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Handheld Computers Help Physicians Eliminate Billing Delays

Written by Frank Yacano  [author's bio]  [read 24628 times]
Edited by Derek

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Automating Routine Tasks

Sher also created several macros in Access that automate housekeeping tasks both on his desktop database as well as on the handheld. One of these macros is used to update the tables that provide content for the drop down lists on the form. The desktop database contains tables of surgeon names, medical facilities, procedures, diagnoses, and other parameters. During synchronization, as new case records are downloaded from the handheld, the macro automatically updates the desktop database tables with the new data. The tables are then uploaded back to the handheld to update the list tables.

The macro procedure also scans through all records to eliminate duplicate entries. For example, if he worked with a new surgeon several times in one day, the macro picks the doctor's name once from the handheld records and adds it to the Physician table in the desktop database

A second macro periodically cleans out old case records from the desktop database and dumps them to an archives file. Matching records are also deleted from the handheld. The tables of physicians, facilities, procedures, and other parameters remain intact even though the records have been removed.

Sher also solved the problem of how to keep track of records that have not been billed, while avoiding duplicate billings. He created a field in his desktop database called "Billing Flag," which defaults to zero when a new case record is entered from the handheld billing application during synchronization. A third macro prints new billing forms from database records that have zeros in the Billing Flag. The macro then changes the flag to a 1 to mark the record as billed. On the next synchronization, these newly billed records are backwritten to the handheld so they are not billed again.

The solution is also much more flexible than working with paper forms. Drop down lists can be modified in seconds by simply updating the database table. In addition, the drag and drop functionality of the handheld application allows the easy creation of new fields to meet the needs of the billing company as well as the physician.

Maximizing Billing Efficiency

Sher recently presented the handheld application to his group of over 100 anesthesiologists. He reports that enthusiasm was very high, and his Pocket PC application is now being evaluated as a solution for the entire group.

The ultimate goal is to migrate the practice to a real time wireless billing solution using handheld devices. Another SYWARE product called mEnable allows real time interactive access to server databases from a handheld PC. Physicians will be able to tap in billing data from the operating room or any other convenient location, and the records will go directly to the billing company for immediate processing. As Sher points out, "Every day you save on billing is real money."

Related links: SYWARE's Visual CE.

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