Task Type Individual Project Deliverable Length 8–10 pag.docx

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Task Type: Individual Project Deliverable Length: 8–10 pages; APA format Points Possible: 150 Due Date: 5 /3/2015 11:59:59 PM CT [removed] Weekly tasks or assignments (Individual or Group Projects) will be due by Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time. Key Assignment Draft Part 1 Tasks (Week 4 ) Training Manual In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic. Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician. Note: Content from Weeks 1 – 3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs. The project deliverables are as follows: Training Manual Title page Course number and name Project name Your name Date The training manual should include the following topics: An introduction to the health care system The organization’s structure The process of checking patients in and out Scheduling patients Various community and patient resources Processes for how to interact with patients Health insurance plans Financial procedures related to the policies of the organization Clean claims Financial procedures related to the organization’s cash flow Billing policy and procedures Protecting patients' privacy Accounting and bookkeeping procedures and processes Office procedures for various forms of documentation (release of information, electronic health record) Health Insurance Portability and Accountability Act (HIPAA) rules and regulations HIPAA forms Advance directives Medical record responsibilities Obtaining patient demographics and insurance information Receive, triage, and route phone calls Review records for medical necessity Release of information guidelines .

Education

Note:
Content from Weeks 1
–
3 IPs and DBs can be wholly or partially used as necessary to
address the specific Key Assignment tasks shown below. You
should take into account any instructor feedback from those IPs
and DBs.
The project deliverables are as follows:
Training Manual
Title page
Course number and name
Project name
Your name
Date
The training manual should include the following topics:
An introduction to the health care system
The organization’s structure
The process of checking patients in and out
Scheduling patients
Various community and patient resources
Processes for how to interact with patients
Health insurance plans
Financial procedures related to the policies of the organization
Clean claims
Financial procedures related to the organization’s cash flow
Billing policy and procedures
Protecting patients' privacy
Accounting and bookkeeping procedures and processes
Office procedures for various forms of documentation (release
of information, electronic health record)
Health Insurance Portability and Accountability Act (HIPAA)
rules and regulations
HIPAA forms
Advance directives
Medical record responsibilities
Obtaining patient demographics and insurance information

Receive, triage, and route phone calls
Review records for medical necessity
Release of information guidelines

8–10 pages; APA format Details: Weekly tasks or assignments (Individual or Group Projects) will be due by Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time. Key Assignment Draft Part 1 Tasks (Week 4 ) Training Manual In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic. Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician. Note: Content from Weeks 1 – 3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs. The project deliverables are as follows: Training Manual Title page Course number and name Project name Your name Date The training manual should include the following topics: An introduction to the health care system The organization’s structure The process of checking patients in and out Scheduling patients Various community and patient resources Processes for how to interact with patients Health insurance plans Financial procedures related to the policies of the organization Clean claims Financial procedures related to the organization’s cash flow Billing policy and procedures Protecting patients' privacy Accounting and bookkeeping procedures and processes Office procedures for various forms of documentation (release of information, electronic health record) Health Insurance Portability and Accountability Act (HIPAA) rules and regulations HIPAA forms Advance directives Medical record responsibilities Obtaining patient demographics and insurance information Receive, triage, and route phone calls Review records for medical necessity Release of information guidelines Apply office procedures related to customer service, scheduling, records, healthcare team members, community resources, and health information research in a healthcare organization. Demonstrate financial procedures related to the policies and cash flow in a healthcare organization. .

8 pages; APA format Weekly tasks or assignments (Individual or G.docx

JospehStull43

8 pages; APA format Weekly tasks or assignments (Individual or Group Projects) will be due by Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time. Key Assignment Draft Part 1 Tasks (Week 4 ) Training Manual In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic. Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician. Note: Content from Weeks 1 – 3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs. The project deliverables are as follows: Training Manual Title page Course number and name Project name Your name Date The training manual should include the following topics: An introduction to the health care system The organization’s structure The process of checking patients in and out Scheduling patients Various community and patient resources Processes for how to interact with patients Health insurance plans Financial procedures related to the policies of the organization Clean claims Financial procedures related to the organization’s cash flow Billing policy and procedures Protecting patients' privacy Accounting and bookkeeping procedures and processes Office procedures for various forms of documentation (release of information, electronic health record) Health Insurance Portability and Accountability Act (HIPAA) rules and regulations HIPAA forms Advance directives Medical record responsibilities Obtaining patient demographics and insurance information Receive, triage, and route phone calls Review records for medical necessity Release of information guidelines .

.Key Assignment DraftPart 1 Tasks (Week 4 )Training ManualIn.docx

honey690131

. Key Assignment Draft Part 1 Tasks (Week 4 ) Training Manual In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic. Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician. Note: Content from Weeks 1 – 3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs. The project deliverables are as follows: Training Manual Title page Course number and name Project name Your name Date The training manual should include the following topics: An introduction to the health care system The organization’s structure The process of checking patients in and out Scheduling patients Various community and patient resources Processes for how to interact with patients Health insurance plans Financial procedures related to the policies of the organization Clean claims Financial procedures related to the organization’s cash flow Billing policy and procedures Protecting patients' privacy Accounting and bookkeeping procedures and processes Office procedures for various forms of documentation (release of information, electronic health record) Health Insurance Portability and Accountability Act (HIPAA) rules and regulations HIPAA forms Advance directives Medical record responsibilities Obtaining patient demographics and insurance information Receive, triage, and route phone calls Review records for medical necessity Release of information guidelines ...

Training ManualIn this assignment, you will develop a training man.docx

nanamonkton

Training Manual In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic. Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician. Note: Content from Weeks 1 – 3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs. The project deliverables are as follows: Training Manual Title page Course number and name Project name Your name Date The training manual should include the following topics: An introduction to the health care system The organization’s structure The process of checking patients in and out Scheduling patients Various community and patient resources Processes for how to interact with patients Health insurance plans Financial procedures related to the policies of the organization Clean claims Financial procedures related to the organization’s cash flow Billing policy and procedures Protecting patients' privacy Accounting and bookkeeping procedures and processes Office procedures for various forms of documentation (release of information, electronic health record) Health Insurance Portability and Accountability Act (HIPAA) rules and regulations HIPAA forms Advance directives Medical record responsibilities Obtaining patient demographics and insurance information Receive, triage, and route phone calls Review records for medical necessity Release of information guidelines .

Redesign Health Care Delivery

Abdel Latif Marini

Write a 3 page evidence-based health care delivery plan for one .docx

owenhall46084

Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic. Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. Describe accountability tools and procedures used to measure effectiveness. Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. Develop an evidence-based plan for health care delivery. Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. Apply professional and legal standards in support of a care plan. Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style. In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following: What does the patient know about the disease process as a baseline? What does the patient need to do understand as far as the best self-care processes? Can the patient identify proper medication compliance? Is there a financial issue that affects compliance? Who buys and prepares the food in the home? Can the patient verbalize when to seek medical assistance? Instructions Deliverable: Develop an evidence-based plan for health care delivery. Scenario: The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocol.

How to Complete Patient Documentation on Time

Medical Transcription Service Company

Running Head Quality Improvement Project1QUALITY IMPROVEMEN.docx

toltonkendal

Running Head: Quality Improvement Project 1 QUALITY IMPROVEMENT PROJECT 7 Quality Improvement Project Jerome Phillips Kaplan University HS460 Professor Sexton-Tosh September 22, 2017 The topic on continuous quality improvement for my final project that I selected is Patient Administration. There are many health care sectors that are involved with patient administration. Some of those heath care sectors consist of: 1. Hospital Management Firms 2. Health Maintenance Organizations 3. Health Information Technology 4. Long Term Care Facilities 5. Public Health 6. Healthcare Network While CQI implementation is slowing down in some health care sectors after the impact of early adopters may have worn off, other sectors of health care, such as public health (see Chapter 16) and nursing (see Chapter 17), are embracing and expanding CQI concepts and methods. (Sollecito 70) There are many disciplines involved with patient administration. 1. Public Health 2. Physical Therapy 3. Pharmacy 4. Nursing This process is real. Patient Administration is an area that Continuous Quality Improvement can make a difference in how patient’s view the healthcare they receive. Healthcare will always be needed, because not many are willing to try the alternative of not getting healthcare. References: Sollecito, William A. McLaughlin and Kaluzny's Continuous Quality Improvement In Health Care, 4th Edition. Jones & Bartlett Learning, 20110929. VitalBook file. As an individual, you have our own wants needs and desires you want to pursue and achieve. Even though you are an individual, you are simultaneously also part of a larger society. Being part of a larger society includes the understanding that our society also has needs it must achieve and maintain if it is going to operate in an orderly manner that is beneficial to the greatest majority of society. For this assignment, you will write a 1-2 page essay that identifies the key social issues contributing to the need for Criminal Justice practitioners. In your paper, identify and define three key social issues. Also, discuss how the issues impact your role as a criminal justice professional. Provide 2-3 illustrative examples to support your position. Format your paper with an introductory paragraph, an explanation of the three key social issues, and then a concluding paragraph. View the Unit 2 Assignment Checklist NOTE: This assignment will require outside research (at least two outside resources). You may consult the Kaplan Online Library, the internet, the textbook and other course material, and any other outside resources in supporting your task. Keep in mind that college students are expected to have strong writing skills, and you should put forth your best writing effort for this assignment. You may not be at a point where you have strong writing skills, but you will have every opportunity to develop them as you continue through your program of study. Be sure to use the resources available to you t ...

Patient often has at least some anxiety Fear of diagnosis Discomfort with lack of privacy Fear of high costs/ time off work Fear of pain or discomfortDifficult for MD’s and nurses Administrative role to provide a supportive environment Patient judge medical care based upon their entire experience, not just physician quality Parking Registration BillingDemeanor of manager may dispel complaints Listen, empathize, change what you can, however…. Medical decisions are still the MD’s responsibility Timeliness Respect that their time is as important as yoursProvider attitude Happy doctors and nurses, good “bedside manner”Complaints may be a symptom of a larger problem Patient anxiety Financial concerns Too little time with MDMD didn’t listenStaff was rude, uncaringWait too longMD took calls during examPoor teaching, no explanation for testsPoor explanation of billing, insurancePoor communication between specialist and primary care Top complaints revolve around time, respect, and patient instructionGather facts, information Remember subjective patient information is only one side of the story Patients may be misunderstanding the purpose for tests or MD decisionsEasier to resolve when organizational systems are in place Identification of the problem Reactive: Complaints Proactive: Data collection such as surveysAnalyze data to identify trendsCommunicate information in an impartial way to staff, leadersImplement actions to reverse trendsContinuous evaluation to assure effectiveness Inform patients of why the survey is being done What the data will be used for Confidentiality; that answers won’t affect future medical careProvide a stamped envelope Put no burden on the patient If a patient puts their name and a personal note provide a personal responseCommunicate results to staff Complaint resolution/ patient relations is an area where an administrator can make a tremendous impact May reduce malpractice claimsNeed MD support Establish peer review processes for MD’s MD’s should be evaluated by other MD’s Put in place a formal , objective complaint resolution systemCommunicate continuously with staff Hca 346 ambulatory care administration Professor Haislip Chapters 3 & 5 Basis of any quality program is to figure out what the customer wants and needs while meeting or exceeding their expectations. Driven from theme of customer-driven market Customer service principles (ex: Six Sigma) and the common methodologies, combined with the ten commonsense principles (CSPs) and personal experiences, will deliver a customer-focused culture. Figure 3.1 Chapter 3: Engineering the customer connection Quality Function Development (QFD)- an effective team approach to designing products and services that involves key stakeholders from the organizations that are responsible for what the customer uses or purchases notably called the voice of the customer QFD and voice of the consumer refers to development of prioritized set of customers wants and nee.

ITS IMPORTANT TO MEET THE COMPETENCES (Thats how they evaluate the

mariuse18nolet

ITS IMPORTANT TO MEET THE COMPETENCES (That's how they evaluate the work). Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. (IMPORTANT) -Describe accountability tools and procedures used to measure effectiveness. Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. (IMPORTANT) -Develop an evidence-based plan for health care delivery. Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. (IMPORTANT) -Apply professional and legal standards in support of a care plan. Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style. Preparation Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment. Instructions Deliverable: Develop an evidence-based plan for health care delivery. Scenario: The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients. As a member of the nurse team, you have been asked to develop one component of the clinic. The hospital leadership established these objectives ...

1042 PM (CST)Assignment DetailsAssignment Description

BenitoSumpter862

10:42 PM (CST) Assignment Details Assignment Description Assignment Details The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400– 13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017) Consider the following case from the course scenario on St. Michael's Medical Center. Case I: The Blue Wall Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations are the following: Employees have exposed patient information to unauthorized people. Nurses have made unilateral decisions and ignored informed consent mandates. Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records. Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors have claimed were missing have been found lying around in public areas. Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels. As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas: Communication Secure storage of information Retention of health information Prepare a 15slide PowerPoint addressing the following items: What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods? What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom? What are the benefits of sharing patient health information? What current applications are available to share patient information? What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules? What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media applications? What is the purpose of seeking patient co ...

1042 PM (CST)Assignment DetailsAssignment Description

SantosConleyha

1042 pm (cst)assignment details assignment description

SUKHI5

Hello, I need assistance with the following I need assistance.docx

isaachwrensch

Hello, I need assistance with the following: I need assistance with the following, would you be able to assist? The project is the creation of a white paper. Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system. An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge. For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined. The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five. In this assignment, you will demonstrate your mastery of the following course outcomes:  † Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle  † Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements  † Analyze organizational strategies for negotiating healthcare contracts with managed care organizations  † Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations  † Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on pay for performance incentives Prompt You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities. In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals var.

Top Goals for Physicians to Implement In Their Facility.pptx

alicecarlos1

I need the follwoing assignmentThe project is the creation of a w.docx

natishahaen

I need the follwoing assignment: The project is the creation of a white paper. Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system. An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge. For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined. The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five. In this assignment, you will demonstrate your mastery of the following course outcomes:  † Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle  † Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements  † Analyze organizational strategies for negotiating healthcare contracts with managed care organizations  † Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations  † Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on pay for performance incentives Prompt You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities. In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals vary in size, location, and focus. Becker’s Hospital Review has an excellent .

Heart Failure Clinic Resourcing Plan.docx

4934bk

Healthcare ReimbursementI need help on the following assignment C.docx

CristieHolcomb793

Healthcare Reimbursement I need help on the following assignment: Create a white paper. I have coompleted the first part and can provide it to you for help on the second part of the paper. Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system. An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge. For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined. The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five. In this assignment, you will demonstrate your mastery of the following course outcomes:  † Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle  † Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements  † Analyze organizational strategies for negotiating healthcare contracts with managed care organizations  † Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations  † Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on pay for performance incentives Prompt You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities. In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an i.

OT 425 Session 9A

Stephanie Lancaster

Write a 3 page evidence-based resourcing plan for one component .docx

owenhall46084

Write a 3 page evidence-based resourcing plan for one component of the Heart Failure Clinic. It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. Apply evidence-based management strategies and best practices for resourcing health care services. Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. Apply legal and professional standards for resourcing outpatient services. Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style. To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. For the following questions, you may wish to review the Brown, Bornstein, and Wilcox article "Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care," listed in the Unit Resources. Who makes you accountable for the delegation that you use in your organization, as well as on a state and national level? Are there ways you could initiate greater collaboration with the health care team by using delegation? What is the purpose of the National Council of State Boards of Nursing delegation decision-making tree? What is the long-term implication related to health care cost if the patient or patient population continues to have poor outcomes related to cost containment? How can you address cost within your organization, as a nursing leader, and how is this related to patient outcomes? Instructions Deliverable: Develop one component of an evidence-based resourcing plan. Scenario: The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information cle.

Chapter15stanbridge

Documentation the basicsaifl

Write a 3-4 page evidence-based health care delivery plan for one co

vickeylintern

Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic. Instructions Deliverable: Develop an evidence-based plan for health care delivery. Scenario: The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients. As a member of the nurse team, you have been asked to develop one component of the clinic. The hospital leadership established these objectives for the clinic services: Evaluate and maximize proper medication therapy. Conduct regular diet, exercise, and stress management classes for the patients. Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs). Provide a case management system for patients in the program post-discharge. The overall goals for the heart failure clinic are to: Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge. Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning). Decrease readmission rates in this population by 5 percent over the next year. The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly. Develop one : an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan. An Orientation Course Plan: Develop an evidence-based plan for health care delivery. Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course. What are the components of an evidence-based education plan? How will you know that patients will understand what to do? What modalities will you use to deliver information? How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds? Identify specia ...

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The Assignment (3–5 pages)Complete a leadership development plan .docx