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Hospital setting
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. Guidelines for Submission: Your draft must be submitted as a three- to five-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least three sources, which should be cited in APA format.
Calculate the current value of a share of XYZ stock based on the Price/Earnings Multiple method.
How have managed care and changes in reimbursement impacted patient care?
Lila Battle has determined that the annual demand for number 6 screws is 100,000 screws. Lila, who works in her brother’s hardware store, is in charge of purchasing. She estimates that it costs $10 every time an order is placed. Assume that the deman..
Reflect on a change that you have witnessed or experienced in the organization where you currently work or one where you have worked. Indicate which of the six images of managing change were exhibited by your manager. Provide the rationale for you..
A vendor keeps careful records of the number of magazines she sells each day and the various costs that are relevant to her decision regarding the optimal number of magazines to purchase. For what reason might her results be inaccurate? What would sh..
Which do you prefer: Intuit's customer-driven development process, where hundreds of employees and managers are sent to consult with customers in their homes or places of business, or Microsoft's process of using professional anthropologists to do su..
A health policy might promote ‘‘realized access’’ but not ‘‘effective access’’ or ‘‘ef?cient access.’’ The majority of the U.S. population believes the U.S. system has a ‘‘major problem.’’ Is the most important problem the system faces one of realize..
What channel contact strategy can you recommend for in bound communications in your organization?
The Purpose and Values of the Business The service, which is being provided - a group of products, or set or services, financial objectives.
A make-to-stock product (call it product A) is made of two components; one unit of B and two units of C. B is made of two units of D, one unit E, and four units of F. C is made of one unit of D and two units of E. Items C and F have lead times of one..
How toyota brand was established / reinforced in consumers’ minds:
Select two (2) corporate governance mechanisms used by this corporation and evaluate how effective they are at controlling managerial actions.
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