health organizations for their economic sustainability. The Institution Providing Health Services (IPS) Otorrinolaringólogos Asociados de Córdoba (OTOC) S.A.S. of the city of Montería, presented some inconsistencies in the reception of supporting documents and in the filing of accounts, therefore, it is necessary to have an instrument that allows the timely follow-up of medical accounts. The objective of the business practice is to develop an office automation tool for the follow-up of medical accounts of the IPS OTOC S.A.S. of Montería, Córdoba. The methodology is descriptive with a quantitative approach; the observation technique was used. Likewise, the current regulations and the files of medical accounts were taken into account to develop the office automation tool for follow-up, which was pilot tested with two medical accounts of the patients treated at the IPS. Computer equipment with Microsoft Excel, tape recorder and stationery were used. The design of the office automation tool for the follow-up of the medical accounts was achieved with the support of the Unit's personnel to validate it, considering the elements that the electronic invoice of the IPS has. These elements include the IPS's NIT, the provider's code, address, telephone, and e-mail. After the IPS information is the invoice date, invoice due date and payment method; it also contains the EPS and patient information, which starts with the entity, the NIT, the EPS address, telephone, patient name, identification, date of birth of the user, date of admission, date of discharge, the contract that was agreed with the IPS, the fee for services rendered, type of affiliation, patient age, regimen and admission. Finally, the service code, manual, description of the service, quantity, unit value, total subtotal value, discount, VAT, co-payment, co-payment, co-moderation fee, copayment and total to be paid. During the pilot test carried out with the two electronic invoices of the IPS, it has been decided to add 6 elements to the office automation tool for tracking medical bills. These elements are the following: date of the finding, inconsistency found, unit responsible for the inconsistencies, date of the corrective action, corrective action, and unit responsible for the corrective action. The purpose of this addition is to facilitate the follow-up of medical accounts that present inconsistencies during the billing process. The office automation tool will allow timely action for the proper handling of accounts in the billing and filing process.INTRODUCCIÓN………………………………………………………………… 151 OBJETIVOS…………………………………………………………………… 171.1 OBJETIVO GENERAL …………………………………………………… 171.2 OBJETIVOS ESPECÍFICOS……………………………………………… 172 ASPECTOS CORPORATIVOS……………………………………………… 182.1 PRESENTACIÓN INSTITUCIONAL…………………………………… 182.2 RESEÑA HISTÓRICA…………………………………………………… 183 DESCRIPCIÓN DE LA ESTRUCTURA ORGANIZACIONAL DE LA EMPRESA……………………………………………………………………… 193.1 ORGANIGRAMA…………………………………………………………… 193.2 MAPA DE PROCESOS…………………………………………………… 204 PLATAFORMA ESTRATÉGICA…………………………………………… 214.1 MISIÓN……………………………………………………………………… 214.2 VISIÓN……………………………………………………………………… 214.3 VALORES………………………………………………………………… 214.4 POLÍTICA INSTITUCIONAL……………………………………………… 214.5 PORTAFOLIO DE SERVICIOS………………………………………… 225 DESCRIPCIÓN DE LA UNIDAD DE FACTURACIÓN…………………… 235.1TALENTO HUMANO……………………………………………………… 235.2 INFRAESTRUCTURA…………………………………………………… 235.3 DOTACIÓN………………………………………………………………… 235.4 INTERDEPENDENCIA…………………………………………………… 235.5 HISTORIA CLÍNICA Y REGISTROS …………………………………… 236 MARCO REFERENCIAL …………………………………………………… 246.1 MARCO CONTEXTUAL………………………………………………… 246.2 MARCO DE ANTECEDENTES………………………………………… 246.3 MARCO TEÓRICO………………………………………………………… 266.4 MARCO CONCEPTUAL…………………………………………………… 288.4.1 Auditoría médica……………………………………………………… 288.4.2 Facturación en salud………………………………………………… 288.4.3 Factura electrónica…………………………………………………... 288.4.4 Herramientas ofimáticas …………………………………………… 298.4.5 Glosas………………………………………………………………… 296.5 MARCO LEGAL…………………………………………………………… 307 MATERIALES Y MÉTODOS………………………………………………… 337.1 TIPO DE ESTUDIO O INTERVENCIÓN………………………………… 337.2 POBLACIÓN……………………………………………………………… 337.3 TÉCNICAS E INSTRUMENTOS………………………………………… 337.4 MATERIALES Y EQUIPOS ……………………………………………… 337.5 PROCEDIMIENTOS……………………………………………………… 338 RESULTADOS ……………………………………………………………… 358.1 IDENTIFICACIÓN DE LOS ASPECTOS QUE COMPONE LA HERRAMIENTA OFIMÁTICA DE SEGUIMIENTO DE CUENTAS MÉDICAS………………………………………………………………………… 358.2 ELABORACIÓN DE LA HERRAMIENTA OFIMÁTICA DE SEGUIMIENTO DE CUENTAS MÉDICAS…………………………………… 388.3 REALIZACIÓN DE PRUEBA PILOTO DE LA HERRAMIENTA OFIMÁTICA DE SEGUIMIENTO DE SEGUIMIENTO DE CUENTAS MÉDICAS………………………………………………………………………… 429 CONCLUSIONES…………………………………………………………… 4510 RECOMENDACIONES……………………………………………………... 46REFERENCIAS BIBLIOGRÁFICAS ………………………………………… 47ANEXOS………………………………………………………………………… 55application/pdfspaCopyright Universidad de Córdoba, 2023Trabajo de grado - Pregradoinfo:eu-repo/semantics/openAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)CuentasAuditoríaFacturaciónEfectividadUsuarioAccountsAuditBillingEffectivenessUser