As we continue to build an effective Compliance Program‚ I’ve created a Compliance Matrix‚ which consists of the areas that we‚ as an organization‚ are required to comply with based on regulatory‚ state and industry mandates (see attached). I’m requesting leaders of each business unit to review the Compliance Matrix‚ and add any additional areas that you know‚ should be included. A cornerstone of an effective compliance program includes documented Policies & Procedures/SOP’s. The goal is to have
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The Case of the Unhealthy Hospital Anthony R. Kovner Harvard Business Review No. 91506 SEPTEMBER–OCTOBER 1991 HBR Anthony R. Kovner The Case of the Unhealthy Hospital Bruce Reid‚ Blake Memorial Hospital’s new CEO‚ rubbed his eyes and looked again at the 1992 budget worksheet. The more he played with the figures‚ the more pessimistic he became. Blake Memorial’s financial health was not good; it suffered from rising costs‚ static revenue‚ and declining quality of care. When the
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Evaluating Compliance Strategies HCR/220 January 3‚ 2011 Fonzette Mixon Evaluating Compliance Strategies The compliance process is set up to ensure the maximum appropriate reimbursement for health care claims. Correct billing and coding are directly linked to correct documentation by a physician. Also‚ to complete documentation‚ linking the correct code to the correct diagnoses is a must. This step is vitally important in reducing compliance errors. Second‚ the implications of incorrect
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Conclusion Hospitals are facing financial problem where millions of dollars are lost each year due to non-payment by those who unable to afford their service. Additional changes such as insurance are dictating doctors what test may be performed. Insurances have decreased reimbursement hospitals due in part because of recurrent readmission for patients with same illness that not being addressed. Ministry services are implementing solutions to fix the healthcare system solely depending on member
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Evaluating Compliance Strategies June 4‚ 2013 The compliance process is critical when it pertains to the billing and coding process. It is imperative for Medical Insurance Specialist to remain current on the patient’s participation in contract as well as the medical insurance policies‚ so there will not be any billing errors. Maintaining a communication with the payer will also prevent billing errors. Such regulations and laws are in place for to protect the patient’s financial state‚ prevent
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Compliance‚ which can be described as the degree to which a patient correctly follows medical advice can be used to ensure successful medicinal treatments in a number of ways. Firstly improving the communication to a patient or family member can be used‚ this could be verbally or even giving leaflets and information to the patient to offer support or any questions the patient may have. Ordering patients medication on their behalf and informing them when it is ready to collect be another reason which
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promotes conformity in all things. Social pressure is powerful and can affect people of all ages. These pressures can cause people to conform to society even if he/she does not have the same opinion as the rest of society. In the article “Conformity‚ Compliance‚ and Obedience” by Candela Learning‚ it was found that “conformity is more likely to occur when responses are public than
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What was the short-term significance of Florence Nightingale in bringing about change in nursing practice in the 1860s. In the Dickens book “Martin Chuzzlewit” the character Mrs Gamp a nurse‚ was dirty‚ fat‚ and old and also a drunk‚ which was like most nurses of those days before Nightingale. One can say that because of this‚ nursing was not seen as a highly regarded profession. Source A supports the view of Mrs Gamp being a true portrayal of nurses in the 1800s. It is an article from the Telegraph
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HUMAN RESOURCE MANAGEMENT | April 1 2011 | Individual project - Regular vs. Flexible staffing : Making use of contingent workers | Submitted by: Fatima Rauf BBA 2K8 (A) Roll no: 11 | Regular vs. Flexible Staffing: Making Use of Contingent Workers Strategic decisions need to be undertaken to see how much recruiting needs to be done to fill staffing needs with regular full time workers and other contingent temporary part time workers. This lies at the foundation of recruitment decisions
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Abstract This case study illustrates the crisis faced by the president of Lincoln Hospital‚ a for-profit hospital that had several hundred beds to fill. A number of issues are occurring at the hospital impacting the ability of the hospital to successfully perform the planned surgeries without incurring significant issues. These issues include high turnover‚ scheduling issues‚ service delays‚ and a divided staff. Worst of all‚ however‚ the doctors and nurses are at war. Specifically‚ Don‚ the new
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