Reference no: EM131427747
Case Study Report: Solving Team Challenges at DocSystems Billing, Inc. DocSystems Billing, Inc. works for a large network of healthcare clinic. These include private owned practices and specialists, by processing insurance billing paperwork (Anderson, 2015). There are 30 Medical Insurance Specialists (MIS) and 10 Senior Insurance Consultants (SIC), who make up the 40 full time employees at the on-site call center. DocSystems also has 100 Billing Specialist who work at an outsourced call center. The senior director of DocSystems is Jim. There are two managers below him named Alex and Dana who each manage 20 employees. (Five SICs, and fifteen MISs each) Billing specialists handle much of the cases, but report to the MISs if they run into issues. (Anderson, 2015) MISs usually handle cases that have been returned by insurance companies because they need further information and cases where a patient may have issued a complaint or appeal. (Anderson, 2015) When they do run into issues they report directly to the senior insurance consultants who handle most every- thing at the company, but their main focus is on the most complex cases. The case revolves around four scene within the company between Jim, the senior director, Dave, and OD consultant, Rose, a medical insurance specialist, Carlos, a senior insurance consultant, and Michelle, a senior insurance consultant.
Question One
The first question asks, “What problems exist in this organization? How do these problems differ based on employees’ roles? Why do employees object to Jim’s proposed solution?” The presenting problems in this case are that medical insurance specialists are taking too long to complete a case and the number of cases they’re trying to tackle are too many.
Electronic health records in patient care
: Instructions: This week you research the history and continuing evolution of electronic health records (EHRs). One way to learn something is to teach that concept to someone else.
|
Chief executive officer for extremenet
: Read the case study for this unit regarding ExtremeNet and Allen Lopez. As the Chief Executive Officer for ExtremeNet, you are responsible for resolving the conflict between Allen Lopez and ExtremeNet in a manner that demonstrates solid ethical re..
|
How should today software be made interoperable
: How should today's software be made interoperable with yesterday's, and who should do the work? Explain your response.
|
Project - make an automatic rain operated wiper
: The main of this project is to make an automatic rain operated wiper and control the speed depend on the rain using Arduino board. The Arduino board is connected to a water detector, which is triggered off with a slight touch of a drop of water fr..
|
Solving team challenges at docsystems billing
: Case Study Report: Solving Team Challenges at DocSystems Billing, Inc. DocSystems Billing, Inc. works for a large network of healthcare clinic. These include private owned practices and specialists, by processing insurance billing paperwork (Anderson..
|
Explain the concepts of preload and afterload
: Lasix "reduces extravascular volume by inducing diuresis hence decrease preload and the work of the heart in pumping blood is decreased hence prevent progression of heart failure." Briefly explain the concepts of preload and afterload.
|
Describe the forces that drive industry competition
: Describe the forces that drive industry competition. Present an analysis of the forces for one of the following industries: - automobiles - airlines - wedding/event planning.
|
Future developments of health care delivery
: Evaluate the roles of local, state, and federal politics on the current and future developments of health care delivery.
|
Probably face difficult ethical decisions more frequently
: Hospital administrators probably face difficult ethical decisions more frequently than just about any other type of professional. As the hospital administrator, how do you resolve conflicting ethical considerations in the following; cost control and ..
|