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Re: [Gnumed-devel] Introducing myself and questions on billing/accountin
From: |
Jim Busser |
Subject: |
Re: [Gnumed-devel] Introducing myself and questions on billing/accounting |
Date: |
Fri, 20 May 2011 08:16:21 -0700 |
On 2011-05-20, at 3:06 AM, Karsten Hilbert wrote:
> A billable item would be a template of sorts for a billed
> item.
When we are modelling tables
bill.billable_item
bill.billable_encounter_types
- is the prepended "bill" in each case a database, and
- must any one database be "owned" (with its permissions a property of) only
one schema
… in which case would the discussion to date propose / require distinct
databases thus
bill.billable_item <--- in LSMB
bill.billable_encounter_types <--- in GNUMed
(which might be confusing therefore better-named differently)
*************************
Second, on the proposal for GNUmed to keep a copy of some reference data
grabbed from LSMB "billable items", what is the extent of duplicating the data
structure an data itself? For example, let us say that in LSMB there is more
than
billable item description (Consultation)
billable item code (00010)
say
billable item shortname (Cons)
and even more… rules that concern limits, or discounts, or additional needed
data
max in year (6)
discount if this is a 2nd/3rd… service at same visit (50%)
billable item needs diagnostic code {CA:ICD9, BR:ICD10,DK:SNOMED) <---
guessing… I don't really know
if diagnostic code or procedure code pertains to a limb, need "R" for
right or "L" for left if english, else other letters
how much of this is supposed to get synced into a clonal GNUmed table, vs how
much we are going to *ignore* in the EMR and rely on the praxis to train the
doctor or the doctor to train themself to know their own local and
insurer-based billing requirements?
I am thinking that in the EMR, the billed_item might better contain *only*
minimal data of the sort LSMB may require with the further addition of only
- a few fields for sane administration (link to encounter; status; date
uploaded)
- possibly a comment_formatted field
The idea of comment_formatted being future-use so that whoever would write
smarter / customized plugins could "wizard" into this field and then allow the
user to complete whatever additional content will be required by the paying
agency, including support for the data specification.
-- Jim
- 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, 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
- 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,
Jim Busser <=
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/21
- Message not available
- Message not available
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- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Chris Travers, 2011/05/18
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/18
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19
- Message not available
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19