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Difference between revisions of "Adminstrative Management Domain Analysis Model"

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== Introduction ==
 
The Administrative Management Domain Analysis Model is a joint project of the [[Financial_Management_Committee | Financial Management]], Patient Administration and Personnel Management Technical Committees.  The links on this page are for artifacts being developed as part of this project.
 
The Administrative Management Domain Analysis Model is a joint project of the [[Financial_Management_Committee | Financial Management]], Patient Administration and Personnel Management Technical Committees.  The links on this page are for artifacts being developed as part of this project.
  
<ul>
+
== Collaborative Storyboard ==
<li>Collaborative Storyboard</li>
+
[[AMDO_ST000001 Total Hip Replacement]]
  <ul>
+
 
    <li>[[AMDO_ST000001 Total Hip Replacement]]</li>
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==FM Account & Billing Domain==
  </ul>
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===Patient Billing Account Topic===
</ul>
 
<br>
 
<ul>
 
<li>Business Processes (Identified in the Collaborative Storyboard)</li>
 
  <ul>
 
    <li>FM Account & Billing Domain</li>
 
        <ul>
 
            <li>Patient Billing Account Topic</li>
 
 
  [[Close Patient Billing Account]]   
 
  [[Close Patient Billing Account]]   
 
  [[Create Patient Billing Account]]   
 
  [[Create Patient Billing Account]]   
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  [[Merge Patient Billing Account]]   
 
  [[Merge Patient Billing Account]]   
 
  [[Update Patient Billing Account]]
 
  [[Update Patient Billing Account]]
            <li>Patient Billing Post Topic</li>
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===Patient Billing Post Topic===
 
  [[Post Financial Transaction Notification]]
 
  [[Post Financial Transaction Notification]]
        </ul> 
 
  </ul>
 
</ul>
 
 
    
 
    
 +
==FM Financial Coverage Domain==
 +
===Eligibility Determination Topic===
 +
[[Premium Assistance DAM | Premium Assistance]]
  
** '''FM Financial Coverage Domain'''
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===Healthcare Coverage Enrollment Topic===
*** Eligibility Determination Topic
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===Eligibility Verification Topic===  
*** Healthcare Coverage Enrollment Topic  
+
===Policy or Program Contract Topic===
*** Eligibility Verification Topic   
+
===Healthcare Explanation of Benefit Topic===
*** Policy or Program Contract Topic  
+
===Healthcare Certificate Of Creditable Coverage Topic===
*** Healthcare Explanation of Benefit Topic  
+
===Continuation of Coverage Topic===
*** Healthcare Certificate Of Creditable Coverage Topic  
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===Covered Parties Topic===
*** Continuation of Coverage Topic  
+
===Adverse Determination Appeal Topic===
*** Covered Parties Topic  
 
*** Adverse Determination Appeal Topic  
 
 
   
 
   
 
** '''FM Claims & Reimbursement Domain'''
 
** '''FM Claims & Reimbursement Domain'''

Latest revision as of 21:12, 10 May 2006

Introduction

The Administrative Management Domain Analysis Model is a joint project of the Financial Management, Patient Administration and Personnel Management Technical Committees. The links on this page are for artifacts being developed as part of this project.

Collaborative Storyboard

AMDO_ST000001 Total Hip Replacement

FM Account & Billing Domain

Patient Billing Account Topic

Close Patient Billing Account   
Create Patient Billing Account   
Delete Patient Billing Account   
Merge Patient Billing Account   
Update Patient Billing Account

Patient Billing Post Topic

Post Financial Transaction Notification
 

FM Financial Coverage Domain

Eligibility Determination Topic

 Premium Assistance

Healthcare Coverage Enrollment Topic

Eligibility Verification Topic

Policy or Program Contract Topic

Healthcare Explanation of Benefit Topic

Healthcare Certificate Of Creditable Coverage Topic

Continuation of Coverage Topic

Covered Parties Topic

Adverse Determination Appeal Topic

    • FM Claims & Reimbursement Domain
      • Eligibility Topic
      • Authorization Topic
      • Coverage Extension Topic
      • Pre-Determination Topic
      • Invoice Topic
      • Payment Advice Topic
      • SOFA Topic
      • Poll Topic
    • Patient Administration Domain
      • Person Topic
      • PatientLivingSubject Topic
    • Personnel Management Domain
      • Human Resource Topic
      • Regulatory Topic
      • Provider Registry Topic
      • Organization Registry Topic
    • Scheduling Domain
      • Appointment Topic