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Nursing
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Nursing
The improvement in health care delivery since the introduction of management
information systems has been directed towards telehealth. Through telehealth leverages data
mining and analytics, healthcare providers can streamline tasks such as eligibility and
benefits verification, preauthorization, medical necessity, and billing and collections, thereby
shortening the payment cycle and improving patient satisfaction. Data mining and
management information systems support a comprehensive pharmacy revenue cycle solution
that helps providers better manage the entire patient continuum from registration through
recovery (Tracy and O’Grady, 2019). Patient portals enable providers, payers, and labs to
share patient information conveniently, but portals also introduce security vulnerabilities.
Therefore, to ensure cybersecurity in patient portals, information systems service providers
increasingly adopt security technologies and information-processors similar to those of credit
and financial institutions to protect patient information.
Medical facilities are leveraging data mining to improve healthcare delivery.
Healthcare providers can streamline tasks such as eligibility and benefits verification,
preauthorization, medical necessity, and billing and collections, thereby shortening the
payment cycle and improving patient satisfaction; a comprehensive pharmacy revenue cycle
solution can help providers better manage the entire patient continuum from registration
through recovery. Buppert (2018) affirms that integrated patient and payment RCM systems
can give providers greater control over their revenue processes. Besides, integrating the
process with data and analytics in more powerful ways will help the hospital staff reduce the
time spent in data-entry tasks and increase the time spent delivering patient care.
Data mining through automated information systems such as the Computerized
Provider Order Entry (CPOE) incorporated with decision-support would effectively eliminate
inappropriate medication errors. It is designed to reduce the alert burden by concentrating on
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clinically-relevant warnings. Furthermore, make effective the in-house medical billing
([Link], 2018). For example, one way to do so is by considering designing a
communication plan that will facilitate direct communication amongst physicians and the
health information management (HIM) department representatives, and the professionals'
involved in billing and coding processes.
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References
Buppert, C. (2018). Nurse Practitioner's Business Practice and Legal Guide (6th ed.). Chapter
15 Chapter 8 (pages 304-309)
Chapters 23 & 24 [Link]. (2018). Health information technology integration
([Link]
[Link]%C2%A0%C2%A0). [Link]
chroniccare/improve/health-it/[Link]
Tracy, M., and O’Grady, E. (2019). Hamric and Hanson’s Advanced Practice Nursing: An
Integrative Approach. (6th ed.).