Adminstrative Management Domain Analysis Model

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

• Business Processes (Identified in the Collaborative Storyboard)
  • 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
    • 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

• • • • Verify Eligibility <Link to Verify Eligibility page>
  • Patient Administration Domain
    • Patient Registry Topic
      • Register Patient
  • Personnel Management Domain
    • Provider Registry Topic
      • Link to page