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Billing and Reimbursement A. Analyze the collection of data by patient access personnel and its importance to the billing and collection process. Be sure to address the importance of exceptional customer service. B. Analyze how third-party policies would be used when developing billing guidelines for patient financial services (PFS) personnel and administration when determining the payer mix for maximum reimbursement. C. Organize the key areas of review in order of importance for timeliness and maximization of reimbursement from third-party payers. Explain your rationale on the order. D. Describe a way to structure your follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective? E. Develop a plan for periodic review of procedures to ensure compliance. Include explicit steps for this plan and the feasibility of enacting this plan within this organization. IV. Marketing and Reimbursement A. Analyze the strategies used to negotiate new managed care contracts. Support your analysis with research. B. Communicate the important role that each individual within this healthcare organization plays with regard to managed care contracts. Be sure to include the different individuals within the healthcare organization. C. Explain how new managed care contracts impact reimbursement for the healthcare organization. Support your explanation with concrete evidence or research. D. Discuss the resources needed to ensure billing and coding compliance with regulations and ethical standards. What would happen if these resources were not obtained? Describe the consequences of noncompliance with regulations and ethical standards.
Describe alliances, joint ventures, partnerships, technology licensing, etc. that are related to or influence the development or success of new products that your selected organization has produced.
Determine system utilization. Determine the probability of two or more customers in the system.
When considering all the factors of providing bar service in a restaurant, determine which is the single most important. Explain your reasoning.
Write a four page essay using the Garrett information as a guide to topic terms. Using the search terms, locate library articles describing the terms.
What are the components of the marketing strategy for the bumper jacks that they currently sell,
Examine a product or service from your company using the following data ($1,000,000 is the fixed cost you have to cover; you should be able to find the selling price of your product, if you can find the cost you can use that, but if not you can estim..
Describe organization you have chosen in terms of its industry; number of employees; and whether it is a local, regional, national or international enterprise.
Determine which stakeholder groups have the most influence on each of the elements identified in the formal SWOT analysis.
Answer the following questions as an interview for healthcare leaders. Discuss their leadership styles, attributes, behaviors, and actions that make them successful. Identify what knowledge, skills, abilities, and attitudes are necessary to be a succ..
The smiling-curve model of value in a supply chain does NOT imply that:
shavon company has total fixed costs of 6000000 and total variable cost of 3000000 at a volume level of 300000 units.
Use the OSHA to study the impact of OSHAs General Duty Clause by examining the number of citations of this clause in industries with more than 250 employees.
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