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The original post that was done by me is the largest paragraph. I now need Need responses to these the five Student Post. About 3-5 sentence responses

Billing Systems

Created by on Dec 2, 2015 5:08 PM

Last edited: Wednesday, December 2, 2015 5:08 PM EST This thread is flagged This thread is pinned

Many IT systems implementations applies lots of other techniques and components but to get better and more efficient use of both resources and time and also a higher rate of success, they cannot forget the most critical part which is the human factor. All IT projects, more specifically billing systems, include individuals with issues, needs, time constraints, and desires, all of which need to be addressed if successful implementation of the system is to be achieved. The human factor can contribute the most, if not all, to the reasons why a billing system cannot be successfully implemented without us. Human factors comes in to play when entering the patient or person information to ensure the bill is associated with the correct patient. More importantly the user would have to be trained on the system. Without proper training this could result in patients being billed for incorrect things or some not being billed at all.

The other important aspect of the human factor influencing the successful implementation of a billing system is having a proper prepared schedule for user training which would help mitigate risks. It is necessary that eventual users have basic knowledge of how the system works as early as possible in order to ease the implementation process. The user should have enough knowledge of the routine tasks involved in the handling of the billing system. From previous system implementations, it’s been ascertained that it is better to perform basic training through the use of prototype solutions at the start of implementation, in order to acquire basic skills of using the system. On complete delivery of the solution, advanced training needs to be carried out in order for the end user to get all required skills for routine work with the system (Michalek, 2011).

 

Reference

Michalek, D. (2011). Integration of Software Support tools and Human Factors. Prentice Hall.

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Pil Kim

Thu at 7:25 AM

Hey Deidra, Great posting, I agree with you on all users using the billing system should be proper train with the system before they operate the system. for example the Army has a system that they could earn some promotion points by taking the class on new system they are working on. Maybe the company should do something similar to solve those problem.

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Erica Martell

Thu at 8:55 AM

Deidra,

I agree that human factor contributes a lot of consideration when implementing an IT system. Human role in the system needs to be a major factor to make sure that it is user friendly and accessible by multiple levels of users. I think through training will allow a decrease in human error.

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Heather Haller Thu at 9:03 PM

Hi Deidra,

Great post! I agree with you that individuals must be properly trained on the use of systems, If a person had a basic understanding coming into the training, they will be better to understand the new process as well.

Heather

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Erica Melendez

Thu at 10:04 PM

Great Post Deidra,

     I think that another area for potential human error is employees not keeping up with Continuing Education-billing staff without current education can miss items that may be billable now, may not be, may need different modifiers, etc.  Also, staff need to take time and review the visit notes against the physician's codes to be sure that providers get the best reimbursement and quickest turn around time on receivables(HCPro). 

Erica M.

Top billing mistakes changing with healthcare. (2014). Managed Care Contracting & Reimbursement Advisor, 11(9), 1-4 4p.

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Bassa Cisse

Fri at 12:51 PM

Great point, hospitals and other health organizations need to get paid for the service they rendered to patients. The last thing you need is missed out on a bill or enter it inappropriately in which case the insurance companies will not pay the provider. That's why it is imperative to get certified coders and keep up on the training so they can be up to date.

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