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Day1 Training Report

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Day1 Training Report

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© © All Rights Reserved
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You are on page 1/ 8

6-NOVEMBER-2024

TRAINING REPORT -DAY 1


Learning new

BY Nishtha Khosla

Table of Contents
Introduction about company Some Important Points

US Healthcare Summary Billing Sheets

Major Role of Company Hippa Compliance

Working of Health-care Homes Conclusion

ABOUT COMPANY-DOCTOR ALLIANCE


Founded in year 2013
DoctorAlliance is a rapidly growing company
dedicated to improving healthcare access
and outcomes for the elderly population in
the United States. With a team of over 35
experienced professionals, DoctorAlliance is
committed to serving the healthcare needs
of senior citizens, particularly those aged
60-70, within the U.S. healthcare sector.

DoctorAlliance was established with the goal


of closing gaps in healthcare delivery. It
serves 3.5 million seniors and offers
customized solutions that put customers'
health, convenience, and well-being frst.

Here we have multiple teams and each


team work on their dedicated tasks.It is the
parent comapny of Vivnovation.

US HEALTHCARE SUMMARY

The U.S. healthcare system is a complex blend of public and private services, designed to cater
to the diverse needs of its population. A key feature of this system is its two major government-
funded programs: Medicare and Medicaid.
Medicare-65 years and old

Affordable Care
Health Insurance Reforms for
Act Consumers
(ACA)
Medicaid-Low Income Indviduals

MAJOR ROLE OF COMPANY


Physician Healthcare Homes

Doctor Alliance
(Intermediate)

Doctor Alliance acts aa an intermediate between the physician and healthcare homes
saving the time for both physicians and healthcare homes.Some of the services
provided are:
> Review

> Monitor

> Update

> Report

WORKING OF HEALTH CARE HOMES

Healthcare Homes provide a plan of care for 60 days known as an Episode.Healthcare Home
creates a form known as 485-SERT from one espisode and it is shared with us.During this time,the
physician must visit the patient 90 days before SOC and 30 days after SOC.

485 SERT

Start of care (SOC)- FROM & TO DATE-


DATE OF BEING ADMITTED START AND END DATE

This can be extended as 485 RESERT.


485 RESERT

In case the plan of care needs to


be extended then the form created
for second episode is called 485
Resert.The SOC remains same but
from an to date differs according
to resert date

SOME IMPORTANT POINTS

The various types of documents which are confdential are shared with us based on trust built with
the clients.
TYPES OF DOCUMENTS:-

485 Sert /485 Resert

Orders

OT/PT

Face to Face (FTF)

In case of 485 sert and 485 resert forms we have multiple coloumns.Some of them are:-

SOC
To & From Date
DOB
Address
Phone number
Allergies
ICD Codes
History Problems

International Classification Of
Diseases

ICD CODES
PRIMARY CODE->Used for major problem of a patient.

SECONDARY CODE → Used for minor problems related to the major one
BILLING-SHEETS

Name Billing Code Charges

SERT G0180 $70

RESERT G0179 $50

CPO G0181 $150

HIPPA COMPLIANCE

HIPAA (the Health Insurance Portability and Accountability Act) is a U.S. federal law enacted in
1996 that governs the protection and privacy of patient health information. It sets standards for the
electronic transmission of health information and ensures that individuals' medical data is
securely handled and kept confdential. HIPAA compliance is essential for healthcare providers,
insurance companies, and organizations that handle protected health information (PHI).

The main goal of HIPAA is to ensure confdentiality, security, and privacy of health information
while allowing healthcare systems to efciently share data and improve the quality of care.
CONCLUSION

In conclusion, the overview of various topics covered during the frst day of training has signifcantly
helped me understand the inner workings of the company and its operations. The training provided
valuable insights into the company’s structure, objectives, and the key roles and responsibilities
within the team. By learning about the company's culture, core values, and long-term goals, I now
have a clearer sense of how my role fts into the broader vision and how I can contribute to
achieving those goals.

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