Healthcare UCAF Checklist for Insurance Companies
6
Insurance Department Simple Billing Checklist By Ghulam Abbas ([email protected]) For Credit Invoices
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UCAF pre-audit, check list for insurance auditors and there would be required further checklist for medical auditors to review each case and share discrepancy among the relevant's doctors (this would be done via online ERP master implementation modules) How many errors done by one doctor in specific period/ company etc
Transcript of Healthcare UCAF Checklist for Insurance Companies
Insurance Department
Simple Billing Checklist
By Ghulam Abbas ([email protected])
For Credit Invoices
Dr. Noor Mohammed Khan General Hospital & Polyclinic
Patient Eligibility
Yes, am Eligible
First Step
If not, Sorry you have to pay Cash Please
Front Office
An alert will forward to billing section (Patient Visited)
Dr. Noor Mohammed Khan General Hospital & Polyclinic
UCAF along with Visit Invoice automatically Printed from Software
Collect Patient ID Card (Copy)
Patient Signature on UCAF
Approval if required / Referral documents
2nd Step
after selecting Doctor’s Name
Sign & Stamp by Treating Physician on UCAF
Diagnosis (readable) must be written on UCAF
INFO SAVED
Dr. Noor Mohammed Khan General Hospital & Polyclinic
3rd StepCheck all investigations & Supporting documents
LAB X-Ray Medications Other Services
Printout
Invoices against all services done for a episodeResults from Lab and Xray department Medications dispensedApproval if limit exceed / required
Done Done Done N-Done
Dr. Noor Mohammed Khan General Hospital & Polyclinic
4th StepArrange all documents (Manually or by managing software)
Review Mandatory Fields
Patient ID Cards enclosed
Diagnosis readable (If manually)
Diagnosis matching with treatment
Patient and Dr Sign available on UCAF
Dr. Noor Mohammed Khan General Hospital & Polyclinic
Needful DoneAll supporting documents would be enclosed with summary & Ledger Report)
MIS developed by: Ghulam Abbas
