Introduction Sumex I+ Quality assurance and electronic transfer of physician’s invoice Sumex I+; 31.10.2015 11:42; 1 © TMR AG TMR AG Boundary conditions for Sumex I+ Boundary conditions.
Download ReportTranscript Introduction Sumex I+ Quality assurance and electronic transfer of physician’s invoice Sumex I+; 31.10.2015 11:42; 1 © TMR AG TMR AG Boundary conditions for Sumex I+ Boundary conditions.
Introduction
Sumex I+
Quality assurance and electronic transfer of physician’s invoice
Sumex I+; 30.04.2020 23:37; 1 © TMR AG
TMR AG
Boundary conditions for Sumex I+ Boundary conditions relevant for physicians No increased costs No increased time requirement Free choice of the clearing center Boundary conditions relevant for software houses Publication and standardization of all interfaces Hiding of XML standard and OCR-Print layout behind functional interfaces Automatic update of data and software Quality and continuity guaranty of project by the healthcare insurance companies Sumex I+; 30.04.2020 23:37; 2 © TMR AG
TMR AG
Sumex I+ implementation Validator modules: Search & browsing of tariff database Validation of services against the tariff rules (tarmedValidator, labValidator, etc.) Invoice module: Generation and printing of standardized OCR invoice Generation and transfer of XML invoice to insurance Automatic usage of validator modules internally netUpdate package: Keeping software modules and databases up-to-date Sumex I+; 30.04.2020 23:37; 3 © TMR AG
TMR AG
Sumex I+; 30.04.2020 23:37; 4 © TMR AG Sumex I+ modules Validators tarmedValidator labValidator migelValidator drugValidator physioValidator Managers MDInvoiceManager netUpdate Package
TMR AG
Sumex I+; 30.04.2020 23:37; 5 © TMR AG Technical implementation MDInvoiceManager and validation modules ATL-DLL modules written in C++ netUpdate package MFC-EXE modules written in C++ Database access OleDB access on local ready-only mdb-File All databases are password protected
TMR AG
MDInvoiceManager overview
Physician software COM Invoice Manager Data Validation XML Data Modeler COM tarmed Validator
Printer Sumex I+; 30.04.2020 23:37; 6 © TMR AG OCR print
COM / XML
Secure Communication (MediPort) Server
TMR AG
netUpdate package Sumex I+; 30.04.2020 23:37; 7 © TMR AG
TMR AG
Hardware & Software requirements Software Windows 98 or higher Windows 2000 or higher recommended Note: Windows 95 is not supported by MSXML4 Hardware Pentium III 500 MHz 100 MB free disk space 128 MB RAM Sumex I+; 30.04.2020 23:37; 8 © TMR AG
TMR AG
Requested interface changes for final release tarmedValidator TP of assistant (ISearch) Limitation information as in html-browser (ISearch) All validators RoleType enumeration values as in migelValidator Sumex I+; 30.04.2020 23:37; 9 © TMR AG
TMR AG
Versioning scheme 1.00.001 Version number for example tarmedValidator100 001 build number (bugfixes, no interface change) 00 minor version (added features, interface change) 1 major version (heavy interface change) Implications on physician software Build number change: no impact on software (netupdate) Minor change: software may adapt new interface Major change: software must eventually adapt new interface Sumex I+; 30.04.2020 23:37; 10 © TMR AG
TMR AG
Sumex I+; 30.04.2020 23:37; 11 © TMR AG Schedule & information Beta-Release Available since 2.5.2002
Final-Release for all modules and languages 1.7.2002
Download & documentation area www.tarmed.net
www.xmldata.ch (schema files) Mailing list, Support & FAQ www.tarmed.net
TMR AG
Summary: win-win situation for all physician can produce a correct invoice according to the rules has a free choice of the intermediate or print locally software house have to implement only one interface Hiding of standards behind functional interfaces insurance receive high quality invoices automated data processing is possible (XML or OCR invoices) Sumex I+; 30.04.2020 23:37; 12 © TMR AG
TMR AG
Excursion: XML & schema file validation XSD schema files help to improve the quality of the invoice mandatory elements and attributes can be requested patterns can be set to allow only specific values
) pdf-File or xsd-File Sumex I+; 30.04.2020 23:37; 13 © TMR AG
TMR AG