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
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 first.
Here we have multiple teams and each
team work on their dedicated tasks.It is
the parent comapny of Vivnovation.
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.
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:
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.
This can be extended as 485 RESERT.
The various types of documents which are confidential are shared with us based on
trust built with the clients.
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
PRIMARY CODE->Used for major problem of a patient.
SECONDARY CODE → Used for minor problems related to the major one
Name Billing Code Charges
SERT G0180 $70
RESERT G0179 $50
CPO G0181 $150
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 confidential. 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 confidentiality, security, and privacy of health
information while allowing healthcare systems to efficiently share data and improve the
quality of care.
In conclusion, the overview of various topics covered during the first day of training has
significantly 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 fits into the broader vision and how I can contribute to achieving those
goals.
