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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.
  
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<ul>
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== Collaborative Storyboard ==
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<li>Collaborative Storyboard</li>
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[[AMDO_ST000001 Total Hip Replacement]]
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  <ul>
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    <li>[[AMDO_ST000001 Total Hip Replacement]]</li>
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==FM Account & Billing Domain==
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  </ul>
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===Patient Billing Account Topic===
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</ul>
 
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<br>
 
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<ul>
 
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<li>Business Processes (Identified in the Collaborative Storyboard)</li>
 
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  <ul>
 
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    <li>FM Account & Billing Domain</li>
 
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        <ul>
 
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            <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]]
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            <li>Patient Billing Post Topic</li>
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===Patient Billing Post Topic===
 
  [[Post Financial Transaction Notification]]
 
  [[Post Financial Transaction Notification]]
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        </ul> 
 
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  </ul>
 
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</ul>
 
 
    
 
    
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==FM Financial Coverage Domain==
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** '''FM Financial Coverage Domain'''
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===Eligibility Determination Topic===
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*** Eligibility Determination Topic
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===Healthcare Coverage Enrollment Topic===
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*** Healthcare Coverage Enrollment Topic  
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===Eligibility Verification Topic===  
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*** Eligibility Verification Topic   
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===Policy or Program Contract Topic===
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*** Policy or Program Contract Topic  
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===Healthcare Explanation of Benefit Topic===
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*** Healthcare Explanation of Benefit Topic  
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===Healthcare Certificate Of Creditable Coverage Topic===
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*** Healthcare Certificate Of Creditable Coverage Topic  
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===Continuation of Coverage Topic===
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*** Continuation of Coverage Topic  
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===Covered Parties Topic===
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*** Covered Parties Topic  
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===Adverse Determination Appeal Topic===
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*** Adverse Determination Appeal Topic  
 
 
   
 
   
 
** '''FM Claims & Reimbursement Domain'''
 
** '''FM Claims & Reimbursement Domain'''

Revision as of 18:51, 21 April 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

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
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