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Re: [Gnumed-devel] Introducing myself and questions on billing/accountin
From: |
Sebastian Hilbert |
Subject: |
Re: [Gnumed-devel] Introducing myself and questions on billing/accounting |
Date: |
Fri, 20 May 2011 13:40:05 +0200 |
User-agent: |
KMail/1.13.6 (Linux/2.6.38.4-23-desktop; KDE/4.6.0; i686; ; ) |
Am Freitag, 20. Mai 2011, 12:50:34 schrieb Karsten Hilbert:
> On Fri, May 20, 2011 at 08:18:54AM +0200, Hilbert, Sebastian wrote:
> > This could be the very first implementation. For that we have identified
> > that we currently lack a way to enter billables.
>
> And we don't plan to gain one this time around. Let ${LSMB}
> handle managment of billables. Let GNUmed sync that.
>
> We need a way to select items-to-bill from the billables list.
>
That is what I meant.
> > b) some sort of tagging /marking) medical data (procedures, diagnoses) in
> > the EMR as billable item so it will appear in said plugin before sending
> > off to LSMB
>
> Not in the first iteration or else I don't understand what
> you want to achieve with that.
>
I meant an input method for items to bill instead of billable.
> > To make this clear. Here in Germany I am not aware of any software that
> > could automatically detect billable items.
items to bill that is
> > These softwares need the
> > doctor to enter an abstract billing code which is connected to a certain
> > amount of money.
>
> I wish it was. It is only connected to an
> once-theoretically-agreed-upon-but-long-broken-promise-of-perhaps-to-be-pai
> d amount.
Yeah but that is of no concern here as the doctor has no control over the
amount anyway.
>
> > > - with some sane way to acquire clinical information as needed to
> > > support
> > >
> > > payment - EMR may push it
> >
> > In Germany this is implied by the textual representation of the billing
> > code one enters. In our scenario billable items (articles) in LSMB will
> > have item code (which for Germany could be identical to the billing
> > codes of the GOÄ coding system) and a textual representation.
> >
> > I am not aware that other clinical information will be needed for billing
> > (it might even be forbidden to have this information on an invoice)
>
> You need to put some sort of clinical hint on the bill so
> the patient easily identifies with his duty to pay.
> Typically, that's one or more diagnoses.
You do not.
http://www.derprivatpatient.de/fileadmin/alte_uploads/pdf/musterrechnung_01.pdf
It might just help the patient to decide to actually pay for it.
> There's an
> (unsolved) legal problem what happens when the insurance
> company learns of previous history of the patient when some
> older diagnosis ends up on the bill.
>
I am not sure any diagnosis is needed at all. Maybe this is different for each
insurance company.
Where I work patient sign consent forms that insurance companies may get
billing related diagnoses.
Sebastian
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, (continued)
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Chris Travers, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/21
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Chris Travers, 2011/05/21
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Chris Travers, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting,
Sebastian Hilbert <=
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/21
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, richard terry, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20