Part One

You demonstrate a subset data file, entitled (below) that has incomplete information in the Primary Payer field. Therefore, it cannot be used to research Payer Mix, which is needed for an upcoming integration of clinic data for a merger at LiveWell.

Insurance Coverage

1. The Primary Payer field entry Guar - Pers is a default field that is not valid.
2. All other listed insurance field entries are valid insurance types.
3. You provide the Procedure for Entry of Insurance (Primary Payer) Field below.
4. For the interactive portion of your demonstration, you will modify the procedure to show how to ensure data integrity on the insurance field going forward.
5. To demonstrate the procedural changes needed, you review Step 2 in the Live Well Procedure for Entry of Insurance Field and perform the following:
6. Identify a row by number/letter from the procedure that is incomplete and needs improvement.
7. Record replacement procedure lines so that the insurance field procedure is complete and will enhance training material for improved data integrity in the Financial Database.

LiveWell Healthcare

PNum: RC786pa

Procedure for Entry of Insurance Field

Purpose: The purpose of this tool is to provide clear instruction on the entry of the insurance field during the electronic registration process. The insurance field is incredibly important to LiveWell as it directs the billing process and the billing process secures payment and income for LiveWell.

Instructions:

1. The insurance field is collected each time is registered by a patient access staff member. This includes outpatient, inpatient, emergency, daycare surgery, rehabilitation services, home care and hospice patients.

2. Steps

a. Kindly explain the purpose of the insurance card. It is important for the patient to understand that LiveWell handles all the billing needed for the service provided and that you are simply doing the job you are trained for in Patient Access.

b. The patient's insurance card is required.

c. Locate the insurance type on the card.

d. Tab to the insurance field on the registration screen. Pers-Guar is the default value in this field.

e. Enter a valid insurance type.

f. Press F6 to save. Continue with the registration process.