Running head: LAW AND HEALTH CARE SYSTEM ADMINISTRATION Assignment #1 Jennifer Smith HSA 515 Dr. Mezu October 27, 2013 Justify your position about the importance of the physician-patient and hospital-patient relationships. The doctor–patient relationship has been and remains a keystone of care: the medium in which data are gathered, diagnoses and plans are made, compliance is accomplished, and healing, patient activation, and support are provided. To managed care organizations
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in Medicare reimbursement, it has become increasingly difficult for hospitals to maximize their cardiac cath lab’s potential economic return. In order to tackle the patient flow quandaries of delayed start times, physician unavailability, improper staffing, and excessive non-productive time in the cardiac catheterization lab, the implementation of the use of a combined Six Sigma and Lean System quality improvement methodology is suggested. Six Sigma’s focus on customers (in this case, patients) and
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Health Information Management This week, you learn about the claims management process. While most billers understand how sending claims and receiving payments affect finances, few understand the steps an individual can take to increase timely reimbursement. The Aging Report is arguably the best defense in keeping the practice financially secure. With this report, all balances (insurance and patient) can be reviewed each month to ensure payments are being made and problems are handled in a timely
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then affects the doctors’ reimbursement for patient care expenses for each patient. As the delegated leader, I must form a team and promote effective teamwork in order to resolve the problem in an efficient time frame. Choosing a proper team is essential to resolving conflict quickly. In order to achieve proper team composition it is important to compare qualities of each individual, and ensure that they share in the common goal to resolve the same objective. In the case of the billing department
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why was it enacted? Stark Law is actually three separate provisions that govern physicians’ self-referrals, mostly for payment by Medicare patients; it is also known as “the self-referral law.” “The law is named for United States Congressman Pete Stark, who sponsored the initial bill (“STARK LAW,” n.d., para. 1). The first phase became effective on January 1, 1992 (Taromina, 2013, p. 83). It prohibited a physician from referring a patient to a clinical laboratory with which they, or an immediate
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Chapter 9 health and disability insurance |CHAPTER OVERVIEW | Planning a health insurance program needs careful study because the protection should be shaped to the needs of the individual or the family. However, the task is simplified for many families because a foundation for their coverage is already provided by group health insurance at work. We begin the chapter by recognizing the importance of health insurance in financial planning and define health insurance. Then
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assignment, review of three different case studies will be discussed. Topics will include when an antivirus software cripples your computer, determining how secure cloud computing is, and electronic medical records systems. After the review of each case study, a set of questions will be answered to provide details on each study as to what was reviewed. Challenges and Security Issues (Case Studies) Introduction In this assignment, review of three different case studies will be discussed. Topics will
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AT THE MAYO CLINIC: A CASE STUDY Sunil Ramlall Hamline University Tripp Welch, Jennifer Walter, and Daniel Tomlinson The Mayo Clinic ABSTRACT For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world. The entire health care industry has been experiencing immense challenges. Given the current and historic success of Mayo, what does Mayo need to do from an HR perspective to maintain this standard of excellence? This case identifies the strategies
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1 Running Head: THE FUTURE OF HOME HEALTH The Future of Home Health Mary C. Reed The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5311 Nursing Management in Health Care Stephanee Thurman, MSN, RN August 1, 2012 2 THE FUTURE OF HOME HEALTH The Future of Home Health Home health has been the topic of several news discussions lately. Doctors and nurses are afraid that since Medicare fraud has taken place
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the predominant practice structure. Key issues and challenges to an effective ACO are cost reduction and utilization management, business model shifts, risk sharing and population management, consolidation, a changing role of IT and value of data, physician integration, clinical process improvement, and consumerism and the patient. How to reduce cost is a question that has been pursued, and it needs to be looked at, as well as utilization of management. Does this mean that homes for critically ill
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