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Main Subject - Medical Billing - The Programmer's Nightmare
We take so much for granted in this world. We expect everything we buy to work perfectly and when it doesn't, we throw a tantrum. Well,
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
can you imagine what the programmer who creates your medical billing software feels like when he fixes one bug and then another one pops u
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
p? What follows is a true story, which just goes to prove that the truth can sometimes be stranger than fiction.
A medical billing softw
A medical billing softw
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
are company was creating a new software package to bill UB-92 claims. Up until this point in time, they had only done NSF 3.01 specificat
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
ions. So the first thing they had to do was get the specifications from the carrier and send them off to programming so that the programm
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
er could begin work on them.
A few weeks passed and the programmer had the specifications completed and was ready to test the module. So
A few weeks passed and the programmer had the specifications completed and was ready to test the module. So
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
they set up some test claims and transmitted them to the carrier. When the test results came back, they showed that there were several f
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
elds that were transmitted in error. No problem. The programmer made note of the fields and made the changes. He then transmitted the c
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
laims again and waited for the results to come back.
This is what happened.
In fixing the fields that were wrong, he inadvertently broke
This is what happened.
In fixing the fields that were wrong, he inadvertently broke
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
some other fields. Okay, no problem. He would simply fix the fields that he had broken. He proceeded to do this and retransmitted the
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
claims back to the carrier. Much to his puzzlement, the original fields that were broken were broken again. Now he was really scratching
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
his head. He knew he had these fields fixed. He even went over the source code to make sure that the fix was still in. It was. So wha
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
t was wrong? None of this made any sense.
Well, he called together the programming team and they all looked at the original code and the
Well, he called together the programming team and they all looked at the original code and the
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
fixed code. They all agreed that the fix that the programmer put in to fix the original problem was still there and thus should still wo
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
k. And yet, it didn't. So what they did was put a trace in the code to see exactly what was going on.
When the trace got to the part of
When the trace got to the part of
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
the source code that was fixed, it didn't do what it was supposed to do. It was following the path of the original code. This made no s
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
ense. Well, after much investigation they finally found, by accident, that the programmer was using the wrong library routine. Even thou
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
gh the source code was fixed, the object code for it was not placed in the library so it wasn't being processed.
These are the kind of ni
These are the kind of ni
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
ghtmare's that programmers go through all the time. So the next time you open up your medical billing software and it doesn't quite work
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
the way you expected it to, please remember that there is a human being on the other end who's as frustrated as you are by the whole thing
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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