On-line Medicaid billing system for physicians' services

✍ Scribed by Emmanuel Mesel; David D. Wirtschafter

• Book ID: 103051119
• Publisher: Elsevier Science
• Year: 1975
• Tongue: English
• Weight: 831 KB
• Volume: 8
• Category: Article
• ISSN: 0010-4809
• DOI: 10.1016/0010-4809(75)90052-x

✦ Synopsis

An on-line Medicaid billing system for physicians' services was implemented and tested during a 23 yr period in 100 offices throughout the state of Alabama. Participating physicians represented 17 % of all physicians in the state. Users entered data on standard Touch Tone (R) telephones equipped with card-dialers and received instructions and data confirmation from the central computer facility via voice answer-back. Input time for the average claim billing for two separate services was less than l+ min and resulted in a reduction of labor required for manual input by at least 50%. Editing of data at the source completely eliminated transmission of claims with erroneous patient identification numbers and also reduced errors in encoding procedures and diagnoses to an insignificant level, PERSPECTIVE