One of the goals in the healthcare system is achieving the high-value services for patients for benefit purposes and economic stability (Porter,2010) . Such services rendered must be accurately documented and filed to enhance reimbursement process. The three hospital departmental areas that are widely affected by reimbursement are; health information department, clinical services and patients accounts (Harringhton, 2015).
Health information management area forms the hub section of the hospital hierarchy in revenue collection and patient finance documentation. The medical records of the patients are soft-coded after reviewing the chart for accuracy (Cresswell, et,.al,2017). When ever unclear or inaccurate information is detected on the chart, the health information department is liable to hold the bill on the patient account. The process which takes two to three days is fundamental since it updates the patient charts by providing accurate information and reports. Failure to such, hospital facilities may be denied the claim as well as payment for services which negatively impacts the facility since it is the primary mode of revenue collection.
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Clinical service is the place where the health practitioner renders their services. Practitioners are responsible for annotating services provided, their names and the name of the patients. Insurance verification and registration procedures are also conducted for proper documentation. This department is crucial because any delay in patient information leads to loss of revenue. Moreover, patients might fail to pay due to inaccurate documentation for service offered.
Lastly is the patient account department which is responsible for gathering information and data for dissemination to enhance payment process. The master charge system ( Nation, 2015) compiles the bill and sends by electronic or mailed it to the recipient/insurance company for reimbursement purposes. This department is crucial since inaccurate documentation will lead to unnecessary delays in payment for the services rendered to the patient.
References
Cresswell, K. M., Mozaffar, H., Lee, L., Williams, R., & Sheikh, A. (2017). Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative
study of hospital electronic prescribing systems in England. BMJ Qual Saf , 26 (7), 530-541.
Harrington, M. K. (2015). Health Care Finance and the Mechanics of Insurance and Reimbursement . Jones & Bartlett Publishers.
Nation III, G. A. (2015). Hospital Chargemaster Insanity: Heeling the Healers. Pepp. L. Rev. , 43 , 745.
Porter, M. E. (2010). What is value in health care?. New England Journal of Medicine , 363 (26), 2477-2481.
