You are now a administrator aural the accommodating banking casework (PFS) administering of a healthcare system. It has been assigned to you to abode a white cardboard to brainwash alternative administering managers about reimbursement. This includes how anniversary specific administering impacts agreement for services, which in about-face impacts the healthcare alignment as a whole. The healthcare arrangement may accommodate hospitals, clinics, abiding affliction facilities, and more. For now, your bang-up has asked you to advance a abstract of this cardboard for the hospital cadre only; in the future, there may be the abeyant to aggrandize this for alternative facilities. In adjustment to complete the white paper, you will charge to accept a hospital. You can accept one that you are accustomed with or actualize an abstract one. Hospitals alter in size, location, and focus. Becker’s Hospital Assay has an accomplished account of things to apperceive about the hospital industry. Once you accept bent the hospital, you will charge to anticipate about the way a accommodating appointment works at the hospital you chose so you can assay the processes and departments involved. There are several agency to achieve this.
Choose one of the following:
• If you accept been a accommodating in a hospital or if you apperceive accession who has, you can use that acquaintance as the base for your responses.
• Conduct assay through accessories or get advice from able organizations.
Below is an archetype of how to activate framing your analysis.
A accommodating comes in through the emergency department. In this case, the accommodating would be triaged and apparent in the emergency department. Anticipate about what happens in an emergency area. The accommodating could be asked to change into a hospital clothes (think about the costs of the clothes and alternative food provided). If the accommodating is announcement signs of vomiting, artificial accoutrements will be provided and possibly antinausea medication. Lab assignment and possibly x-rays would be done. The accommodating could be beatific to surgery, beatific home, or accepted as an inpatient. If he or she is accepted as an inpatient, commons will be provided and added tests will be ordered by the physician—again, added costs and accuse for the accommodating bill. Throughout the course, you will be acquisition added advice through your readings and added abstracts to advice you abode your white paper.
When drafting this white paper, buck in apperception that portions of your admirers may accept no healthcare agreement experience, while others may accept been accustomed alone a abrupt overview of reimbursement. The ambition of this adviser is to accommodate your readers with a absolute compassionate of the accent of their departments and appropriately their appulse on reimbursement. Be admiring of alone positions and accord according application to accommodating affliction and the business aspects of healthcare. Consider accounting advice skills, beheld aids, and the achievability to construe this accounting adviser into exact training.
Specifically, the afterward analytical elements charge be addressed:
I. Agreement and the Acquirement Cycle
A. Describe what agreement agency to this specific healthcare organization. What would appear if casework were provided to patients but no payments were accustomed for these services? What specific abstracts would you assay in the agreement breadth to apperceive whether changes were necessary?
B. Illustrate the acquirement aeon application a flowchart tool. Take the accommodating through the aeon from the antecedent point of acquaintance through the affliction and catastrophe at the point breadth the acquittal is collected.
C. Prioritize the departments at this specific healthcare alignment in adjustment of their accent to the acquirement cycle. Support your acclimation of the departments with evidence.
II. Departmental Appulse on Reimbursement
A. Describe the appulse of the departments at this healthcare alignment that advance agreement data. What blazon of assay would be all-important to actuate whether the agreement appulse is accomplished absolutely by these departments? How could the appulse of these departments on pay-forperformance incentives be measured?
B. Assess the activities aural anniversary administering at this healthcare alignment for how they may appulse reimbursement.
C. Identify the amenable administering for ensuring acquiescence with announcement and coding policies. How does this affect the department’s appulse on agreement at this healthcare organization?
III. Announcement and Reimbursement
A. Analyze the accumulating of abstracts by accommodating admission cadre and its accent to the announcement and accumulating process. Be abiding to abode the accent of aberrant chump service.
B. Analyze how third-party behavior would be acclimated back developing announcement guidelines for accommodating banking casework (PFS) cadre and administering back free the payer mix for best reimbursement.
C. Organize the key areas of assay in adjustment of accent for accommodation and access of agreement from third-party payers. Explain your account on the order.
D. Describe a way to anatomy your aftereffect agents in agreement of effectiveness. How can you ensure that this anatomy will be effective?
E. Advance a plan for alternate assay of procedures to ensure compliance. Accommodate absolute accomplish for this plan and the achievability of assuming this plan aural this organization.
IV. Marketing and Reimbursement
A. Analyze the strategies acclimated to accommodate new managed affliction contracts. Support your assay with research.
B. Communicate the important role that anniversary alone aural this healthcare alignment plays with attention to managed affliction contracts. Be abiding to accommodate the altered individuals aural the healthcare organization.
C. Explain how new managed affliction affairs appulse agreement for the healthcare organization. Support your account with accurate affirmation or research.
D. Discuss the assets bare to ensure announcement and coding acquiescence with regulations and ethical standards. What would appear if these assets were not obtained? Describe the after-effects of contravention with regulations and ethical standards.
ORIGINAL WORK ONLY , PLEASE FOLLOW DIRECTIONS AS YOU SEE THEM. This white cardboard should accommodate a table of capacity and sections that can be calmly afar for anniversary administering area. It should be a minimum of eight pages (in accession to the appellation folio and references). The certificate should use 12-point Times New Roman font, bifold spacing, and one-inch margins. Citations should be formatted according to APA style.
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