An event may initiate a task, or there may be certain repeated responsibilities 3. It is an enumeration of the steps, numbered in sequence, and grouped by logical categories if applicable a flowchart is a format frequently used when a procedure entails many decision points.
It may even be necessary to run test data through the information systems In summary, a policy should be broadly worded to provide guidance in handling virtually any situation relative to its topic. If the direct result of the task is documentation, or there is any supporting documentation, directions should be supplied as to how and where this documentation is stored 8.
There may be steps at the end of performing the task to put away tools and other materials Where policies should provide latitude for handling exceptions, procedures need to be as explicit as possible.
Policy, Procedure, and Documentation Requirements Policies direct workers to take action consistent with legal, ethical, and organizational requirements.
Identify others who could be approached with this request, such as nursing personnel in the emergency department or Effective financial policies and procedures in the office. Consider the following steps: However, if these staff members believe that they can approve a limited access restriction, then the policy is not clear enough.
A bill that comes without prior notice in the case of procedures that the insurance company does not cover is capable of upsetting the patient or patients. This describes what the completed task or product should look like 5.
For example, draft the procedure for patient access to respond to requests and for caregivers to follow in receiving the request and accepting or denying the restriction 6. Provide specific instructions for processing the task, including any: Such restrictions, however, carry significant risk to the patient and to the organization.
Draft the procedures associated with a policy as a second level of verification that they are operational. If the office fails to completely clarify these costs to the patient, there could be situations in which the patient may not be totally accountable for payment for certain procedures or services performed.
They should recognize that they may be among the first to be asked about a restriction and should feel comfortable providing a request form for the patient to review. Together, they guide the documentation required to substantiate actions.
Once a patient knows the insurance company does not cover a specific procedure, he or she is able to make a decision on whether to decline the procedure or accept the procedure and work an arrangement for payments with the office.
Some of the penalties of office procedures that do not support the established financial policy can include deceitful activity or the medical facility losing money.
Show the draft of the policy to the individuals who will be responsible for carrying it out.Practical Advice for Effective Policies, Procedures (HIPAA on the Job) by Margret Amatayakul, RHIA, FHIMSS.
Most HIPAA project managers are putting finishing touches on policies and procedures, getting them approved, and preparing training materials to meet the April 14,compliance deadline for privacy rule implementation.
Effective Financial Policies and Procedures For patient billing to be successful, firm financial policies and procedures that are required to be in position so that the policies and procedures can be explained to the patients about his or her payment responsibilities - Effective Financial Policies and Procedures introduction.
Staff members and patients should comprehend the. Financial and Grants Management Basics Financial and Grants Management Institute April 24 - 25, Develop knowledge about effective financial and grants management Policies and procedures are a set of written documents.
1 Policies and Procedures. THE MENNINGER CLINIC Finance & Admissions. Policy MC Financial Assistance Policy Effective Date: November 1, The success of your medical office depends on the strength of your financial policy.
Develop it to address six key categories of the revenue process.
Charge capture includes the appropriate linking of medical codes to services and procedures rendered during the patient visit. To ensure cash flow is sufficient for effective management. Effective Financial Policies and Procedures Kaitlyn Maness HCR Resource Figures & on pp.
of Medical Insurance Post a to/5(1).Download