MHK Interoperability Implementation Guide
0.1.0 - CI Build

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: Eylea Injection Workflow Example - XML Representation

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<Basic xmlns="http://hl7.org/fhir">
  <id value="EyleaInjectionWorkflowExample"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Eylea Injection Workflow</h2><ol><li><strong>Referral Received:</strong> Referral and patient information are received by the front desk.</li><li><strong>Benefits Verified:</strong> Benefits verification staff confirm the patient’s insurance coverage for Eylea injections.</li><li><strong>Prior Authorization (PA):</strong> If required, a PA is initiated and tracked through completion.</li><li><strong>Patient Scheduled:</strong> Patient is contacted and appointment is scheduled after coverage confirmed.</li><li><strong>Clinical Review:</strong> Provider reviews chart, confirms diagnosis, and documents the need for injection.</li><li><strong>Injection Visit:</strong> Injection is administered and documented in the EHR system.</li><li><strong>Charge Entry:</strong> Clinical documentation is sent to billing team for charge capture and coding.</li><li><strong>Claim Submission:</strong> Claim is submitted to the payer for reimbursement.</li><li><strong>Follow-up:</strong> Denials, if any, are appealed; payments are tracked; patient is scheduled for follow-up.</li></ol></div>
  </text>
  <code>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/basic-resource-type"/>
      <code value="workflow"/>
    </coding>
  </code>
</Basic>