Reference no: EM131381935
Overview: Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization.
Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
Milestone One provides you an opportunity to engage with real-world data and tools that you would encounter in an actual professional environment. Specifically, you will begin thinking about the purpose of reimbursement and how it impacts other healthcare departments. You will also practice analyzing the revenue cycle.
Prompt: Submit a draft of your Section I of the final project. Specifically, the following critical elements must be addressed:
I. Reimbursement and the Revenue Cycle
A. Describe what reimbursement means to this specific healthcare organization. What would happen if services were provided to patients but no payments were received for these services? What specific data would you review in the reimbursement area to know whether changes were necessary?
B. Illustrate the revenue cycle using a flowchart tool. Take the patient through the cycle from the initial point of contact through the care and ending at the point where the payment is collected.
C. Prioritize the departments at this specific healthcare organization in order of their importance to the revenue cycle. Support your ordering of the departments with evidence.
Discuss about the post given below
: At the turn of the 20th Century, artists demanded more freedom of expression; in a poetic sense, Modern and Contemporary Poets began to structure language as it suited their own needs. Free Verse poetry lacks a traditional system of measure; howev..
|
Compute the magnitude of the superimposed load
: Compute the magnitude of the superimposed load (kN/m) and determine the maximum deflection. Include the effect of the beam weight for this problem.
|
Analyze the implications and challenges of cost
: Analyze the implications and challenges of cost, quality, and external forces on electronic health record (EHR) or electronic medical record (EMR) selection and implementation within your department
|
What model might you use to model x
: O-rings. Failures of O-rings on the space shuttle are fairly rare, but often disastrous, events. If we are testing O-rings, suppose that the probability of a failure of any one O-ring is 0.01. Let X be the number of failures in the next 10 O-rings..
|
Describe what reimbursement means
: Describe what reimbursement means to this specific healthcare organization. What would happen if services were provided to patients but no payments were received for these services? What specific data would you review in the reimbursement area to ..
|
Calculate the probability of surviving
: Calculate the probability of surviving 5 years using the data from Table 8. Probability of Survival for Each Year of the Study
|
Hat does the literature say about healthcare leaders
: Leadership is a key trait in healthcare especially with the rapid change that is now occurring. You are responsible to develop a 5 page paper of text on healthcare leadership. Think about what each of these leaders has said. Who are some of the pe..
|
Calculate the maximum deflection
: The beam supports two concentrated loads of 120 lb each spaced 4 ft apart and placed 3 ft from each end. Calculate the maximum deflection and the deflection at one of the loads.
|
How long will it take the car to pass the truck
: A truck enters a highway driving 60 mph. A car enters the highway at the same place 11 minutes later and drives 68 mph in the same direction. From the time the car enters the highway, how long will it take the car to pass the truck?
|