Medula Integration
The electronic connection of SGK provisioning and billing processes with HBYS.
Medula Integration is the integration that enables the electronic exchange of provisioning, service registration, and billing data between the health institution's HBYS system and SGK's Medula system.
The integration aims to automate and consistently execute the steps from pre-service eligibility inquiry (provisioning) to period billing.
Other names / abbreviation: SGK Medula Integration.
What is it used for?
Medula integration accelerates the billing process, reduces errors associated with manual data entry, and supports the revenue cycle by lowering the risk of encountering SGK rejection codes.
Key features
- Provisioning inquiry: Pre-service eligibility check.
- Service registration: Transmission of services provided to Medula.
- Billing: Period billing and file submission.
- Error/rejection management: Tracking and correction of rejection reasons.
Integration and standards
Medula Integration does not operate in isolation; it typically exchanges data with the following systems and processes:
- HBYS
- SGK Medula web services
- Patient admission system
Frequently referenced standards and regulations:
- SGK Medula web service definitions
- KVKK
Benefits provided
- Speed in billing
- Reduction in manual errors
- Decrease in rejection risk
Selection and evaluation criteria
The main criteria considered when evaluating a Medula integration include:
- Scope and currency of Medula services
- Rejection management tools
- HBYS integration
Points to consider
- Processes and services may change according to current legislation; the final evaluation should be made according to the latest regulations.
Sık Sorulan Sorular
What is Medula integration?
It is the integration that enables the electronic exchange of provisioning, service registration, and billing data between HBYS and SGK Medula.
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