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    New Century Wellness Group Chapter 5

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    Ricardo Ferreira
    The document provides instructions to model an information system for a medical practice called New Century. It includes preparing: 1. A context diagram and level 0 data flow diagram (DFD) showing key processes like appointments, payments, reports and records. Lower level DFDs are also required. 2. A list of data stores and data flows, including required data elements for each store. 3. A data dictionary entry and process description for one functional primitive, such as making an appointment.

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    New Century Wellness Group Chapter 5

    Uploaded by

    Ricardo Ferreira
    6K views6 pages
    The document provides instructions to model an information system for a medical practice called New Century. It includes preparing: 1. A context diagram and level 0 data flow diagram (DFD) showing key processes like appointments, payments, reports and records. Lower level DFDs are also required. 2. A list of data stores and data flows, including required data elements for each store. 3. A data dictionary entry and process description for one functional primitive, such as making an appointment.

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    New Century Wellness Group Chapter 5

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    The document provides instructions to model an information system for a medical practice called New Century. It includes preparing: 1. A context diagram and level 0 data flow diagram (DFD) showing key processes like appointments, payments, reports and records. Lower level DFDs are also required. 2. A list of data stores and data flows, including required data elements for each store. 3. A data dictionary entry and process description for one functional primitive, such as making an appointment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    6K views6 pages

    New Century Wellness Group Chapter 5

    Uploaded by

    Ricardo Ferreira
    The document provides instructions to model an information system for a medical practice called New Century. It includes preparing: 1. A context diagram and level 0 data flow diagram (DFD) showing key processes like appointments, payments, reports and records. Lower level DFDs are also required. 2. A list of data stores and data flows, including required data elements for each store. 3. A data dictionary entry and process description for one functional primitive, such as making an appointment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6
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    The document describes various processes, data flows, and functional primitives related to managing an appointment scheduling and billing system for a medical office.

    Some of the main processes described include making appointments, completing appointments, modifying CPT codes and fees, processing payments from patients and insurance companies, and creating various reports and lists.

    Some of the data flows and stores mentioned include appointment data, patient data, CPT fee schedule, claims, charges, and payments. The data stores include registration data and drop-in data.

    1. Prepare a context diagram for New Centurys information system.

    2. Prepare a diagram 0 DFD for New Century. Be sure to show numbered processes for
    handling appointment processing, payment and insurance processing, report processing,
    and records maintenance. Also, prepare lower-level DFDs for each numbered process.
    3 - Prepare a list of data stores and data flows needed for the system. Under each data store, list
    the data elements required.
    The data flows are as follows:
    Bill
    Drop-in
    Hours
    Drop-in Report
    Fixed Fees
    Payment
    Payment Data
    Receipt
    Receipt Data
    Registration Data
    Report Data
    Reports
    Student Data
    Variable Monthly Fees
    The Data Stores are as follows:
    Drop-In Data
    Registration Data
    Data Elements for each data store are as follows: (Note that answers may vary here
    students should pick out all the data elements identified in Chapter 3 as existing, and
    should speak to new elements needed to create family bills.
    Drop-In Data
    Household Number
    Student Name
    Student Number
    Month
    Date of Attendance
    Block Attended
    Registration Data
    Household Number
    Student Number
    Student Name
    Monthly Fixed Fees
    Prepare a data dictionary entry and process description for one of the systems functional
    primitives.
    4 - Prepare a data dictionary entry and process description for one of the systems functional
    primitives.

    Data Dictionary

    The data flow diagram is used to represent the functional flow of the system. Though New
    Century system is very simple, there is no need of making a logical solution complex, a new
    principle can be created using decision table or decision tree. A complete listing of the functional
    activities consisting of input and output data flows, have been arranged.

    Sample documentation of the above four processes identified in the 0-level diagram are
    mentioned below:

    PROCESS MAKE APPOINTMENT


    PURPOSE: Schedules a patients appointment and services.
    INPUT DATA FLOWS: APPOINTMENT REQUEST
    PATIENT DATA
    CPT FEE SCHEDULE
    OUTPUT DATA FLOWS: SERVICE DATA

    APPT Data PROCESS DESCRIPTION:


    For each APPOINTMENT REQUEST from PATIENT
    Retrieve PATIENT NUMBER from PATIENTS Verify PATIENT NUMBER
    For each CPT CODE in APPOINTMENT REQUEST
    Retrieve CPT CODE from CPT FEE SCHEDULE
    Add/Change/Delete CPT CODE in SCHEDULED SERVICE DATA
    Add/Change/Delete PROVIDER NUMBER in SCHEDULED SERVICE DATA
    Add/Change/Delete APPOINTMENT NUMBER, APPOINTMENT DATE, START TIME,
    PATIENT NUMBER in SCHEDULED APPOINTMENT DATA

    APPT DATA PROCESS DESCRIPTION:


    For Each Appointment Number
    Retrieve Household Number from Patients
    Retrieve Employer Group Number from Households
    Retrieve Ins. Co. Number from Households
    For Each Appointment Number in Completed Appointment Data Retrieve Fee from Service
    Data
    Apply Charge to Households
    Apply Provider Charges to Providers
    Apply Last Exam to Patients
    Apply Fee to Mtd Charges
    Add Appointment Number, Appointment Date, Start Time, End Time, Patient Number in
    Completed Appointment Data
    Add Cpt Code, Provider Number, Fee in Completed Service Data
    Delete Appointment Number, Appointment Date, Start Time, End Time, Patient Number in
    Completed Appointment Data
    Delete Cpt Code, Provider Number in Scheduled Service Data Send Claim To Insurance
    Company

    PROCESS MODIFY CPT CODE


    PURPOSE: Add/Change/Delete an American Medical Association CPT code
    INPUT DATA FLOWS: CPT CODES
    OUTPUT DATA FLOWS: CPT CODES
    PROCESS DESCRIPTION:
    For each CPT CODE CHANGE from AMERICAN MEDICAL ASSOCIATION Apply CPT
    CODE to CPT FEE SCHEDULE

    COMPLETE APPOINTMENT
    PURPOSE: Processes an appointment that has been completed
    INPUT DATA FLOWS: EMPLOYER DATA
    PROVIDER DATA
    HOUSEHOLD DATA
    SERVICE DATA
    APPT DATA
    OUTPUT DATA FLOWS: CLAIM
    CHARGES
    PROVIDER CHARGES
    SERVICE CHARGE
    SERVICE DATA

    PROCESS MODIFY CPT FEE


    PURPOSE: Add/Change/Delete a CPT fee
    INPUT DATA FLOWS: FEE DATA
    OUTPUT DATA FLOWS: FEE DATA
    PROCESS DESCRIPTION:
    For each FEE CHANGE from PROVIDER
    Apply FEE to CPT FEE SCHEDULE
    OTHER FUNCTIONAL PRIMITIVE PROCESSES:

    PROCESS PATIENT PAYMENT


    PURPOSE: Process a payment received from a patient
    INPUT DATA FLOWS: PATIENT PAYMENT
    OUTPUT DATA FLOWS: MTD PAYMENTS YTD PAYMENTS

    PROCESS INSURANCE PAYMENT


    PURPOSE: Process a payment received from an insurance company
    INPUT DATA FLOWS: INSURANCE PAYMENT
    OUTPUT DATA FLOWS: MTD PAYMENTS YTD PAYMENTS

    PROCESS CREATE CALL LIST


    PURPOSE: Prepare and print the daily call list that shows all patients who are to be called to be reminded
    of their appointment
    INPUT DATA FLOWS: CALL LIST DATA
    OUTPUT DATA FLOWS: CALL LIST

    PROCESS CREATE APPOINTMENT LIST


    PURPOSE: Prepare and print the daily appointment list that shows all patients and their scheduled
    services for each provider
    INPUT DATA FLOWS: SERVICE DATA
    PROVIDER APPOINTMENT DATA
    OUTPUT DATA FLOWS: APPOINTMENT LIST

    PROCESS CREATE REMINDER POSTCARDS


    PURPOSE: Prepare and print reminder postcards for each appointment
    INPUT DATA FLOWS: REMINDER POSTCARD DATA
    OUTPUT DATA FLOWS: REMINDER POSTCARD

    PROCESS CREATE MAILING LABELS


    PURPOSE: Prepare and print patient mailing labels
    INPUT DATA FLOWS: MAILING LABEL DATA
    OUTPUT DATA FLOWS: MAILING LABELS

    PROCESS CREATE STATEMENT


    PURPOSE: Prepare and print monthly statements to patients
    INPUT DATA FLOWS: STATEMENT DATA
    OUTPUT DATA FLOWS: STATEMENT

    PROCESS MODIFY PATIENT


    PURPOSE: Add, change, and delete patient and household data received from patients
    INPUT DATA FLOWS: PATIENT CHANGE
    OUTPUT DATA FLOWS: PATIENT UPDATE

    PROCESS MODIFY HOUSEHOLD


    PURPOSE: Add, change, and delete household data changes received from patients
    INPUT DATA FLOWS: HOUSEHOLD CHANGE
    OUTPUT DATA FLOWS: HOUSEHOLD UPDATE

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