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HIPAA Transactions: Authorization Management

An Oncology Center situated in the United States of America.
The Task
Our client, an Oncology Center wanted a solution that would enable them to communicate with an existing Practice management Application to further process patient details to enable calculations of drug dosages maintain records and process this data right to the final submission of the preauthorization forms to the IPA’s and Groups.
The Solution
Binary Spectrum’s solution was to migrate, the patient’s details from the Practise Management Software and allow the encounter to be recorded on their implementation. This enabled the calculation of the BSA (body surface area) values to generate the dosages for the drug administration. CPT and Diagnosis management was also made available. By importing data from a mixture of sources Binary spectrum implemented faxing of form for each individual IPA in its own distinctive format. Another additional feature that was implemented was the tickler which tracked the Authorization status.
The Result
Binary Spectrum generated a user friendly interface that would allow the capture of the patients vitals to be done by the not so technology savvy Nursing staff and then enable the authorization department fill out details of the treatment which would automatically pre populate the authorization form of each these groups in their own unique format. These could then be faxed to the Groups at the press of button. A tickler feature was provided which enabled the authorizations to be tracked and the client could have the system send them email notifications on the status of these authorizations on a daily basis
CPT and Diagnosis management
Drug and Drug Administration
Manage Protocols for different types of cancer
Internal messaging, Alerts and approval system
Patient and provider details migration from PMS applications
Capture Encounter Vitals
Drug Regimen
Authorization Request by Fax and HIPAA 270
Authorization Response by Fax and HIPAA 271
Technologies and Standards
TCP/IP protocols
Crystal Reports ss
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