HCM 400 Mastery Exercises Week 1 1. The function of insurance is to: a. Pay a portion of an individual’s medical expenses according to the terms in the policy 2. Blue Cross originated from a pre-paid health plan for teachers that was developed by Baylor hospital in 1929. Which statement represents the motivation for developing this plan? a. NOT: Baylor Hospital felt that this pre-paid health plan would lower its operating costs b. Baylor hospital wanted to establish a revenue stream for participating
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Electronic Medical Records (EMR/EHR)‚ Microsoft Office‚ Word and Excel‚ MEDISOFT proprietary software‚ data entry‚ QuickBooks‚ spreadsheets‚ and Typing skills 35 words per minute‚ 10 key CLAIMS PROCESSING Government payers‚ Medicare‚ Medicaid and Tricare‚ third-party payers‚ UB-04‚ Worker’s Compensation and managed care‚ including: HMO‚ PPO and POS ------------------------------------------------- EDUCATION Ultimate Medical Academy – Tampa‚ FL Medical Billing and Coding (current student)
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We are stuck between a free-market system and a government-run system. As the government continues to increase subsides and provide insurance for more and more people under Medicare‚ Medicaid‚ and Tricare‚ as well as new stipulations under the Affordable Care Act‚ the system can not realistically be described as a free-market. This has created dramatic price increases in health care and has also made the costs of care entirely unrealistic because there
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I am writing this essay as a plan of action because I managed to miss a scheduled appointment. Missing a scheduled appointment may seem like a rather miniature infraction‚ but if you think about it and trace it back far enough it has a negative impact on all parties involved in it. Missing an appointment shows a lack of accountability on my part‚ effects the army as a whole; as well‚ it costs the Army money for another who may have needed that appointment. Service members are held to higher standards
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I am using Medicare insurance (due to being retired) and Tricare for Life (supplement insurance from USAF) to keep both of us at home from depending on the OBAMA Care. My primary care physician refers me to specialist. That is the norm to avoid charges not approved by the insurance company. Patient has the option
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Healthcare fraud is a major issue in our Healthcare system. It affects our overall economy and well-being of our citizens. There are many different types of healthcare frauds such as insurance fraud‚ drug fraud and billing fraud. Insurance fraud occurs when the insurance provider is given false insurance claims with the intent to defraud. As a result of frequent false insurance claims‚ the inspection procedure uses the best available experts and verification process to check the false claims
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SCHIP (State Children’s Health Insurance Program) Abstract The Balance Budget Act of 1997 created the Children’s Health Care Program (SCHIP). This program is also known as the State Children’s Health Insurance Program. Over 10 years‚ the program allocated around $20 billion for assisting low-income children who were ineligible for Medicaid and could not afford private insurance. The program was enacted by Title XXI of the Social Security Act. SCHIP was developed in order to make coverage
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References: TRICARE Prime. Retrieved on July 18‚ 2010 at http://www.tricare.mil/mybenefit/home/Medical/Costs?plan http://www.tricare.mil/mybenefit/Download/Forms/Prime_HB_09_L.pdf
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Healthcare Administration May 6‚ 2014 If you were to look at all three of the companies‚ Aetna‚ Humana and United Health Group you will find that they are in some ways just alike. They say they offer benefits for medical‚ vision and dental. The way that they tend to provide the most care would be to have arrangements with many doctors‚ dentist‚ and vision clinic to provide the best care that they can get for the lowest amount. With having insurance though
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1. What competencies are needed for entry level employment in healthcare/HIS? Healthcare skills: (anatomy and physiology‚ medical terminology‚ pathophysiology‚ clerical and administrative procedures‚ laws and ethics‚ communications)‚ Computer skills :(MS office‚ EHR‚ Internet‚ billing-related/PM‚ data mining‚ records management‚ coding/cac‚ And knowledge of healthcare reform: (privacy and security‚ HIPPA‚ HITECH‚ PPACA‚ ICD-10) for the greatest career opportunities for advancement. 2.
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