What is the benefit to organizations such as a state departments of health or accrediting agencies conducting unannounced review visits to a facility? What are the detriment of unannounced visits? Are there benefits to announced visits? Why or why not?
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What is the benefit to organizations such as a state departments of health or accrediting agencies conducting unannounced review visits to a facility?
What are the detriment of unannounced visits?
Are there benefits to announced visits? Why or why not?
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- What is the difference in the reimbursement cycle among long-term care facilities as compared to most other healthcare facilities?1) What is the importance of patient forum? 2) What are the benefits and advantages of patient forum? 3) How can patient forum help the healthcare staff improve patient Health?The metrics by which a healthcare administrator is evaluated are far-reaching and have consequences that are felt from the board of trustees down to the patients and their families. Do some research and find an example of a publicized hospital error, mistake, or grievance. You may use any news story or Internet article as long as its source is reliable according to academic standards. Compose a debriefing of the situation covering the following: Describe the incident. Include relevant details and descriptions. Describe the patient and family reactions, when applicable. How did the hospital handle the situation? Did they acknowledge any wrongdoing? Did they defer to legal counsel for all inquiries? What remedy did the patient seek? Did the patient seek for punitive compensation, corrective care, etc.?
- Coordination of benefits (COB) includes: Reimbursement when a patient is covered by more than 1 health plan Reimbursement for non-covered services Reimbursement for not medically necessary services Reimbursement for diagnosis mismatchWhat is the percentage breakdown for reimbursement in Health Service Organizations?What are some examples of measures in the patient-centered domain? 1.Rates of health plan members complaints over coverage decisions. 2. Education and counseling for patients about heart failure. 3. Percentage of health plan members receiving screenings for cancer. Or 4. Patient reports on care and service they received at the hospital.
- The manager of a clinic can have many varied responsibilities based on the needs of the specific facility. Discuss THREE duties and their importance to the facility. What is the difference between authoritarian and participatory management styles? Explain your role as a medical assistant regarding the importance of risk management in a healthcare setting? Research and identify the Genetic Information Nondiscrimination Act of 2008 (GINA). Research and identify the Americans with Disabilities Act AmendmentsManaged care organizations compete with each other on quality and low cost provision of services. exclude health maintenance organizations. exclude preferred provider organizations. exclude closed-panel HMOs. are often run by the federal government.Name two professional health associations or organizations that focus their efforts on work settings for health education specialists. Name two other professional health associations/organizations that are not as focused on a work setting. Describe them succinctly.
- Why do you think outpatient services are so popular with healthcare consumers? Discuss you or someone you knows experience with outpatient services. Provide at least two strengths or positive aspects and two weaknesses or negative aspects. At least 2 fully formed paragraphsWhat is the impact of the Anti-Kickback Statute on healthcare reimbursement and referralsIn reference to the patient safety movement on improving quality, to minimize error, health care personnel have been urged to report erratic events that happen in the course of their work and profession, in order to act as a stepping stone to continuous learning and quality improvement. If you for instance, were a culprit of a grave or minor error that altered the quality of your service to a patient, how likely is it that would report the event to your health care provider system as an error? Discuss both the prons and cons