Reimbursement and Pay for Performance University of Phoenix Lori Stemen October 28, 2013 Reimbursement and Pay-for-Performance The United States has gone through some dramatic changes over the last forty years and currently we are in the middle of some additional changes with the Affordable Care Act. Pay-for-performance is intended to improve the efficiency, quality, and the overall worth of health care. The expectation is that these changes will provide to physicians, hospitals and other
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However, when a physician sees a patient moving in a manner inconsistent with their claimed injury it may be time for the physician’s attorney to investigate further. Such was the case of a 56-year old man who claimed pain due to a physician’s negligence during back surgery (Crane, 2015). The physician’s investigators who videotaped the plaintiff picking up a hydraulic jack to prop up his car (Crane, 2015). Due to the videotape the case was dismissed. The doctor’s ability
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The Impact of the Aging Population on the Health Workforce in the United States: Summary of Key Findings March 2006 This study was funded by the National Center for Health Workforce Analysis Bureau of Health Professions Health Resources and Services Administration Prepared by Center for Health Workforce Studies School of Public Health, University at Albany 7 University Place Rensselaer, NY 12144-3458 Impact of the Aging Population on the Health Workforce in the United States The expected
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healthcare delivery system include: 1. The provider must be able to be responsive to the patient (Hall R. C., 2010). 2. The provider must provide compassionate, relevant, and adequate care (Hall R. C., 2010). 3. The health delivery system must support physician excellence (Hall R. C., 2010). LEGAL AND ETHICAL ISSUES 4. The health delivery system
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athenaCollector: A Medical Practice’s Premier Billing and Workflow Application In 1997, Jonathan Bush and Todd Park purchased a birthing practice in San Diego, California. When they ran into insurance reimbursement issues they began to look for existing electronic medical records (EMR) and practice management solutions to help solve their problems. They were unable to find software that met their needs so they decided to create their own program and as result athenahealth, Inc. was born. Three
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Third Party Reimbursement and Risk Management Article Summary Outline A. Summary 1. Introduction 2. Studies B. Personal Reaction 1. What I learned 2. What I think C. Application in classroom setting 1. The HIPPA Act 2. Ethics as the core A Risk management gives rise to various policies, which focus on making patients and clients secure since they can access care in diverse hospitals. Indeed, the exposure of patients
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MGOA Case Preparation Summary Section 1, Case Preparation Summary - MGOA Short-Cycle Summary Who: Dr. Harry Rubash; Dr. James Herndon What: MGOA is experiencing severe financial problems. They had been running an annual financial deficit and endowment funds have been depleted. MGOA wants to develop a plan that allows for financial security. Why: Decreasing reimbursements from private and government insurance providers. Inefficiencies in MGOA processes
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treatment, and decreasing the inequities of mental health treatment options and access. Telemental Health Use and Considerations Telemental health (TMH) services can be easily set up at a community health center, school, doctor’s office, and in some cases an individual’s home. According to the American Tele Medicine Association (2013), this service is either contracted through urban healthcare facilities, privately found online, or through companies that hire mental health providers and facilitate
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improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates
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Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations. Case report form are submitted by health care facilities and providers to report data to sponsoring agencies, facilities, and organizations. ***Remember, a register is a collection of information, such as a hospital’s admission/discharge register, while
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