141 Search Results for Healthcare Reimbursement and Billing
Health Care Reimbursement and Billing
Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infect Continue Reading...
Healthcare Financial Statements emphasizes on how accountants belonging to a healthcare organization make use of the accounts rule to evaluate their organization's financial statements. This paper also outlines the troubles a company could be into i Continue Reading...
Healthcare Organization and Finance
Scenario
Medicare covers healthcare services such as surgeries, laboratory testing and doctor visits. It also covers supplies such as walkers and wheelchairs. These services and supplies must be considered as ind Continue Reading...
Healthcare Government Regulations
The role of government regulatory agencies and government regulations in general is particularly important in health care. The reasons for this are many, but the most important of those reasons is that health care d Continue Reading...
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the wo Continue Reading...
Health Care Finance
Financial analyst Eric Feigenbaum (2009) notes that while we like to think of hospitals in terms of compassion, patient care and dedication to altruistic aims, they are businesses concerned with revenues and expenses like any oth Continue Reading...
Healthcare
Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there ar Continue Reading...
Healthcare and Revenue Cycles
When it comes to the revenue cycle and receivables management, a healthcare organization faces unique challenges. These challenges include the fact that many clients (patients) cannot afford the care they are there to r Continue Reading...
Some hospitals create a "contingency" budget, which can be offset by a few of these patients.
The percentage of non-paying patients can vary a good deal, particularly in a city- or county-owned hospital. This number may not vary, and typically in a Continue Reading...
It may be most appropriate when there is a question of adding a new service or getting rid of a current service, but makes less sense for a department which is expected to continue in service.
Incremental budgeting is a part of the rolling forecast Continue Reading...
What emerges from these efforts are two essential understandings. First, in spite of whatever evidence may exist to the contrary, system building will continue apace in the hospital industry. Whether the battlefield is risky is immaterial, for the Continue Reading...
Health Insurance
There are several steps in the insurance claim process. Many patients have some form of health care insurance. Health insurance is, more or less, payment made by the patient to the insurance company to guard against ailments. The in Continue Reading...
Develop a financial strategy for using global nursing strategies to increase fiscal responsibility. Include the positive and negative financial impact of bringing foreign healthcare providers into a financial organization. Examples such as physicians Continue Reading...
1 Introduction
1.1 Statement of the Problem
Lack of health coverage has been a prevalent issue in the United States. Research indicates that in the second year consecutively, there was an increase in the number of uninsured people. Insurance coverage Continue Reading...
A healthcare organization has both formal and informal structures that occasionally conflict with one another. Formally, this healthcare organization is approaching that of a service line. It is flatter than a traditional hierarchy, with several of t Continue Reading...
Healthcare ProposalAbstractSocioeconomic status and high prices of healthcare insurance premiums are some of the critical factors that define the way US citizens are covered. However, a large subgroup of the population remains uninsured, particularly Continue Reading...
Healthcare Costs
Healthcare Issues
The healthcare industry is in turmoil. Ironically, there are many sides and perspectives to the argument because healthcare in this country is and always was a major part of all aspects of life. We cannot just say Continue Reading...
Healthcare
#1 I believe in evidence-based policy, and on that front there is evidence that the glass ceiling exists. I have no personal anecdotes to tell on the subject, and an individual anecdote is meaningless when discussing broad sociological ph Continue Reading...
Health Insurance & Managed Care
There are four main types of managed care plans. First, it helps to have a basic understanding of what managed health care is. Managed care "combines healthcare delivery with the financing of services provided" (G Continue Reading...
com). A certain amount of errors is to be expected, but there should not be so many that it demonstrates a certain level of skewedness about the model in its entirety. Thus, if the NHI model is the one which is selected, then it needs to be tested ag Continue Reading...
Fraud and Abuse Case
Healthcare fraud and abuse continues to threaten the country, costing the facility billions of dollars per year. Brodeur, (2007) stated that fraud is something difficult to understand because it is a contagious issue. Healthcare Continue Reading...
Policy Changes in Healthcare Finance
Healthcare Finance
CPT Codes
The American Medical Association (2013) developed the Current Procedure Terminology (CPT) codes decades ago in the 1960s. The first edition was published in 1966 and over the subse Continue Reading...
Evolution of Health Care Information Systems
The objective of this study is to compare and contrast a contemporary healthcare facility or physician's office health care facility or physician's office operation of 20 years ago and to identify at leas Continue Reading...
Managed care and utilization review (UR) play an integral part in patient care and reimbursement (Mahmoud, E and Rice, G, 1998). Scott echoes it experts Brian P. Bloomfield, Rod Coombs, David Knights, and Dale Littler (2000), who say:
IT system enj Continue Reading...
How to Protect Revenue Streams
The purpose of this research analysis was to discover tools healthcare organizations and practitioners can use to increase revenue streams while facing the rising costs of healthcare and an increasingly aged populati Continue Reading...
Universal health care system also termed as single-payer system in intended for all individuals irrespective of their financial standing. No procedure is considered perfect for the universal or single healthcare system. Several nations are adopting v Continue Reading...
Structure and Process in Health Care Organizations and Health Care PolicyIntroductionThe structure and process in health care organizations is inherently tied to health care policy, the aim of which is always to provide the best quality care to patie Continue Reading...
Mandatory Overtime Policies
Organizational Culture and Readiness Assessment
The results of the Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice checklist, which summarizes the survey results, are discusse Continue Reading...
Purdue Pharma's Role in the Opioid Crisis
Introduction
The court case of US v. Purdue Pharma is a case that focuses on the Anti-Kickback Statute, which holds it a felony for an entity to accept kickbacks for providing services or items that are r Continue Reading...
Policy-Bill on Protecting Access to Primary Care Act
Objective and anticipated outcome of the proposed legislation or regulation
On August 2, 2013, Congresswoman Suzanne Bonamici (D-OR) introduced the Protecting Access to Primary Care Act (H.R. 298 Continue Reading...
Financial Management in Healthcare
Medicare and Medicaid are programs run by the government and which provide medical services as well as services that are health care related to particular groups of individuals in the United States. It is imperativ Continue Reading...
Health Law and Regulations
In America, the health care industry is highly regulated. This is because there are certain aspects of the law which are designed to improve quality and offer everyone with a variety of treatment options. To fully understa Continue Reading...
Reimbursement Ethics and Compliance: Impact of Health Care Reform on Medical Coding and Billing
"Medical billing and coding lays the foundation for any successful healthcare provider," yet its common practices are undergoing significant changes unde Continue Reading...
Health Qs
Massachusetts Cost Limiting Proposal
One of the major problems of the current healthcare system implemented by the State of Massachusetts is the cost of maintaining the program and providing the necessary healthcare to Massachusetts' citi Continue Reading...
Medical Coding Ethics
Ethical Concerns in Health Care Delivery: Focus on Medical Coding and Billing Practices
The objective of this study is to examine ethical concerns medical coding and billing in the physician office. Medical coding and billing Continue Reading...
Medical billing and coding can be described as the process of presenting and following up on claims to health insurance companies for the purpose of obtaining payment for services provided by the healthcare provider. Regardless of whether an insuranc Continue Reading...
There are no deductibles and no user fees nor limits to contributions on the plan. There are also no restrictions on services to be used and no premiums to pay for basic care coverage other than taxes, a far cry from the high deductibles, co-pays an Continue Reading...
Priorities & Predictions of Healthcare CFOs
The key take away from the article is that patient satisfaction will become the top priority for Chief Financial Officers (CFOs). Before the MACRA of 2015, hospitals and healthcare organizations gained Continue Reading...