Posted: January 20th, 2015
“Business Problem-Solving Case”
have case from Chapter 1 pp.33-35. read the case study and answer the
questions at the end. narrative in paragraph/paper form.
paper that provides the answer along with insight into your thought process.
There is no need
for a title page of formal paper structures for this assignment but rather I
would like you to focus
on the content on your answers along with the justification.
M lg“. mt] _ r blltty become clearer.
talents a. :xo repoxt that the process ol being treated at The second problem is
that there is a potential conflict
llk .A l5 Ll lorl’lcss Compared to paper-based providers. of interest for the
insurance companies involved in the
That s because instant processing ot claims and creation of health record
systems. While most insurers
payments are among the benelits of EMR systems. are adamant that only doctors
and patients will be able
Insurance companies traditionally pay claims around to access data in these
systems, many prospective
two weeks alter receivmg them. despite quickly patients are skeptical. 1n 2009.
a poll conducted for
processing them soon alter they are received: National Public Radio found that
S9 percent of respon-
governinental regulations only require insurers to pay dents said they doubted
the confidentiality of online
claims Within l5 days of their receipt. Additionally. medical records: even if
the systems are secure, the
today’s paper-based health care providers must assign the perception of poor
privacy could affect the success of the
appropriate diagnostic codes and procedure codes to system and quality of care
provided. A poorly designed
claims. Because there are thousands of these codes. the EMR network would am lif
these concerns.
process is even slower, and most providers employ
someone solely [O perform this task. Electronic systems Sources: Steve
Lohr.“Secing Promise and Peril in Digital Records.” New York “mu.
July I7. 201 l; Russ Britt. “Digital Health Push Woes Tech firms. Pains Doctors.
hold the promise of immediate processing. or real-time Marmwamh‘ 1m no“; Mm“ “mm
Mm‘..wmc’m1 Maw“
claims adjudication” just like when you pay using a MeansBaiercnnicaiCami/“manna
waist” 2mi; US
En’ E i Mops iron’ humus. “Reports:
credit card. because claim data would be sent “(fomfir‘xmgfu April 26.
fifijmcd’fmn. mm M“
immediately and diagnosuc and Procedure COdC Records: Six
Bcsmaciices.”aormigm.an mzoiimotsinuqa-mecmic
information are automatically entered. mgrsfmmegmw dgrcfimm$mufimmmkmwmi
VistA is far from [he Onb’ OPUO“ for docmfs and rd Records: Tammy-Review. August
9. 2010; David nim’nnmwai some
he rocess of u tin their reco s. Yeoman Nawrrechnoiogy
34 Part l: lnformation Systems In the Dtglml Age
higher health care quality. Enter electronic medical record care providers in
two ways. l‘irsl. $3 billm” W1“ PmV’ldL‘d
l [‘MR’ Nyflcnis. ‘ up front to hospitals and
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