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SAFE MOLE REMOVAL IN ABU DHABIA HEALTH CARE AUDIT SYSTEM
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.
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..
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
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
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.
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
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
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.
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..
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.
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.
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..
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.
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

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A HEALTH CARE AUDIT SYSTEM

  • 1. SAFE MOLE REMOVAL IN ABU DHABIA HEALTH CARE AUDIT SYSTEM
  • 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