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FINANCIAL AND CLINICAL CONTROL
Evidence and review workflows for CNAS hospital reimbursement
Jovimed connects reported services with clinical documentation and medicine or reagent consumption. Clinical, finance and inventory teams identify gaps, explain discrepancies and follow evidence for CNAS reimbursement and inspection under the hospital’s applicable contract and requirements.
Configuration, integrations and availability are discussed in your demonstration.
STAGE 01 / 03
Activity has a reference
The reported service is linked to its encounter and available documents.
- Reference
- Illustrative encounter
- Documentation
- Review needed
STAGE 02 / 03
A discrepancy reaches its owner
The team reviews the service, consumption data and required explanations.
- Exception
- Missing document
- Team
- Clinical and finance
STAGE 03 / 03
Supporting records come together
The reviewed version preserves source links and revision history.
- Traceability
- Sources linked
- Validation
- Assigned reviewer
CAPABILITIES
See the evidence behind each service.
Build a traceable path between actual activity, reporting and supporting documents.
Services linked to evidence
Associate the care encounter, procedure or test with relevant clinical documentation.
Completeness checks
Flag missing documents and information requiring confirmation before reporting.
Consumption in context
Compare medicine and reagent records with treatments and tests, preserving explanations for differences.
Assigned exceptions
Route discrepancies to clinical, finance or inventory owners and follow their resolution.
Reimbursement history
Preserve submitted versions, responses, corrections and available rejection reasons.
Inspection evidence file
Bring clinical references, financial records and reviews together in a controlled export.
IN PRACTICE
A missing document becomes an assigned action.
While preparing a submission, the team finds a service without all its supporting references.
- 01
Assign the exception to the team able to verify the source.
- 02
Link the existing document and explain relevant differences.
- 03
Preserve the reviewed file alongside the submitted version.
Management can see documentation bottlenecks and the review status of revenue supported by actual activity.
RECORDS & TRACEABILITY
From a reported service to its sources.
Prepare for inspection with traceable relationships and accessible evidence.
- Service and care-encounter references
- Relevant clinical and financial documentation
- Consumption reconciliation and approved explanations
- Submissions, responses and correction history
BEFORE YOUR DEMONSTRATION
Useful questions.
Does this submit directly to CNAS?
The module prepares and reviews evidence. Connections or submissions are defined around available systems and interfaces.
Can it help address missing documentation?
It provides checks and ownership for identifying and resolving gaps. Results depend on data quality and use of the workflow.
