UCLA Potential For TOC Theory of Constraints Discussion

Certification Prep, health and medicine homework help

Certification Prep, health and medicine homework help
3-4 pages Health insurance companies provide the majority of the payment for medical services that clinics and physicians deliver. After the care has been delivered, the medical record is reviewed for completeness, codes are applied, and the billing office submits the claim to the insurance company or other third party payer for payment. There are several steps to take when submitting a claim form to the insurance company for reimbursement. The result of a clean claim is proper reimbursement for the services the facility has provided.Discuss the following:What does it mean to submit a clean claim? List all of the information that is important before the claim can be submitted. Discuss some of the reasons why a claim may be rejected. State various reasons for the importance of a clean claim submission. Address the consequences of not submitting a clean claim. What steps should be taken to check the claim status? As the practice manager, how would you ensure that the claims process results in clean claim submission and very few claim rejections.

U.S. News and World Report, health and medicine homework help

U.S. News and World Report, health and medicine homework help
First ，I’d like you to read this VERY brief article from U.S. News and World Report, featuring an expert panel on the “Future of Jobs in Health Care.”answer questionsThe article was written a few years ago, which immediately brings my attention to the potential changes to career paths and opportunities resulting from the Affordable Care Act, and the alternative legislation currently being debated in Congress. Do you have evidence that the data and sentiments in the article have changed since the article’s publication as a result of the ACA (or other forces)?The article points to a shift in job environments, away from hospitals, and more toward “schools, retail clinics, workplaces, and private homes.” Do you agree? Do you see evidence of this in practice?One would think, given the evidence and sentiment that the role of physician extenders (nurse practitioners and physician assistants) that these disciplines would be “booming,” and that training and credentialing tracks for these roles would be full….is this the case? What are the obstacles to continued growth in adjunctive disciplines like these?Alarmingly, the panel projects a physician shortage of 92,000 by 2020, and a “tsunami of RN retirements.” Scary predictions. Do you have evidence that this is true? Not true? How do you see these trends effected by the ACA and/or other trends currently impacting the health care labor market

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