You are a provider relation's director of an MCO. Prepare a contract proposal outline for a large medical group to consider. Be as specific as possible. Please cite resources.
This solution comments on strategies that could be implemented where cultural nursing standards are not being met.
1)What portion of the bill would Medicare cover for a participating 69 year old stroke patient who was 1) admitted to an acute facility for 10 days, transferred to a sub-acute rehabilitation facility for 30 days, then discharged to home with a prescription for Visiting Nurse (Home Health) Services 3 times a week for 30 days? 2)
What are the strengths and weaknesses of the public/private eyesâ?¦â?¦ thinking about women's and men's roles and power across cultures? What can you say about the roles and relative power of men and women in families and households? A global perspective on how women are treated both in the workplace, and in their own
What indicators would warn you that the team that is planning a transition to an electronic health information management system is not functioning well?
What is the purpose of the health care reform act? What are your thoughts about this act? Do you think it will solve the health care crisis or will it create more problems? What needs to change in order to make this act an success?
1) How much will the The Affordable Care Act cost? How will cost be covered? What argument is made that this reform will reduce health care spending? 2) What are the current eligibility requirements for Medicaid in your home state? What will be the impact of The Affordable Care Act on your home stateâ??s Medicaid provisions
Medicare and Medicaid are two of the most commonly used government health insurance programs. Your boss has asked you to do some research on both programs so the information you compile can be used to help train new hires in your department. details the basic information on Medicare and Medicaid programs in the United Stat
Many changes have occurred within the health care system over the past 10-15 years. Discuss how these changes have influenced the nature of nursing practice and the development of nursing theory.
When we see all of the evidence on how healthcare is not working with the IOM reports and OIG report, what does that say about our accreditation processes? Is the accreditation process working? Accreditation is supposed to assure quality. Is it? If yes, how do you explain the IOM reports? If no, what do we need to do differ
There are many influences that take part in a medical assistant's decisions. Describes three situations where the actions of a medical assistant were influenced by laws and regulations related to the release of personal and medical information of a patient. Describes the relevant components of the medical record you expect th
In line with the demographic trend, Advantage home Health decides to offer adult daycare services. How might Advantage Home Health formulate a prestige pricing strategy and a price bundling strategy targeted to customers who do not have an insurance plan?
Executive Summary should address the following: â?¢ What is the problem or issue that necessitates that such an article be written? â?¢ What strategies or techniques are used to solve the problem or address the issue? â?¢ Your conclusions and recommendations from the article. â?¢ Your assessment of how the artic
While working as a coding specialist at the local hospital, you overhear another coding specialist say that she often skips a step or two when locating and recording diagnostic codes. She feels that as long as she gets close to the correct code, it will not create any problems. â?¢Do you agree with the specialist's approac
Health information systems can be divided into 4 categories: clinical information systems, management, strategic decision support, and e-health applications. Instructions Explain the following References are also infused to validate the findings.s: * Clinical * Management * Strategic decision support * Health applicat
Explain the purpose of an organizational chart and what it accomplishes for a healthcare organization.
Evaluate the economics of healthcare in Canada! if you see u.s. healthcare as being better than canada's, how can you make canada healthcare better?
I need assistance with answering the following questions regarding the Patient Protection and Affordable Care Act (PPACA). 1. Why is it important and why was it passed. 2. How this changed health care policy in the United States. 3. Choose two different items included in the act and why they were included. Did these items
Health leadership is different from other industries. Expand on this statement, explaining how and why it is different.
What is the general policy of British healthcare? How is healthcare financed in Britain? What are some of their strengths and weaknesses? Is there anything the US could learn from the British Health Care System?
A. More than one member of the same medical practice treat the same hospitalized patient on the same day for different reasons resulting in different code modifiers. B. Members of the same practice treat the same patient on consecutive days. C Two emergency room physicians treat the same patient who had to be readmitted
Health Care Fraud and abuse can be prevented. Individuals may exploit health care programs for their own gain. A health care organization may code a treatment wrong resulting in unintentional harm.
Evaluate the effectiveness of the Office of Internal Affairs Health care Fraud and Abuse Program. Describe effective actions health care organizations can take to decrease their liability in this area.
What do you believe it means to Lead People and Manage Resources within the healthcare organization context?
telephone collection calls mailed collection letters collection agencies Describe each method in detail, and choose which method you feel is the most effective way to recover money that is due. Explain why you chose the method you did. Why is it more effective than the others?
What is an appeal? What are some reasons why a claim may have been denied but can be appealed? Include 5 examples. Why is an appeal important? Is that the next step your friend should take?
This posting offers help about the medicare crisis and answers the following questions: Is Medicare in a state of crisis? Are radical measures necessary to preserve the program? How is Medicare funded now? Why do the elderly feel that Medicare is an insurance program, not a welfare program?Is this perception acc
Your boss has realized he is not up to date with the office's software, so he has asked you to research Medisoft to see if this is what should be used. o What is Medisoft? o What are the uses of Medisoft? o How is it useful in entering and retrieving information? o Based on your find
Discuss the advantages and disadvantages of computer-based versus paper-based medical records that you may have identified through your previous research. Be specific, and give an example of each point you make. Do you prefer paper-based medical records or computer-based records? Explain.
U.S. healthcare vs. Canada's health care.............. Which is better and why? What has to happen to the other country's healthcare to make it as good and/or better than the other?
Give a quick overview of Medicare, and discuss 3 advantages and 3 disadvantages of enrolling in a Medicare-managed care plan. If eligible, would you choose to enroll in a plan? Why or why not?