because of all the new codes and distinguishing of different body parts. CODING FRAUD To understand how fraud impacts coding systems one must understand how medical professionals and health care facilities are reimbursed for their services. In most cases a patient does not pay for a service directly. Most payments to medical professionals and health care facilities are made by a third party payer‚ whether it is private insurance or a government program like Medicare. “The ICD-9-CM is used by physician’s
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Healthcare Benefits Meghan Stanley South University Identify and discuss the various types of private and/or social insurance available in and through your state and local government. Relate the application of social insurance to consumers based on their social and economic status using the profiles listed below. For which demographic(s) do gaps exist in your area? You can use the Internet and sites such as www.cms.gov for statistical data by state to locate this information. Do you feel
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Pacific Healthcare Case Study Introduction to Supply Chain Management TLMT 313 B001 Sum 12 Michael Upshaw July 15‚ 2012 Pacific Healthcare I. Major Facts • Pacific Healthcare is the largest health care provider in Santa Barbara County. The institution consists of three hospitals: Pacific Memorial (415 beds)‚ Pacific Cabrillo (250 beds)‚ and Pacific Isla Vista (300 beds); also included are two nursing homes and ten
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Globalization of Healthcare Globalization in healthcare is a topic that has been the subject of many debates worldwide. While practically the entire world is becoming a global village due to globalization‚ the healthcare industry was considered to be invulnerable to this trend. This was attributed to the fact that healthcare is a service industry‚ where service is delivered on area of purchase. However many developments not only in the healthcare industry but in the entire economical sphere
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Macroeconomics of Healthcare Douglas A. Propp‚ MD‚ MS‚ FACEP‚ CPE Chair‚ Department of Emergency Medicine Advocate-Lutheran General Hospital Clinical Associate Professor of Emergency Medicine University of Chicago As Emergency Physicians‚ we are frequently peripherally exposed to healthcare economic statistics‚ policies‚ and debates with little concern for mastering these concepts‚ feeling that they have little to do with our practice of Emergency Medicine. Although a working knowledge
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The aim of this assignment is to explain communication and why it is important in healthcare. This will be accomplished by defining communication and exploring the different types of communication and how it is linked to clinical practice. Balzer-Riley (2004) defines communication as a reciprocal process in which messages are sent‚ given or exchanged between a source and a receiver. This definition is based on the belief that communication involves the use of words and paralanguage to construct
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Healthcare in America: Financially Subsidizing Cultural Competence in the Healthcare System Introduction Healthcare has always formed a fundamental aspect of any nation. In fact‚ the economic health of any nation can be determined by examining the healthcare sector. Unfortunately‚ many countries are unable to provide comprehensive healthcare to their citizens. Of course‚ there are varied reasons for this in different countries‚ but for the United States‚ one of the most fundamental reasons
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GROUP 5 DALIDA‚ Johnssen B. GO‚ Jonathan Charles PEREZ‚ Shannen Nicole M. RENGEL‚ Chelsea Lei B. 3 – BSBAMG3A Case: AT&T CREDIT CORP.* Millions of clerical employees toil in the back offices of financial companies‚ processing applications‚ claims‚ and customer accounts on what amounts to electronic assembly lines. The jobs are dull and repetitive and efficiency gains minuscule – when they come at all. That was the case with AT&T Credit Corp. (ATTCC) when it opened shop in 1985 as a newly created
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Tenet Healthcare is one of the leading institutions in offering better services to patients. It is well known for its motivation of their employees to provide compassionate and quality health care to the patients as a way of promoting life. The quality of their services is enhanced by the teamwork that gathers the efforts towards giving the best to their clients. An interview was conducted with one of the senior nursing quality experts in the organizations to find out the strategies they employ
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Meltdown at Jet Blue Sherri Hernandez XBIS/219 February 22‚ 2013 Donna Rosentrater Meltdown at Jet Blue There were many problems going on at Jet Blue when there was a really bad storm on Valentine’s Day in the year of 2007. Many airports had to completely shut down and cancel all of their current flights because the weather had such bad conditions. This was a result of freezing rain and sleet. Many passengers were very irate and angry because their flights were delayed or either cancelled
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