Preview

AHCCCS Case Study

Satisfactory Essays
Open Document
Open Document
228 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
AHCCCS Case Study
- CMS approved Arizona’s 2016 GME payments. AHCCCS will release funds within 2 weeks of receiving the non-federal share from our partner, Maricopa Integrated Health Systems (value to Tenet ~$1M).

- AHCCCS set the FY18 hospital assessment at $290M, an increase of $24M over the previous year. The final amount is less than what was originally projected by AHCCCS. Individual hospital amounts will be released later this summer, but Tenet historically pays 13.5% of the assessment, which translates to an additional $3.3M. AHCCCS is keeping the assessment methodology unchanged in FY18 but will make changes for FY19.

- Legislation to address “surprise” out-of-network medical bills (SB1441) has been sent to Governor Doug Ducey for his consideration.

You May Also Find These Documents Helpful

  • Better Essays

    Throughout this reflective account i will refer to the individual I was working with as Gloria. I have not used her real name throughout this piece to protect her identity and to ensure that I am maintaining confidentiality. “You must respect people’s rights to confidentiality” (NMC 2013) Gloria is a 74 year old lady who lives at the residential care home at which I am currently on placement Gloria is under the Adults with Incapacity Scotland Act 2000 due to a diagnosis of Dementia. She is mobile with the aid of a Zimmer frame and is still as independent as her health allows. She requires the assistance of 1 carer for most activities of daily living. After breakfast I offered to take Gloria to the toilet as she had requested to go to the bathroom during her meal but was told by a care assistant that she would have to wait until after her meal. The carer told me the care home operated “protected meals times” and this was the reason that Gloria could not go to the toilet during her meal. I felt competent under supervision to assist Gloria with using the toilet. One should never accept a task delegated to them unless they feel competent and confident in carrying out the task that has been asked of them. The NMC Code of Conduct states that “You must recognise and work within the limits of your competence” and “You must take part in appropriate learning and practice activities that maintain and develop your competence and performance.” (NMC 2013)…

    • 1125 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Cms 1500 Case Study

    • 180 Words
    • 1 Page

    I will answer question 3. Locator 12 on a CMS-1500 form is for patient’s or authorized person’s signature. This signature allows the release of medical information to the insurance company for billing purposes. Locator 13 on the CMS-1500 form is for insured’s or authorized person’s signature. This signature authorizes the insurance company to reimburse the healthcare provider directly. SOF is an abbreviation for Signature on File. This abbreviation means patient’s official signature is on file for the respective purpose. It is used in place of a written signature. However, a written signature will be on file in the patient’s chart.…

    • 180 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Accg399 Case Study

    • 1600 Words
    • 7 Pages

    Scope 1 emissions include emissions that released from a facility as a direct result of the activities of the facility, such as fuel combustion, fugitive emissions from fuel, industrial processes emissions, and waste emissions (NGER Technical Guidelines 2011).…

    • 1600 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Case Study Unaided Aaac

    • 782 Words
    • 4 Pages

    1. What do you see in the video that can be improved? Are there any instances when the use of AAC, either symbolic or nonsymbolic/unaided, could be increased? In the video “Zachary learns more sign language” the young child used unaided AAC, using his body to convey messages through gestures, body language and signing.…

    • 782 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Crtc Case Study

    • 301 Words
    • 2 Pages

    The CRTC (Canadian Radio-television and Telecommunication Commission) is a public organization for telecommunications and broadcasting whereas CanCon is a regulatory mandate from CRTC which requires Canadian broadcasters to dedicate 50% of content between 6 pm to midnight for Canadian content. The issue is that to what extent should CRTC and specifically, CANCON, should have influence in the global world. This issue focuses on negative impact globalization and foreign transnationals are having on Canadian culture., Canadian content is being played less and less often and is increasingly replaced imported content; as a result, the CRTC enacted CANCON, a legislation which protects Canadian culture and identity. Some people support this, voicing that it supports Canadian content whereas others say it is discriminatory to external content and it even demonstrates that Canadian content simply cannot compete…

    • 301 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Cp Case Study

    • 976 Words
    • 4 Pages

    | * Many individuals lost their SSN to the criminals * More info can be accessed as a result which makes the customer or ChoicePoint more vulnerable to other crimes…

    • 976 Words
    • 4 Pages
    Satisfactory Essays
  • Powerful Essays

    Hsco-509 Case Studies

    • 1416 Words
    • 6 Pages

    Core issues tend to lead clients into poor decision making process or into developing poor coping skills to deal with unpleasant feelings. In a study by Saffierie, the anti-fat attitudes of children 6 years of age were monitored. They characterized silhouettes of an overweight child as "lazy," "dirty," "stupid," and "ugly." (Fabricatore, & Wadden, 2003). It is these types of encounters as children that can begin the process of creating a core issue. Roger’s background is important to understand to see if there are any areas in his past that have wounded him. These old wounds could be the basis for some of the current issues Roger is bringing into…

    • 1416 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Unfortunately, there is no evidence in FLTMPS that the CMC attended to the required ADAMS for Leaders ( CIN S-501-0130) training. This discrepancy was already identified in my Pre-CAV inspection audit. Regardless of the discrepancy being the driver for the results reflected on the Blue H award submission, it needs to be corrected before the CAV inspection .…

    • 131 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    HCA 340 Week 4 SWOT

    • 640 Words
    • 3 Pages

    Community South Medical Center has a positive bottom line and is striving to enhance health services for the population it serves. The patient care mix has shifted in the last three years and its reimbursement source is currently: 25% Medicaid (up 20%); 35% Medicare (down 12 %); 25% employer sponsored health insurance (unchanged), 8% managed care (down 20 percent), 4% private pay (unchanged) and 4% no-pay (up 25%).…

    • 640 Words
    • 3 Pages
    Good Essays
  • Better Essays

    The receptionist or other clerical worker will either call, or receive a call from a “patient” or other authorized individual. During this communication, the associate must be careful to observe HIPAA rules related to “protected health information.” when “schedule, canceling, or rescheduling” encounters. When gathering benefit “information,” the representative must be diligent to accurately enter data into the “patient’s” file. Discerning insurance cards, policies, and all applicable guidelines of each plan are applicable to the “front and back” office. Abiding by the payer’s regulations, and the coordination of benefits,” associates will input this data into the patient management program (PMP). During these procedures, insurance specialists will be cautious to correlate the correct information with the correct patient. The “front or back office” will then confirm coverage with designated plans, along with all essentials, such as if a “referral or preauthorization” is a requisite. Prior to consulting with the physician, patients will need to be alerted about their rights, in coordination with HIPAA privacy standards, as well as those of the provider. During that time, if the patient owes any monies for coinsurance, or copayments, this will be submitted to the “front office.” While checking out patients, insurance specialists will transfer the descriptions of “diagnoses and procedures” from the “physician’s report” into appropriate “codes” for ‘claim” generation. This facet is most crucial, because of the HIPAA specifications regarding the transfer of PHI “by covered entities” (Valerius et al., p.…

    • 1235 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    As a result of the Patient Protection and Affordable Care Act of 2010, beginning in October 2012, US hospitals will begin having their payments from Medicare affected by the Hospital Value-Based Purchasing Program. Essentially, this legislation will shift the way hospitals are reimbursed for services from a focus on quantity to a focus on quality. The following research study will examine the background of this legislation, how it is structured, and the pros and cons of this reform.…

    • 3618 Words
    • 15 Pages
    Powerful Essays
  • Good Essays

    Current cost for examination is $299 for AHIMA members and $399 for non-members. Test lasts 4 hours with no breaks. If you want to take the exam you must have your high school diploma or an equivalent (GED.) AHIMA recommends, but doesn’t require, a minimum of 3 years experience in a hospital setting, coding for several types of inpatient/outpatient services.…

    • 326 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    References: Centers for Medicare & Medicaid Services (CMS). (2008). Fact Sheet: CMS proposes additions to list of hospital-accquired conditions for fiscal year 2009. Retrieved November 12, 2008 from http://www.cms.hhs.gov/apps/media/press/factsheet.asp?Counter=3042&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=false&cboOrder=date…

    • 1268 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Hll Case Study

    • 6075 Words
    • 25 Pages

    This case study has been developed by Rajan Saxena Vice chancellor NMIMS University for class room discussion.…

    • 6075 Words
    • 25 Pages
    Good Essays
  • Good Essays

    OC-AHPPSO Case Study

    • 891 Words
    • 4 Pages

    The modules of the OC-AHPPSO cluster constructor are, criteria computation, relative weights estimator and cluster-head nodes' selector. In the criteria computation module, criteria such as the Energy, coverage Area, Mobility, QoS are considered for computation. Each node computes its criteria components, and then periodically broadcasts the MEMB messages to identify its neighbors. Each node sends the MEMB packets to receive the criteria components of its neighbors. Each node stores its own criteria components, and its neighbors' components in the neighbor table.…

    • 891 Words
    • 4 Pages
    Good Essays