Our operating room has coders on site that do coding in real time. The surgeons go to a coding office after the operation and code the procedure with help from the coders. That still does not guarantee that we get the code. Our department of anesthesia is now insisting that *we* have coders on site.
All of which, I fear, has very little to do with the program. What does have to do with the program is that I sit on a committee whose chair sits on the X11 or whatever committee. And, I am very interested in billing software. So I would be happy to help in any way I could.
John
P.S. Incidentally, coding and bill production for anesthesia billing has been aggressively "off-shored". Billing for the largest anesthesia group in the North East is done in Bangladesh. Now, this is interesting, because I assure you that whatever diffidence exists in the US about open source, it doesn't exist in other countries. I believe, for example, that the Chinese government is sponsoring a Chinese Linux. Perhaps, FreeB should start extending tentacles to India and China right now.
On Jan 22, 2004, at 10:13 PM, Fred Trotter wrote:
This are all good things, but I can tell you now that we need something yesterday. So we are going to try an old open source trick.
Make the first version work Make the second version work well
We need something that we can use to A. Test strange medical billing cases B. Be replicated to test load C. Import easily in the different projects.
Any thing more than that will have to wait, or be contributed...
Wasnt there some discussion about how anesthesia presented some strange billing environments?
-FT
On Thu, 2004-01-22 at 20:29, [EMAIL PROTECTED] wrote:Hi Adrian,
Seems like a requirements document of some sort should be put together
to cover EMR/EHR testing.
That suggestion arises from a background in Fault Tolerant/Highly
Available systems and networks.
In short, any suggestion/need to take the system out of operation or
degrade ongoing operations is
definitely forbidden It can be done, but quickly, if the system crashes).
This requires integrating testability into the design in such a way that
test-oriented operations are a
subset on 'normal' operations and the objective is to verify
hardware/software/application operability.
This is not a far stretch. Next time you use the ATM machine remember
that these problems were
solved some time ago.
I'll look in the archives to see if some thoughts can be assembled.
In parallel it would be nice to find out what Health Services are doing
and what requirements they
apply.
Regards!
-Thomas Clark
Adrian Midgley wrote:
On Wednesday 21 January 2004 05:03, Fred Trotter wrote:
What Walt and I were talking about was the need for a standard set of
test data for FreeB.
It would be nice if a national health service or organisation of similar size
could be persuaded to make a set of test data available - I know of one that
has such a set which is used for compliance testing some record systems.
I think the area of testing and certification are interesting and important,
and I think it is time regulatory bodies showed an interest, by offering what
help they can. Maybe talk to your national ones?
-- Fred Trotter <[EMAIL PROTECTED]> SynSeer
