...UNDERSTANDING MEDICAL INSURANCE KEY TERMS Step 1 S te St ep 10 Follow up payments and collections Preregister patients p2 Establish financial responsibility St ep 3 S te p 9 Generate patient statements Check in patients Monitor payer adjudication Review coding compliance St ep 8 S te Check out patients Review billing compliance p7 St ep 5 S tep 6 Learning Outcomes After studying this chapter, you should be able to: 1.1 Explain how healthy practice finances depend on correctly accomplishing administrative tasks in the medical office. 1.2 Compare coinsurance and copayment requirements for health Copyright © 2014 The McGraw-Hill Companies plan benefits. 1.3 Identify the key steps in the medical billing cycle. 1.4 Discuss the impact of electronic health records on clinical and billing workflow. 1.5 Evaluate the importance of professional certification and of medical liability insurance for career advancement. S te p4 Medical Billing Cycle Prepare and transmit claims 1 accounts payable (AP) accounts receivable (AR) benefits cash flow certification coding coinsurance copayment covered services deductible diagnosis documentation electronic claim (e-claim) electronic health record (EHR) fee-for-service health care claim health information technology (HIT) health plan indemnity plan managed care managed care organization (MCO) medical assistant ...
Words: 12818 - Pages: 52
...January 2011 Foreword The American Physical Therapy Association (APTA) created Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession to provide accurate information for government entities and the public about the history, role, educational preparation, laws governing practice, standards of practice, evidence base of the profession, payment for physical therapy services, and workforce issues unique to the physical therapy profession. As government, private health care entities, and provider groups pursue solutions to the considerable health care provision challenges the United States faces, it is imperative that accurate information about the qualifications and roles of specific providers, in this case physical therapists, be available to inform all entities as they engage in these discussions. APTA is the national professional association representing more than 77,000 physical therapists, physical therapist assistants, and students nationwide. The association acknowledges and thanks the Federation of State Boards of Physical Therapy, the national organization representing 51 boards of physical therapy licensure, for input and assistance with this document. © 2011 American Physical Therapy Association. All rights reserved. i | American Physical Therapy Association Table of Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
Words: 62204 - Pages: 249
...affect not only the organization but the stakeholders as well. There are types of education, training, and/or policies that help the hospital to mitigate risks within the organization. Through the risks that organizations take, the purpose of the risk management team shines through to prove that these organizations can compete with others and rise above other organizations. The main purpose of risk management in the health care organizations are described in Chapter 1 of the Risk Management Handbook stating, “… health care risk management has moved from a discipline focused almost exclusively on medical professional liability issues to a profession concerned with all risks associate with accidental losses facing a health care organization,” (Carroll, 2009). This statement shows the health care organizations not only are trying to protect their company as a whole, but everyone and everything involved. In the hospital setting, “providers have come to realize effective risk management and have developed formalized programs, this risk management has been moving towards the concept of enterprise risk management and considering the myriad of complex legal, regulatory, political business and financial risks,” (Carroll, 2009) that they are facing. The purpose of risk management in the hospital setting is not only to protect the organization and its...
Words: 1231 - Pages: 5
...ram4577X_ch03.qxd 4/16/04 11:50 Page 37 Legal and Ethical Issues in Medical Practice, Including HIPAA AREAS OF COMPETENCE 2003 Role Delineation Study CLINICAL Fundamental Principles ɀ Apply principles of aseptic technique and infection control ɀ Comply with quality assurance practices Patient Care ɀ Coordinate patient care information with other health-care providers GENERAL Legal Concepts ɀ Perform within legal and ethical boundaries ɀ Prepare and maintain medical records ɀ Document accurately ɀ Follow employer’s established policies dealing with the health-care contract ɀ Implement and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud ...
Words: 15296 - Pages: 62
...scores calculated purely on the basis of employee responses and was published in a special section of the Star Tribune’s print and web editions. My thesis statement is, the work environment offered at Olmsted Medical Center have motivated and collaborated group cohesions among employees to make these companies successful. The rankings of the top 100 workplaces are based on survey information WorkplaceDynamics, an independent company specializing in employee engagement and retention, collected. The list WorkplaceDynamics compiled is based on an employee feedback survey project, which contains twenty-two questions and five custom questions to assess employee opinions about company leadership, communication, career opportunities, workplace environment, managerial skills, pay and benefits satisfaction, job security, organizational justice, and the importance of various work elements. The surveys are designed to measure the three critical elements of the workplace: the company’s organizational health and fundamentals of the company (values, execution, leadership, and culture); the employees’ work environment of the day-to-day jobs (managers, pay, training, work/life balance); and the employees engagement with the organization overall (motivation, wanting to stay, want to recommend). According to the Star Tribune, Olmsted Medical Center (OMC) ranked number 26 on the top...
Words: 1248 - Pages: 5
...The American poet Ralph Waldo Emerson wrote, “The purpose of life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make some difference that you have lived and lived well”. I am driven to concur with these words. My journey into healthcare began 18 years ago, working as a medical assistant in family practice before becoming a Registered Nurse (RN). Initially, my exposure to patients was limited to technical skills, vital signs, billing, and working with patients. While belonging to part of a team focused on improving patients’ health and well being proved to be very rewarding, which brought me personal satisfaction, it was after I became a registered nurse (RN) that I began to understand the importance...
Words: 1147 - Pages: 5
...RESUMES WHAT IS A RESUME? A resume is a custom designed, written summary of your background. It provides a thumbnail sketch of your education, experience, and qualifications to a prospective employer. An effective resume targets a specific type of position and relates your skills and experience to that position. WHO WRITES A RESUME? A resume is written by anyone seeking employment, both part-time and full-time. Although there are companies that provide resume-writing services, the most effective resumes are written by the job seeker--after all, who else knows you, your qualifications, and your experiences better--someone you just met, or you? WHAT IS THE PURPOSE OF A RESUME? A good resume (in combination with a cover letter) will provide you with an interview. The employer will select applicants on the basis of how well their skills match up with the job requirements. Sometimes, the difference between getting an interview and being placed in the “no” pile is a well put-together resume. GENERAL RESUME GUIDELINES: Length: • A one-page resume works for the recent graduate. If you have extensive work history, two pages are reasonable. Remember to limit pertinent to what is important to the current job objective. Appearance: • Developing a well organized, readable layout determines if it gets read! Direct the reader’s eyes to the format. • Avoid dense text appearance, which is difficult to read. • Use high-quality white or off-white paper--stay conservative...
Words: 3001 - Pages: 13
...Guide to Writing MBA-Level Resumes Table of Contents I. Introduction Purpose of this Guide Purpose of a Resume II. Before You Begin Writing Self-Assessment Accomplishment Statements PAR Formula Tips for Writing Powerful Accomplishment Statements III. The BU Resume Format Technical Specifications Content Guidelines Contact Information Education Guidelines for including GMAT and GPA Experience Additional Resume Sections Information NOT to Include on Your Resume Editing Your Resume Other Resume Formats IV. Common Resume Concerns and How to Address Them Dual Degrees Joint Degrees Multiple Undergraduate Institutions Study Abroad Company Name Change Gaps in Employment Small Company Experience Entrepreneurial Experience Multiple Temporary Jobs Short Term Work Experience Self-Employment V. Electronic Resumes Keywords Submitting Your Resume Electronically Suggested Naming Conventions Appendix A: Self-Assessment Appendix B: BU Resume Template and Sample Resumes Appendix C: Grammar Rules and Resume Action Verbs Rules for Capitalization, Dates, and Numbers Resume Verbs 2 2 3 3-4 4-5 6-7 8-9 9 10 10-11 12 12-15 15 15 15 17 17 17 17 18 18 18 19 19 20 20 21 21 21 23-25 26-31 33 34 I. Introduction Purpose of this Guide The purpose of this guide is to help you develop the best possible resume to market yourself with honest confidence. The Feld Career Center requires 1st year MBA students to prepare your resume in the BU Graduate School of Management resume format in...
Words: 8804 - Pages: 36
...reviewed, changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the University any student at any time, if it is deemed by the University to be in the best interest of the University, the University community, or the student to do so. The provisions of this publication are subject to change without notice and nothing in this publication may be considered as setting forth terms of a contract between a student or a prospective...
Words: 130938 - Pages: 524
...Personnel Selection The basic idea of personnel selection is to choose the best applicant for a job. There are several steps involved in a successful selection process. First, a job analysis is undertaken to determine exactly what the new employee will be doing. It usually consists of a job description and personnel specifications. The job description is a detailed description of what the worker does and the conditions under which he or she works. It is obtained by examining published analyses of similar jobs, interviewing people already doing the job, or observing people as they work on the job. Personnel specifications describe the characteristics of the person required for the position and might include such things as personality, physical ability, mental ability, experience, and motivation. There are numerous indicators involved in the process of employee selection, but the most common include application blanks, references, tests, and interviews. The application blank is virtually universal and is usually the initial step in the selection process. Customarily, the application requests routine biographical information, work experience, qualifications, and sometimes personal information (from finances to hobbies). Care is taken to meet guidelines of fair employment legislation. A common selection technique is to require that the applicant submit the names of several references who can testify to the applicant's abilities, or to provide several letters of recommendation...
Words: 2788 - Pages: 12
...CLASSIFIED EMPLOYEES HANDBOOK THE PERSONNEL COMMISSION ACHIEVING EXCELLENCE THROUGH MERIT REVISED | JUNE 2011 TABLE OF CONTENTS PREFACE I THE LOS ANGELES UNIFIED SCHOOL DISTRICT The LAUSD’s Mission The School System Board of Education and Staff II THE BASICS FOR NEW EMPLOYEES Orientation Expectations and Guidelines Performance Appraisals Disciplinary Action Notification of Absences Use of Telephones and E-mail Change of Address and Telephone Number Accidents and Safety Personal Property Dress Standards for Employees Employee Organizations Credit Unions Charitable Contributions Political Activity Publications III IMPORTANT POLICIES Equal Employment Opportunity Statement Nondiscrimination Statement Ethics Policy Office of the Inspector General - Hot Line Whistleblower Protection Policy Health and Safety Policy Attendance Policy Drug, Alcohol and Tobacco-Free Workplace Policy Workplace Violence Prevention Policy Sexual Harassment Policy Confidentiality and Non-Retaliation Child Abuse Reporting Policy Fingerprint Policy …………………………………………..14 …………………………………………..14 …………………………………………..15 …………………………………………..16 …………………………………………..16 …………………………………………..16 …………………………………………..16 …………………………………………..17 …………………………………………..18 …………………………………………..18 …………………………………………..20 …………………………………………..20 …………………………………………..20 2 ……………………………………………5 ……………………………………………6 ……………………………………………6 ……………………………………………7 ……………………………………………8 ……………………………………………8 ……………………………………………9 ……………………………………………9 …………………………………………...
Words: 15281 - Pages: 62
...INTERNSHIP REPORT I On “Standards and Effects of Employee Satisfaction At Axiata Limited” A NTERNSHIP xiata INTERNSHIP REPORT ON “Standards and effects of Employee Satisfaction At Axiata Limited” SUBMITTED TO: Ms. Syeda Shaharbanu Shahbazi Senior Lecturer BRAC Business School BRAC University SUBMITTED BY: Sabrina Nasser Lya BRAC Business School ID: 06204008 BRAC University Date of Submission: December 07, 2010 Date: Decemember 07 2010 Ms. Syeda Shaharbanu Shahbazi Senior Lecturer BRAC Business School BRAC University Subject: Submission of Internship Report Dear Madam, I am hereby submitting my Internship Report, which is a part of the BBA Program curriculum. It is great achievement to work under your active supervision. This report is based on, “Standards And Effects of Employee Satisfcation At Robi Axiata Limited”. I have got the opportunity to work in Robi Axiata Limited in “Implementation Department” under Technology Division for twelve weeks, under the supervision of Mr. Mahmud Hasan Faruquee, Manager SPI, Technical Division. This project gave me both academic and practical exposures. First of all I learned about the organizational culture of a prominent Telecommunication organization of the country. Secondly, the project gave me the opportunity to develop a network with the corporate environment. I shall be highly obliged if you are kind enough to receive this report and provide your valuable judgment. It would be my immense pleasure if you find...
Words: 19536 - Pages: 79
...“Standards and Effects of Employee Satisfaction I N T E R N S H I P R E P O R T A x i a t a L i m i t e d ” “Standards and Effects of Employee Satisfaction I N T E R N S H I P R E P O R T A x i a t a L i m i t e d ” I N T E R N S H I P R E P O R T ON “Standards and effects of Employee Satisfaction At A x i a t a L i m i t e d ” S U B M I T T E D T O : Ms. Syeda Shaharbanu Shahbazi Senior Lecturer BRAC Business School BRAC University S U B M I T T E D B Y : Sabrina Nasser Lya BRAC Business School ID: 06204008 BRAC University D ate of S ubmission: December 07, 2010 I N T E R N S H I P R E P O R T ON “Standards and effects of Employee Satisfaction At A x i a t a L i m i t e d ” S U B M I T T E D T O : Ms. Syeda Shaharbanu Shahbazi Senior Lecturer BRAC Business School BRAC University S U B M I T T E D B Y : Sabrina Nasser Lya BRAC Business School ID: 06204008 BRAC University D ate of S ubmission: December 07, 2010 LETTER OF TRANSMITTAL Date: Decemember 07 2010 Ms. Syeda Shaharbanu Shahbazi Senior Lecturer BRAC Business School BRAC University Subject: Submission of Internship...
Words: 19896 - Pages: 80
...changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the University any student at any time, if it is deemed by the University to be in the best interest of the University, the University community, or the student to do so. The provisions of this publication are subject to change without notice and nothing in this publication may be considered as setting forth terms of a contract between a student or a prospective student and ECPI University....
Words: 149595 - Pages: 599
...commander with policy awareness, training, command climate assessments, complaints processing and overall advisory assistance concerning the prevention of sexual harassment. 7–2. Chain of command responsibilities Commanders and supervisors will— a. Ensure that assigned personnel (to include RC personnel under their jurisdiction) are familiar with the Army policy on sexual harassment. b. Publish and post written command policy statements for the prevention of sexual harassment. All statements will be consistent with Army policy. They will include the local command’s commitment to the Army’s policy against sexual harassment and will reaffirm that sexual harassment will not be tolerated. The statement will explain how and where to file complaints and will state that all complainants will be protected from acts or threats of reprisal. Each ACOM/ASCC/DRU, installation, separate unit, agency, and activity down to company, troop or battery level will publish a sexual harassment command policy statement. Units should coordinate these policy statements with the servicing staff judge advocate or legal advisor before publishing them. c. Continually assess and be aware of the climate of command regarding sexual harassment. Identify problems or potential problems. Take prompt, decisive action to investigate all complaints of sexual harassment. Either resolve the problem at the lowest possible level or, if necessary, take fo rmal disciplinary or administrative action. Do not allow ...
Words: 36437 - Pages: 146
