H & G Clinic Essay
Another weakness is different payer requirements for certain procedures and treatment. There are various items that can prevent the clinic from obtaining revenue for its services such as not having a prior authorization, the payer deems the treatment wasn’t necessary or the payer implemented a new requirement for this treatment that was not met. These are constantly changing and it is difficult for healthcare organizations to keep up with these ever-changing policies. B3. Evaluate at least two opportunities of the organization HG Clinic is a multi-specialty clinic and continues to build on these specialties as they come out and as the healthcare industry grows and changes. This is an opportunity now and in the future that HG Clinic …show more content…
Many healthcare organizations had to implement an electronic health records system (EHR) to meet certain guidelines set forth by the government. This was a technology that the clinic implemented years ago to meet the needs of the patient, the requirements of the insurance companies, lean processes, and government regulations. This software helped also look for opportunities to treat our patients better and track data for population health. HG Clinic is investing in a new billing system that will allow them to track patient data better and improved billing process. These are just examples of opportunities that the clinic implemented and are continuously evaluating their current software and equipment and looking for opportunities for …show more content…
These goals are set every year by the organization and then there are other goals set for each department that role up to the overall organization. One strength is that if you have all goals pointed in the same direction many times you can accomplish them such as lowering accounts receivable for the entire company. In 2016 the AR goal was 46 and HG Clinic met that goal by having all departments have that as a goal for the overall clinic. An example that was used is front end offices were to collect relevant demographic and insurance information to be able to file these charges right away so HG Clinic could collect on these services. This was done all front line
CMS Regulations And Reimbursement Models Paper
746 Words | 3 PagesImpact of CMS Regulations and Reimbursement Models The Health Care Industry HCM307-1802B-03 Unit 1- Individual Project 1 Michael Green May 22, 2018 Introduction Healing Hands Hospital is preparing financially for the many different reimbursement changes associated with Medicare Advantage Plans. My financial team and I, have been asked to evaluate our current billing and operations workflow processes and incorporate the current trends. We will be discussing how Medicare Advantage affects Healing Hands Hospital, and how we can utilize these trends to maximize patient care. Organizational Budget Reimbursement and financial trends will change go hand and hand.
Hca 459 Senior Project Case Study
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Practice Fusion Research Papers
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Health Information Exchange Research Paper
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Kaiser Permanente: Integrated Health Care
658 Words | 3 PagesKaiser providers receive a fixed amount of money per member, so as a cost saving measure, the system is geared toward keeping patients healthy and away from costlier and frequent service utilization. Kaiser Permanente utilizes a patient portal EMR system that they have named KP Connect. It is the largest civilian electronic medical record system, and is reported to have has improved clinical process measures and member retention, as well as elicited some operational savings and changes in utilization of
Electronic Health Record Annotated Bibliography
1511 Words | 7 PagesPara. 2) The Omaha System remains statistically superior to other interface terminologies of the electronic health record. The efficacy of the Omaha system has been heavily researched and covers numerous types of patients in various types of settings. The authors, well credentialed and academic, thoroughly describe the Omaha system and its benefits for meaningful use achievement.
American Reinvestment & Recovery Act (ARRA)
409 Words | 2 PagesIn her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR
Patient Confidentiality
1406 Words | 6 PagesAs records were shared electronically rules were implemented for clinicians to follow known as The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Summary of the HIPAA Security Rule ,2013). These rules were implemented for clinicians to protect the
Hg Clinic Essay
951 Words | 4 PagesHG Clinic’s provider’s carrier valid license in the United States that differ from the two countries. When treating patients using the Doctor Web service the provider would be located in the United States. The provider would have to be licensed for Canada because the patient is located in a foreign market. Having to get these providers licensed to treat in this foreign country would have an initial investment, but would be a one-time
Pleasant Bluffs Case Study
296 Words | 2 PagesPleasant Bluffs: Launching A Home-Base Hospital Program While analyzing the case on Pleasants Bluffs, the main problem is how will they come up with a proposal for the pilot program for Pleasant Bluffs home-base hospital care and how to manage it. According to the case, it stated that Graff Salot, the director of Performance Improvement (PI), at Pleasant Bluffs Health System, is tasked with making these changes. (Erskine,2016) Therefore some potential solution might be to complete this task, he must first hired more people for administrative, and clinical. By doing this, will help to better manage the PI department and patients.
After-Visit Summary Kaiser Permanente
213 Words | 1 PagesKaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
The Merger Of Stanford Hospital And Clinics
1590 Words | 7 PagesStanford Hospital and Clinics (SHC), like many other Healthcare organizations in 2005, was faced with the challenge to convert to an Electronic Medical Record and ancillary systems. And while this decision was dictated to them through an Executive Order from the President of the United States, there are many steps an organization has to take to ensure that this type of undertaking is fully implemented and completely adopted. Since the total costs of an EMR can range in the hundreds of millions of dollars, and the success rate is hovering around 50%, it’s obvious to see that SHC had to take into account many things before getting the approval of the Board of Directors. Additionally, companies must ensure that the EMR ’s they implement are satisfying
How Does Telemedicine Interventions Continue To Change The Healthcare Industry?
3120 Words | 13 PagesIntroduction In the past few years, with the development of informatics, the healthcare industry has undergone a significant transformation. A transformation that improves health outcomes, increases sufficiency, increases access to medical services, reduces errors and enhances communication between healthcare providers. It has completely changed how healthcare professionals collect, organize, and analyze patient data, resulting in more effective and efficient patient care. Telemedicine and electronic medical records are just two examples of how informatics has changed and will continue to change the healthcare industry.
Hm Quality Coordinator
1460 Words | 6 PagesThe HIM quality coordinator should include the HIM director and staff member in this process, and also make an attempt to secure upper management buy-in for the proposed solution. The HIM coordinator should seek collaboration across all departments in an attempt to address these issues, and develop an effective workflow process within the HIM department to ensure bill hold is held below $500,000.00 mark. Next step of action will involve having all physicians onboard with the new workflow process, which means that physicians make every effort to complete their patient’s file within a reasonable timeframe, and having a physician champion can help smooth things out. Lastly, there will be need to establish an effective policy to reduce the length of billing hold; this policy will specify a three to four day holding period, and with the support from upper management the organization can levy a penalty against any clinician/physician that fail to complete their patient’s file in a timely
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