What industry? Medical, Automotive sales?
We're a Center for Independent Living. We provide some stuff that is
defined as "long-term care" services, and a lot of other stuff that is
loosely defined as "social services". Some stuff is billable to Medicaid;
some is not. But we aren't integrating billing for the most part. Worker
time sheets will be included.
2 years ago the company I worked for did a DocManagement system for a
medicare payment house. Mission was to identify all the miss coded to
incomplete documents, tally what was wrong and message them back as to why
they were not getting paid. This was for the SE Regional payment facility
in Nashville. Oh yeah it would also post transactions into the payable
system for quality paper submitted as well. :)
You can do A LOT with document systems if you want to.
We're not using this for work flow, just for archiving/backup purposes to
address "business continuity" issues.
We provide zillions of services under a bunch of different contracts, and
the same person can be served by different people under different
contracts. Everybody involved in serving the person has to be able to see
at least a subset of that person's paperwork and contribute to it.
We evaluate HIPAA requirements ourselves and do not necessarily subscribe
to the standard CYA approach that most consultants advise. There is a lot
of misinformation circulated out there about what you actually can and
cannot do under HIPAA (and there are also state-level regulations to
contend with on this point). We get the proper releases but, as is
permitted by HIPAA and New York State, sharing information internally as
needed to carry out critical functions is perfectly permissible and we do
it regularly.
In many many ways, our model does not correspond to the medical model and
we intend to keep it that way, so we are not likely ever to use software to
control how we handle information.
Ken Dibble
www.stic-cil.org
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