Requirements / User Stories

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Title Code Type Description
Track Patient Care Plan Progress code_1 User Story

As a care coordinator, I want to track the progress of patient care plans to ensure that all assigned tasks and goals are completed on time.

Automate Medication Therapy Review code_2 User Story

As a pharmacist, I want to automate medication therapy reviews to ensure timely intervention and reduce medication errors.

Verify Insurance Coverage for Pharmacy Benefits code_3 User Story

As a billing specialist, I want to verify a patient's insurance coverage for pharmacy benefits to reduce the risk of claim denials.

Manage Enrollments in Care Programs code_4 User Story

As a program manager, I want to manage patient enrollments in various care programs to ensure they receive the right services.

Monitor Gaps in Patient Care code_5 User Story

As a healthcare provider, I want to monitor and identify gaps in patient care to ensure all necessary treatments are provided.

Schedule Home Health Visits code_6 User Story

As a home health coordinator, I want to schedule visits for patients based on their preferences and care needs.

Link Care Program Goals to Patient Health Outcomes code_7 User Story

As a care program coordinator, I want to link care program goals to measurable patient health outcomes to track program effectiveness.

Track Provider Credentials and Certifications code_8 User Story

As an administrator, I want to track provider credentials and certifications to ensure compliance with regulatory standards.

Manage High-Risk Patient Referrals code_9 User Story

As a case manager, I want to manage high-risk patient referrals efficiently to ensure they receive specialized care promptly.

Automate Prior Authorization for Services code_10 User Story

As a care provider, I want to automate the prior authorization process for services to reduce administrative workload and expedite patient care.

Implement Action Plan Template Assignment code_11 Requirement

Create a system to assign action plan templates to specific care plans.

Build Care Program Eligibility Rules code_12 Requirement

Implement rules to define eligibility criteria for care program enrollment.

Create Care Plan Templates code_13 Requirement

Develop care plan templates to standardize medication therapy reviews.

Integrate Pharmacy Benefit Verification System code_14 Requirement

Establish a system to verify pharmacy benefits with insurance providers.

Configure Clinical Measure Criteria code_15 Requirement

Configure criteria to measure patient clinical outcomes and identify care gaps.

Setup Provider Credentialing Data Model code_16 Requirement

Implement a data model to manage provider credentials and certifications.

Develop Medication Reconciliation System code_17 Requirement

Create a system to conduct and record medication reconciliations.

Build a Home Health Visit Scheduler code_18 Requirement

Implement a scheduling system for home health visits, taking patient preferences into account.

Configure Care Episode Tracking code_19 Requirement

Set up tracking for patient care episodes to monitor interactions with healthcare providers.

Automate Service Authorization Requests code_20 Requirement

Develop an automated system for service authorization requests to streamline approvals.