Re: [Gnumed-devel] Introducing myself and questions on billing/accounting

[Karsten Hilbert]

On Wed, May 18, 2011 at 04:25:52PM -0700, Chris Travers wrote:

> > - where charges arise as part of (during) the delivery of care, it is 
> > reasonable that it be some record in the EMR that gives rise to the 
> > billing. This is important for a couple of reasons:
> >        - to provide / channel / supply data needed for the billing
> >        - where the above cannot be done automatically, to assist a lookup
> >        - as an audit check of missed billings
> >        - to be able to reference, if questioned, the actually-delivered 
> > service
> 
> In GNUmed terms this is an "encounter," even if the patient isn't
> actually encountered, is it not?

Indeed. That's why it is not called a *patient* encounter.
It's more useful to think of it in terms of

        someone somewhere had contact with the EMR of a patient
        on behalf of the patient

:-)

> The first is something like 'We just got these H1N1 vaccines in and
> trying to bill for them but the it's is not showing up in the list.'
> In this case, the best option IMO is to have an 'unknown good/service'
> record which can be annotated, and let accounting adjust it in the
> process of the entry.  You want to capture the data as quickly as
> possible and with as much data as possible.

+1

> This human review is absolutely critical in every business I have ever
> looked at.

+1

Karsten
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