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   Reimbursement Overview (PDF)

 

 

Features:

Integrated
Handles Multiple Providers
Uses Rotation Schedules
Uses Real Time
Activity Specific
Location Specific
IME and GME Framework
Excludes Non-Accredited
Encompasses Leave
Ensures Accuracy


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Duty Hours Tracking
Reimbursement Reporting
Evaluations
Conference Tracking
Scheduling
Resident Management
Clinical Activity Tracking
Additional Features



The GME System facilitates a collaborative effort from multiple departments in the management of GME and the benefits are enormous. One of the key areas of ROI is reimbursement reporting. Transactional data captured in the day to day operations of GME is leveraged to produce accurate and timely reimbursement reports without necessitating concerted effort from reimbursement analysts.

Leverage data already captured by other departments to create and document reimbursement reports EASILY.

 

 
Integrated
Utilizes demographic and residency program data already collected
Handles Multiple Providers
Using location logic, reimbursement is specific to provider
Ensure that residents activities are not submitted more than once
Each provider creates specific reimbursement files from one database
Uses Rotational Schedules
Reimbursement reports can be created from rotational schedules
All rotational schedules are created electronically within The GME System
All data is up to date and accurate
Uses Real Time
Reimbursement reports can be run from actual time records as well
Flexible to run from either rotational schedules or real time
Activity and Location Specific
All scheduling and time data is specific to location and activity
Creates pinpoint accurate data and reimbursement reporting
IME and GME Framework
Complex reimbursement ratios defined with IME and GME factors
Rules can be defined by activity or specific to location
Excludes Non-Accredited
While non-accredited program data is captured, it is excluded
Other program specific reimbursement flags are utilized
IME only and cap IME at GME flags can be set
Encompasses Leave
Leave types can be defined as reimbursable or non-reimbursable
Ensures Accuracy
Programs are built with specific reimbursement rules
Activities and locations are built with specific reimbursement rules
Reimbursement reports are created with pinpoint accuracy
All supporting data is captured and retained
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Collaborative.  Informative.  Intelligent.