Many of us may be unfamiliar with the term "Medical Day Care"; as well, how is an outpatient clinic visit different from an ambulatory visit - they mean one and the same in the US.

Thanks Ken. Typically, outpatient procedures are performed with local anesthesia. However, some procedures may be performed with general anesthesia, such as pediatric ear tubes. Procedures performed under local anesthesia are minor and patients are discharged after a brief observation period.
Ambulatory surgery patients receiving general or regional anesthesia are recovered in the Post-Anesthesia Care Unit, then transferred to the Ambulatory Surgery Unit, and discharged the same day.
Medical Day Care Definition:
Medical Day Care Unit allows patients to avoid a hospital admission during their course of treatment. Patients are treated for numerous medical problems including leukemia, lymphoma, myeloma and anemia. Blood product transfusions and chemotherapy, as well as diagnostic and treatment procedures, are also done in this area.

We take this opportunity to thank and congratulate you for the great effort you have taken to formalize unify information base among the health Insurance industry .



I would like to inform you that most of the information of your required filed can be provided in every month .



I thank you again and wish you the best in achieving excellence in healthcare for the community.

Encounter start time for emergency patients is described as the time the "treatment started for the patient". I am uncertain whether this is more specifically defined as the initiation of the triage process, nurse's evaluation, physician's evaluation, or "decision to treat" as mentioned under "fields in the pipeline".

Will there be an opportunity for the provider to contest the insurer's payment if it is less than the amount claimed? If so, perhaps another category such as "appeal in process" should be added. It would also be important to know the duration of this process, which would possibly require additional data points.

For patients treated in the Emergency Department and then admitted to the hospital by the same provider, is this seen as two separate billable encounters? If not, which encounter type and times are utilized?

WE have reviewed the claim standards and have the following comments and questions:

1.) we would suggest clear separation between encounters and claims
2.) Passport No.: on a member level this is not available to us, as operationally this is very difficult to capture especially for groups.
3.) Encounter type: currently does not match our values, we would need to match
4.) Encounter start/end: we only track date not time
5.) Encounter discharge: we would need to change the system and operational procedures
6.) Claim date: Which date is meant, billing, delivery, receiving, settlement etc.
7.) Claim copay: do you mean deductible or the total amount collected by hospital
8.) Payment status: we can provide value 4, but currently not subcategories 1-3 e.g. partial available
9.) payment latest date: do you mean due date of payment or the date of actual payment
10.) diagnosis should be moved to encounter level
Overall comment: unfortunately we had only 2000 characters for comment therefore this short comments.

At the outset we welcome the idea to go for coding system with obscurity. Our concern about the financial obligation, in the other hand, in Abu Dhabi HAAD bringing the health care sector conforming to the International Standard. Inorder to implement every hospital management need time to train the employees and to have an effective HMIS. While doing the health services with utmost sincerity and dedication, the income generating to the hospital is restricted by the health authority through Abu Dhabi Plan Network III, is the main bread and butter for every provider. Overall our opinion, it will be a milestone in the healthcare services. A healthy, wealthy discussion as the voice and choice of GMC Hospital can be delivered in due course if there is a forum. Thanking you.