Design And Implementation Of An Online Medical Billing System
(A Case Study Of Penults Hospital Enugu State)
An Online Medical Billing System refers to a digital platform designed to streamline and automate the intricate processes involved in medical billing and financial transactions within the healthcare industry. This sophisticated system incorporates a seamless integration of electronic health records (EHRs), coding, and billing functionalities, allowing healthcare providers to efficiently manage and submit claims for reimbursement. By leveraging cutting-edge technology, such a system optimizes the accuracy and speed of billing processes, reducing errors and ensuring compliance with intricate healthcare regulations. The integration of secure payment gateways facilitates the prompt settlement of invoices, enhancing financial efficiency for healthcare facilities. Additionally, the system aids in tracking patient information, diagnoses, and treatments, fostering an organized and efficient approach to medical billing. In essence, the Online Medical Billing System emerges as an indispensable tool, enhancing the financial management and operational efficiency of healthcare providers in today’s dynamic healthcare landscape.
This project contains a detailed analysis of the existing manual-based billing system of a Hospital of the penults Hospital Trans-Ekulu, Enugu State as a case study.
Base on the analysis, problem areas were identified and a computer based Medical billing system was designed and implement using the IBM compatible Micro-computer system, with colour monitor.
Title Page
Certification
Dedication
Acknowledgement
Abstract
1.0 CHAPTER ONE
1.1 Introduction
1.2 Statement of the problem
1.3 Purpose of the study
1.4 Aim and Objectives
1.5 Scope
1.6 Limitations
2.0 CHAPTER TWO
2.1 Literature Review
3.0 CHAPTER THREE
3.1 Description and analysis of the existing system
3.2 Fact finding method used
3.3 Organizational structure
3.4 Objective of the existing system
3.5 Input, Process, Output analysis
3.6 Information flow diagram
3.7 Problem of the existing system
3.8 Justification of the new existing system
4.0 CHAPTER FOUR
4.1 Design of the new system
4.2 Output specification and design
4.3 Input specification design
4.4 File design
4.5 Procedure chart
4.6 System flow chart
4.7 System requirement
5.0 CHAPTER FIVE
5.1 Implementation
5.2 Program design
5.3 Program flow chart
5.4 Source program
5.5 Test run
6.0 CHAPTER SIX
6.1 Documentation
7.0 CHAPTER SEVEN
7.1 Recommendation and conclusion
7.2 Reference
INTRODUCTION
Hospital is responsible for the supply of drugs to various inhabitants in zone at specific drug rates. Form the inception of the hospital, billing has been manually processed.
The manual system employed is not very efficient, a lot of paper work has to be done, receipt, irrespective of patients, take a long period of time to prepare. Due to the volummous number of drugs users, record of patients which serve as information for preparing managerial decision are very difficult to locate manually.
Therefore because of the problem and error arising from such a system, the computer based billing system because very invaluable.
1.2 THE BENEFIT OF THIS WORK
A. To assist medical organization to maintain concise patients monitoring. This project is designed to overview how computer can be use to operation in hospital set-up system. Consequence, this can also serve as aid for computer efficiency designed to carry out administrative job.
B. In the event of hug investment the risk at least will be reduced, this means that when the hospital spends a hug capital to carry out some project, that they will recover the capital with minimum risk.
1.3 STATEMENT OF THE PROBLEM
By account of history, medical billing has been plague by several factors based on the current manual process:
– File and record are not properly kept.
– Error are easily made and hardly detected.
– Information is not well maintained.
The sole aim of this project is to reduce un its entirely all these irregularities by the use of computer.
1.4 PURPOSE OF THE STUDY
To reduce stress, abnormalities, irregularities, time consumption and cost of operation involved or fund in various aspects of record control.
To raise the standard of computer to a greater height in the organization and also in the society
With the development of the internet if has made it possible to pay for medical alternation online just as it is possible to buy other goods and service online.
1.5 AIMS AND OBJECTIVE
This project aim primary at developing a computer-based medical billing system that will prepare bills for patients in an area. A computer-based system can be “batched” or “interactive” a batched processing system is one where transaction are collected and prepared for input for processing as a simple unit. There may be some delay between the occurrence original event and the eventual processing of the transactions. Interactive system are those which allow the user to input data in response to the information displayed on the screen
The project is concerned with only interactive system. The practical system used is the medical billing system.
The project however aims at the following:
– A faster means of billing a patient
– Reducing redundancies of files
– Generation of monthly billing transaction information
– Increasing billing efficiency
– A faster means of calculating revenue
1.6 SCOPE
The scope of this study, which is equally the domain or the problem area is particularly the case study of this research work “penults hospital Enugu” and it is to provide a program that will effectively handle the operations of a hospital billing system.
A program that will be interactive one, which means there will be at time/opportunities for operator to supply data to the computer
1.7 LIMITATION
Form the on set, everything seemed, to be good. But there is nothing with merit without demerits. Some of the constraints, which would have made me not to finish this work.
1. Financial help which I needed most to carry out this project work
2. Constant fluctuation of light, which almost made me to have hypertension.
3. Economic uncertainty in the country
Despite all this temptation, I thank God or giving me strength to overcome it all
SHARE PROJECT MATERIALS ON:
Online Medical Billing System:
An online medical billing system is a software platform designed to streamline and automate the process of medical billing and revenue cycle management for healthcare providers, such as hospitals, clinics, physicians, and medical billing companies. This system helps in managing patient billing information, insurance claims, and payments efficiently and accurately. Here are some key features and components typically found in an online medical billing system:
- Patient Information Management: The system stores and manages patient demographic data, insurance information, and contact details.
- Appointment Scheduling: Some systems include appointment scheduling and reminders to help with the coordination of patient visits and billing.
- Insurance Verification: It can verify patient insurance coverage, eligibility, and benefits to determine the patient’s financial responsibility.
- Claims Generation: The system generates and submits insurance claims electronically to insurance companies, reducing errors and accelerating reimbursement.
- Coding and Billing: It helps in assigning accurate medical codes (CPT, ICD-10) to services provided and generating bills accordingly.
- Electronic Health Records (EHR) Integration: Integration with EHR systems ensures seamless transfer of patient data, diagnosis codes, and treatment information to create accurate claims.
- Real-time Claim Status Tracking: Users can monitor the status of claims in real-time, allowing for quick resolution of claim rejections or denials.
- Billing Analytics and Reporting: Provides reporting and analytics tools to track revenue, outstanding balances, and billing trends.
- Payment Processing: Supports various payment methods, including credit/debit cards and electronic funds transfer (EFT), to facilitate payments from patients and insurance companies.
- Compliance and Security: Ensures compliance with healthcare regulations (e.g., HIPAA) and data security measures to protect patient information.
- Denial Management: Helps in identifying and resolving claim denials promptly to maximize revenue.
- Accounts Receivable (AR) Management: Tracks outstanding balances, manages collections, and generates aging reports.
- Patient Portals: Provides patients with online access to their billing statements, payment history, and the ability to make payments online.
- User Access Control: Ensures that only authorized personnel can access sensitive patient billing information.
- Audit Trails: Keeps detailed records of all actions and changes made within the system for accountability and auditing purposes.
- Integration with Payment Gateways: Allows for secure online payment processing.
- Mobile Accessibility: Some systems offer mobile apps or responsive web interfaces for on-the-go access.
Implementing an online medical billing system can improve efficiency, reduce errors, and accelerate the revenue cycle for healthcare providers. It also helps in reducing paperwork and improving the overall patient experience by providing transparent billing processes and convenient payment options. However, choosing the right system that aligns with the specific needs and scale of the healthcare organization is crucial for success