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Billing and Reimbursement A. Analyze the collection of data by patient access personnel and its importance to the billing and collection process. Be sure to address the importance of exceptional customer service. B. Analyze how third-party policies would be used when developing billing guidelines for patient financial services (PFS) personnel and administration when determining the payer mix for maximum reimbursement. C. Organize the key areas of review in order of importance for timeliness and maximization of reimbursement from third-party payers. Explain your rationale on the order. D. Describe a way to structure your follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective? E. Develop a plan for periodic review of procedures to ensure compliance. Include explicit steps for this plan and the feasibility of enacting this plan within this organization. IV. Marketing and Reimbursement A. Analyze the strategies used to negotiate new managed care contracts. Support your analysis with research. B. Communicate the important role that each individual within this healthcare organization plays with regard to managed care contracts. Be sure to include the different individuals within the healthcare organization. C. Explain how new managed care contracts impact reimbursement for the healthcare organization. Support your explanation with concrete evidence or research. D. Discuss the resources needed to ensure billing and coding compliance with regulations and ethical standards. What would happen if these resources were not obtained? Describe the consequences of noncompliance with regulations and ethical standards.
Imagine your manager has requested that everyone in the company take the StrengthsFinder test. Now, your manager has asked you to put together a training tool on how to best coach and develop employees in the decision making process who have varied s..
Definition: a brief definition of the key term followed by the APA reference for the term; this does not count in the word requirement;
Is this technology, or a subset of this technology in use today? What are some of the social and cultural effects of the technology?
Why many people like to go to dance studio? Why dance is very important to many people?
Identify a legal topic associated with the UK's HR that impedes compliance, innovation, growth, and sustainability.
A.J.'s Wildlife Emporium manufactures two unique birdfeeders? (Deluxe and Super? Duper) that are manufactured and assembled in up to three different workstation
Provide a description of the project to your instructor. Outline how the project you choose meets the criteria found in the course project description. The more detail you provide, the better your instructor can determine whether or not your proje..
Which of the following statements is INCORRECT regarding the theoretical minimum number of workstations in assembly balancing?
Define pay for performance and assess its use as a quality measure in managed care systems.
Compute the takt time (minutes per unit) for a system given the following data: There is a single worker per shift with a total time per shift of 480 minutes.
Evaluate the medical practice and suggest at least two options (not discussed in the case) to maximize patient throughput and revenues without compromising the quality of medical care. Support your suggestion. Speculate how you would apply the theory..
Discuss the advantages and disadvantages of the using groups to make decisions.
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