Scribd Logo
Upload

Welcome to Scribd!

  • 269 views

    OPD Coordinator

    Uploaded by

    medocare lo
    The document outlines the role and responsibilities of an OPD Coordinator in facilitating medical services through an HMO. The coordinator verifies patient coverage, secures necessary referral forms and approvals for consultations, diagnostics, and elective surgeries. They assist clients through the process with courtesy and ensure all requirements are met before medical procedures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    OPD Coordinator

    Uploaded by

    medocare lo
    269 views12 pages
    The document outlines the role and responsibilities of an OPD Coordinator in facilitating medical services through an HMO. The coordinator verifies patient coverage, secures necessary referral forms and approvals for consultations, diagnostics, and elective surgeries. They assist clients through the process with courtesy and ensure all requirements are met before medical procedures.

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document outlines the role and responsibilities of an OPD Coordinator in facilitating medical services through an HMO. The coordinator verifies patient coverage, secures necessary referral forms and approvals for consultations, diagnostics, and elective surgeries. They assist clients through the process with courtesy and ensure all requirements are met before medical procedures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    269 views12 pages

    OPD Coordinator

    Uploaded by

    medocare lo
    The document outlines the role and responsibilities of an OPD Coordinator in facilitating medical services through an HMO. The coordinator verifies patient coverage, secures necessary referral forms and approvals for consultations, diagnostics, and elective surgeries. They assist clients through the process with courtesy and ensure all requirements are met before medical procedures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    OPD Coordinator

    ROLE
    • a person whose job is to organize the process
    of availing medical services.
    • Key person in an area. (for special hospital
    concerns)
    • Widely knowledgeable in HMO processes and
    skilled in troubleshooting any problems that
    may arise.
    • Assist each client with courtesy and respect.
    OUT PATIENT CONSULTATION
    ACCREDITED HOSPITAL OR CLINICS
    Present MedOCare Card.
    Getting referral forms for
    consultation from the HMO
    office / Coordinators office.

    The OPD Coordinator/ HMO


    will verify with the 24/7
    MedOCare Call Center the
    coverage of the patient.
    If diagnostics are requested secure
    Proceed to accredited doctors OPPA Forms from Medical
    and present referral forms Coordinator or HMO office. All
    procedures are subject for approvals
    Present the OPPA form at the respective department for diagnostic test.
    FOR ELECTIVE SURGICAL
    PROCEDURES ACCREDITED
    HOSPITAL OR CLINICS
    For an elective (non – emergency) in or
    out-patient surgical procedure, seek
    approval from Medocare Call Center
    through the Designated Medical
    Coordinator or HMO office of Accomplish all pre-surgery requirements
    Accredited Hospital and Clinics prior to such as Cardiopulmonary Clearance,
    the surgery. Philhealth documents, and Admitting
    Orders before the surgery / scheduled
    admission.
    Proceed to Admitti ng Offi ce (if for confinement)
    or the Operating Room ( for out-patient surgical
    procedures) on the scheduled day of admission.

    The Admitting Office will call/inform


    Medocare Medical Department the
    confinement within 24 hours from the
    time of admission.
    Upon discharge Billing Office representative will call/inform
    Medocare Call Center and apply Philhealth Benefits and collect
    non covered charges.
    RECEIVING OF
    CLAIMS

    You might also like