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Difference between revisions of "Payment FHIR Resource Proposal"

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=Payment=
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=FinancialTransaction=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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This resource provides the ability to accurately track the different payments toward balances and how they apply to the account. ChargeItems (can) result in an increase in the balance on an Account.  We now need a method to pay down that balance (i.e. post payments). The existing PaymentNotice and PaymentReconciliation resource are specific to adjudicated cliam payments and do not encompass self pay payments.  
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This resource provides the ability to accurately track the different payment and adjustment transactions toward balances on an account.
  
 
==RIM scope==
 
==RIM scope==
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Tracking financial information is vital in Patient Accounting and Patient Administration systems in many Healthcare Organizations. This resource provides the ability to accurately track the different payments toward balances and how they apply to the account. ChargeItems (can) result in an increase in the balance on an Account.  We now need a method to pay down that balance (i.e. post payments).
+
Tracking financial information is vital in Patient Accounting and Patient Administration systems in many Healthcare Organizations. This resource provides the ability to accurately track the different payments and adjustments toward balances on the account. ChargeItems (can) result in an increase in the balance on an Account.  We now need a method to pay down that balance (i.e. post payments).
  
 
==Expected implementations==
 
==Expected implementations==
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<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
  
- Any solution that tracks financial accounting, payment, and billing information
+
* Any solution that tracks financial accounting, payment, and billing information
- Patient apps that support self-pay payments
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* Patient apps that support self-pay payments
- Patient apps that show how a current balance was calculated
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* Patient apps that show how a current balance was calculated
- Interested parties: GE, Cerner, payment processors, healthcare providers, healthcare systems.
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* Interested parties: Cerner, payment processors, healthcare providers, healthcare systems.
  
 
==Content sources==
 
==Content sources==
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<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
  
Patient online bill pay workflows.
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*Patient online bill pay payments
 
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*Point of service payments for co-pays
Point of service payment and back office collections workflows.
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*Back office collection payments over the phone or mail
 +
*Lockbox payments
  
 
==Resource Relationships==
 
==Resource Relationships==
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Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
  -->
 
  -->
 +
 +
Reference to:
 +
*Account
 +
*Encounter
 +
*ChargeItem
 +
*Claim
 +
*Patient|Group|RelatedPerson (subject)
 +
 +
Referenced by:
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*Payment
  
 
==Resource Boundaries==
 
==Resource Boundaries==

Revision as of 15:33, 25 April 2019



FinancialTransaction

Owning work group name

Financial Management

Committee Approval Date:

PA Approval on 10/24/2018 Riki Merrick/Kathleen Connor:4-0-0

Contributing or Reviewing Work Groups

Patient Administration

FHIR Resource Development Project Insight ID

994

Scope of coverage

This resource provides the ability to accurately track the different payment and adjustment transactions toward balances on an account.

RIM scope

Resource appropriateness

Tracking financial information is vital in Patient Accounting and Patient Administration systems in many Healthcare Organizations. This resource provides the ability to accurately track the different payments and adjustments toward balances on the account. ChargeItems (can) result in an increase in the balance on an Account. We now need a method to pay down that balance (i.e. post payments).

Expected implementations

  • Any solution that tracks financial accounting, payment, and billing information
  • Patient apps that support self-pay payments
  • Patient apps that show how a current balance was calculated
  • Interested parties: Cerner, payment processors, healthcare providers, healthcare systems.

Content sources

Existing normative V3 and V2 specifications

Example Scenarios

  • Patient online bill pay payments
  • Point of service payments for co-pays
  • Back office collection payments over the phone or mail
  • Lockbox payments

Resource Relationships

Reference to:

  • Account
  • Encounter
  • ChargeItem
  • Claim
  • Patient|Group|RelatedPerson (subject)

Referenced by:

  • Payment

Resource Boundaries

Timelines

gForge Users

When Resource Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org

FMG Notes