Chargemaster Case Study Answers

Each year more and more people enroll and remain on Medicare. Since technology as well as cures and therapies for diseases have advanced in the last decade the number of people on Medicare increases each year as people are living longer today than a few years ago. That being said today I would like to talk about DRGs and MS-DRGs then compare the two.

Charge nurses have a lot of responsible. Charge nurse must be a role model the way with professionalism and dedicated and set an example for others to follow. Ensure all assignments are completed and covered based on a patient’s need. Task are delegated effectively and the care is supervised.

Medical biller is a position that will require you to take in medical claims and code them and bill out medical claims to insurance companies, Medicare and Medicaid on a daily basis. You will have to reconcile Explanation of Benefits (EOB) weekly. Verify if insurance companies require that patients get PA for certain procedure and products.

California Sutter Health in Northern California, is a not-for-profit health system that includes doctors, hospitals and other health care services. In 2006, this healthcare provider discovered the need to improve its patient collection process. Being one of Northern California 's largest healthcare providers California Sutter Health took an innovated approach to come up with a solution to improve their financial collection from patients. An article tells us “Sutter Health, is committed to giving its patient financial services (PFS) staff on both the front and back ends the tools they need to improve patient collections and thus the system 's bottom line” (Souza & McCarty, 2007). By addressing the appropriate problems, Sutter Health

Discuss the importance of knowing the processes and procedures used for receiving payment for services rendered under the contract provisions.

Legacy Hospices missions statement is to affirm life and focus on the quality of life. Legacy Hospices consist of twenty-one offices located in seven states, including Alabama, Louisiana, Arkansas, Missouri, Kansas, Oklahoma, and Mississippi. Legacy Hospices provides care for people who are in their last stages of life. Hospices allow nurses, doctors, spiritual leaders, and rehab teams to stay and work with the patient so the family members can carry out their everyday lives. Hospices job is not to postpone deaths, but to prepare the family in every way possible for that time. I got the chance to work shadow at the office in Livingston. Unlike the other twenty-one offices Legacy in Livingston, does not preform the hospices duties. They are over billing, records, payrolls, checks, and much more for all twenty-one offices. I have learned many tips to carry with me throughout my journey as an accountant.

Need accurate coding, billing, all of the patient information, Member ID correct primary insurance and secondary insurance, additional forms if medical necessity.

The total cost of computer hardware and software is accounted for within the capital expenditures in the healthcare organization’s financial budget and can be reduced over years to come. Receiving in-kind donations, contributions, or grants should be figured in for this classification, with the price of the donations being the main factor. Also, there might be a labor factor that should be calculated in to establish the overall acquisition cost. Since, technology requests usually demand specialized expertise and knowledge, colleagues of the technological team or external consultants might be required as essential participant of the process, but this would include an opportunity expense or a total consulting expense. Furthermore, acquisition expenses

The CMS - 1500 form is to facilitate the process of billing by easily arrange in diagnoses and services provided that were necessary to treat patients. The form is divided into two major sections, patient and insured information and physician or supplier information. The upper portion of the form has 13 "Form Locators" ( boxes to be completed on the form) that contain 11 data elements and two signature form locators. The lower portion of the form consists of 20 form locators numbered 14 through 33 that contain 19 data elements, and one signature form locator.

Black and Decker is a manufacturing company which produces power tools and accessories, household products, security hardware and outdoor products. B&D has a good ranking both in Europe and US, which is 19 and 7 respectively. The company has a really strong market position with their products in the “consumer” and “industrial” segment, contrarily to their inefficiency in the fastest growing segment, “tradesmen”, which their rivals are really strong at. Accordingly, company wants to increase their market share on this segment and establish recognition of their brand on the tradesmen segment. In order to improve their situation in this segment they may ignore the market share of this segment just focus the profitability part of it, they may create a sub-brand or they may withdraw their actual brand name and create an alternative brand name for only this segment. The last option was the most attractive; they either drop the B&D name from this segment or create a new one, or they provide a brand name which is backed by B&D. Between these options the most implementable one is creating a brand name which is backed by B&D.

After thorough investigation of the Lincoln Electric Company’s (LEC) Harvard Case Study, certain understanding and reflections may be made about the company’s culture from a multi-faceted perspectives such as the visual aspects of culture and its maintenance dynamics as observed in the textbook’s Chapter 8.( Carpenter, Taylor, & Erdogan, 2009)

Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,

There are number of reason because of which an employee leaves or try to quit the job, some of them are:

Sembcorp Industries (SCI) is a Singapore-based industrial conglomerate with business interests in: 1) utilities (primarily on electricity generation and wastewater treatment); 2) offshore/marine through its 61%-owned subsidiary Sembcorp Marine; and 3) urban development (developing industrial parks). SCI is 49.55%-owned by Temasek (AAA/Aaa), a government-owned holding company that has equity stakes in several strategic companies in the country.

For any changes which may occur, the company must be ready to adapt by having IT department that will handles all the technological issues. Our company didn’t have IT department before, however, assisting in the use of data management to all functions in the company is essential and we became realised how valuable it is.