The healthcare industry or hospital are treating patients and saving lives of millions but at the same time.They also need to check whether their own systems, processes, and policies are healthy or not means financially healthy.And it's very important for the healthcare industry to remain financially healthy and this is where the healthcare revenue cycle management plays a critical role.The healthcare auditing in UAE states that healthcare revenue cycle management is a financial process which involves the payments, claim processing.
2. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
INTRODUCTION
The healthcare industry or hospital are treating patients and saving lives of millions
but at the same time.
They also need to check whether their own systems, processes, and policies are
healthy or not means financially healthy.
Because everything is interconnected, delay or problem in one system will lead the
repercussions in other.
And it's very important for the healthcare industry to remain financially healthy and
this is where the healthcare revenue cycle management plays a critical role.
3. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
The healthcare auditing in UAE states that healthcare revenue cycle management
is a financial process which involves the payments, claim processing.
And revenue generation managing associated clinical and administrative functions.
The process of healthcare revenue cycle in UAE encompasses identification,
collection, and management of service revenue, which is incurred from the
patients.
It is the key financial process, without which hospitals can't run their collective
operations to treat patients.
CONTINUES..
4. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
TYPES OF QUALITY AUDITS
5. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
BENEFITS OF AUDITS
6. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
ENSURING RCM WITH HEALTHCARE AUDIT SYSTEM
The Healthcare audit is a process validates the processes & systems are running as
per the defined guidelines and the industry standards.
The auditing healthcare industry is significant from the fact that it helps the
healthcare units and hospitals.
They are going in the right direction as per the guidelines, policies, plans, a goal of
the organization, and importantly in compliance with legal rules & regulations too.
7. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
HEALTHCARE RCM SERVICES
8. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
PROCESS OF HEALTHCARE AUDIT SYSTEM
9. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
TYPES OF AUDIT SYSTEMS
1. Random Audit
• HealthCare Audit helps the hospitals and organizations to improve the overall
revenue systems by eliminating the risks if any.
• The experts from Revenue Cycle Management Companies in Abu Dhabi and
specialists of Healthcare Auditing in UAE.
• And first thoroughly assess the organization processes and then recommend the
type of audit need to be done or applicable for the hospital or healthcare unit.
10. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
• Samples are taken to be reviewed and audited in an unsystematic way, the kinds
of samples include some cases with the large or small amount of money.
• The auditing focus more on the amount of money spent or received on different
claims.
• The healthcare auditors review in a closer way rather than the random way.
CONTINUES..
11. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
CONTINUES..
2. Comprehensive Audit
• This type of audit, claims already audited are being given closer look. This is
basically is an audit of internal audit by professionals.
• And this approach of auditing doesn’t take samples randomly, but it focuses on
claims that are audited before but in a closer way.
• samples of the comprehensive audit are chosen by two different ways, electronic
and manual.
• The organization looking for a refund of its spent money, they usually trust this way
compared to the random auditing approach.
12. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
CONTINUES..
3. Hybrid Audit
• It is a mix of random and comprehensive audit, and usually gives more clear &
accurate results.
• Healthcare Revenue Cycle in UAE majorly follows this audit system only.
• They take samples randomly and others in a comprehensive way.
• This kind of audit is usually more accurate and it comes to audit different cases and
claims and eventually results in accurate statistics to be used.
13. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
4. Quality Improvement Audit
• It is an ongoing process audit, which ensures the quality of the internal processes
and systems and works towards continuously improving them.
• This get results that will improve the patient’s treatment and decrease the
financial costs and health providers to give more quality and decrease the money
spent on treatments.
• This is because the healthcare auditing is focusing on giving more quality and
improvements to both, the patient and the hospitals.
CONTINUES..
14. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
CONCLUSION
HealthCare Audit as we said is an integral & essential for both, the hospital and
the patient.
It provides the insights to the existing processes and instructions for the future.
It not only helps you to remain financially healthy but at the same time also
creates a credibility & reliability among your customer, when they feel they are not
being cheated.
Experts from the healthcare auditing in UAE refer healthcare audit as an integral
aspect from the functionality perspective.
15. Company Confidential. Copyright @ 2018 www.aecmc.com
INTRODUCTION
Moles are growths on the skin that are usually brown or black.
The moles can appear anywhere on the skin, alone or in groups.
Most moles appear in early childhood and during the first 25 years of a person's
life. It is normal to have between 10-40 moles by adulthood.
The years pass, moles usually change slowly, becoming raised and/or changing
color.
Some moles may not change at all, while others may slowly disappear over time.
Company Confidential. Copyright @ 2018 www.fasttrackclaimsinc.com
Thank You
contact@ftc.claims
Fast Track Claims Management Consultancy
Abu Dhabi, U.A.E