As my MBA concentration is in General Business and Finance the most relatable to my…
ISSUES: Are OL new polices on the reimbursement of tools and training deductible as equipment and training expenses under an accountable plan, or as compensation under a nonaccountable plan?…
Jessica McGowan HIM 2330 – Shaw July 2, 2014 Reimbursement Assignment and Case Mix Case #1 Female 66yo 01-Home ICD-9-CM Code Code Description Principal Diagnosis 682.7 Cellulitis, left foot Secondary Diagnosis 892.1 Infected dog bite 041.10 Staph infection E906.0 External cause: dog bite Principal Procedure 86.22 Wound debridement, foot Total Charges $6,245.10 DRG: 0572, SKIN DEBRIDEMENT W/O CC/MCC DRG Wt. 01.0077____ Full Update Hospital Reimbursement___$5,064.79__________ Reduced Update Hospital Reimbursement__$4,762.49…
1- How could his physician’s office have prevented this problem? I think that the physician with it avoid this situation if they have Communication this is the most important point for a successful resolution of this kind of problem .…
During the fiscal year, October 1st through September 30th, Grant Medical Center reviews the needs of the business from a historic approach along with the successes and opportunities from the prior year. These strengths and opportunities are used in planning for the next year and subsequent years from an estimated budgetary perspective. Planning occurs annually in addition to a five-year projection ased on prior year trending and monitoring fiscal responsibilities.…
1: Complete a one page position paper (your opinion) about current health and human services reimbursement.…
“The” central point” of medical services, and operations, is the “federal government’s” organization, the Centers for Medicare and Medicaid Services (CMS). This affiliation is a component of the Department of Health and Human Services (HHS). One of the priorities of CMS is to analyze efficiency, and productivity in assorted “health care management, treatment, and financing” functions. CMS guidelines are pivotal to success, and compliance in “health care” delivery, and billing. Carriers will usually alter their regulations to support that amended by Medicare. Another credit to CMS is the enforcement of “the most important recent…
Centers for Medicare and Medicaid Services (CMS), formally known as Health Care Financing Administration (HCFA), was signed into law on July 30th 1965 by President Johnson. At the beginning of this Medicare program it had only included hospital insurance and medical insurance. Medicaid on the other hand had medical insurance for people that needed assistance with financial issues. Since then both Medicare and Medicaid have expanding greatly to include prescription drugs, people who need long-term care of all ages and also expecting mothers. CMS is also the federal body responsible for administering Medicare and Medicaid programs. CMS runs the State Children’s Health Insurance Program (SCHIP), which is jointly financed by the Federal and State…
One of the biggest questions facing seniors across the country is whether or not they need Medicare supplement insurance (Medigap policies). They compare insurance supplement plans and look at Medicare supplemental rates and try to determine if coverage is right for them. Of course, the need for Medicare insurance supplement depends on the specific person. However, for more and more seniors, standard Medicare plans simply aren't offering enough coverage, so they are turning to Medigap policies.…
Our Healthcare system is clearly business based according to the article “Cost Conundrum” and on the movie “Escape Fire”. In the movie it had an impacting story of an older lady who had heart problems where she went to a doctor and they were going to charge her thousands of dollars were later she went to a different doctor and they charged her a couple hundred dollars for t he same procedure. I couldn’t believe that in a different office she would get the same procedure done for a lot cheaper than in the other doctor’s office. Also, it surprised me how the medical staff are giving all these medications to our soldiers were they are clearly abusing the medication and taking much more than they should. I was really happy to see that later the soldier who was overdosing on medications decided to stop and later tried a different form of medication of acupuncture. Although overdosing on medication is a problem in our country it is not the biggest one in our healthcare. Our healthcare system is the one that is collapsing. Our healthcare system is not like it was many years ago, our healthcare system is market based and doctors don’t focus on quality care on their patients and rather view them as dollar signs. In the article “Cost Conundrum” it states that McAllen is one of the most expensive healthcare markets in the country, many are unsure why it spends more per capita but it states that because the people there are obese and have cardiovascular diseases and fall under the poverty line. In the article it states “the way to practice medicine has changed completely before it was about how to do a good job, now it’s about how much will you benefit”. I clearly agree to this statement because I have gone through this experience with my father. He was diagnosed with diabetes at a late stage in which it caused a retina detachment on his left eye. When he was diagnosed I would…
Asking a provocative question to start you work helps engage your readers. This makes for an effective hook for your introduction, Linda. Well done! Now, let’s see what we can improve in your paper. (…
Shi, L., & Singh, D. A. (2012). Delivering health care in America: Health Policy (5th ed.). Boston, MA: Jones and Bartlett. Retrieved from The University of Phoenix eBook Collection database.…
Over the years there has been a pervasive issue in health care because of the Pay-for-Performance (P4P) Programs. Pay-for-performance is defined as a plan of reimbursement that connects compensation to quality and effectiveness as a motivation to develop the health care quality as well as making a decrease in costs. Hospitals and providers are being encouraged by government agencies and individual health plans to encourage excellence standards. Pay-for-performance methods could cause consequences such as reduction admission to care, add differences care, and weaknesses to improve. There could be an impact of the health care quality and efficiency by providers getting financial rewards if they show better care for patients as well as showing quality of performance. P4P could affect the providers and customers by the measured performance, payment policy, and the involvement implementation matters. The P4P effects that will be seen in the future of health care is that the population will see that pay-for-performance will expand, especially the Affordable Care Act.…
Identify and explain the four elements of proof necessary for a plaintiff to prove a negligence case.…
The number of uninsured Americans is greater than the total population of Canada (Lambrew, Podesta, & Shaw, 2005). Conservative 2004 estimates indicate that there were 41.6 million uninsured persons of all ages (14.5%) and 51.0 million (17.7%) were uninsured for at least part of the year (Cohen, Martinez, & Hao, 2005). By 2013, projections suggest that one in four Americans under the age of 65, nearly 56 million people, will be without health care insurance because coverage will be too expensive (CQ Health beat News, 2005). The United States spends more money on health care than other industrialized nations but is the only one that doesn’t ensure health care coverage for all citizens. Every year, approximately 18,000 unnecessary deaths occur because of health insurance lacking in the United States, (Institute of Medicine [IOM], 2002). Proponents of universal health care coverage say this problem is fixable but only if a significant overhaul of our current insurance system occurs. The Affordable Care Act of 2010 is not a universal coverage plan but is designed to decrease the number of uninsured.…
