The Revenue Cycle Process and REIMBURSEMENT MODELS

Develop a 10-slide PowerPoint presentation with accompanying 10 to 20 minutes of audio targeted at educating new hires at a health care organization about the revenue-cycle process.

INTRODUCTION

The financial health of the health care organization depends upon its ability to generate consistent and recurring funds from the services it provides. Collectively referred to as the revenue cycle (RCM), critical stages in this process include:

  • Patient registration.
  • Collection of demographics and payor source.
  • Rendering services.
  • Documenting services.
  • Establishing charges.
  • Preparing the claim or bill.
  • Submitting the claim.
  • Receiving payment.
  • Managing accounts receivable.

Decreasing payment delays and lost revenues is a point of interest for many health care managers tasked with oversight of the RCM process. Innovative approaches in technology have assisted with streamlining the RCM process and allowed for automation of many processes, resulting in expedited processing and quick remittance.Managed care dollars represent a significant portion of all health care organizations’ reimbursements. As a result, health care organizations seek to establish contracts with large managed care organizations (MCOs). Negotiating and securing contracts with MCOs is important for several reasons, including preserving revenues, enhancing patient satisfaction, and generating additional sources of revenue.All contracts will contain language outlining the administration of the contract along with the payment schedule. While the payment schedule may be seen as the most important element, the terms outlined within the contract are equally as vital to the financial success of the organization.This assessment focuses on the revenue cycle and how technological innovations have impacted reimbursement for health care organizations. You will take on the role of a patient access supervisor. One of your job functions entails educating new hires on the revenue cycle process.

The Career Advancement Program for Registered Nurses

for here i did a copy and past twice because i already explained on what i what i wanted but i needed to write 100 characters. please open the attachment from page 17 to page 25 you will see the title for each topic and direction on what is needed. thank you.

see attachment for direction on what is needned to write the paper. from page 17 to page 25, there is a topic for each paper. the rest of the pages will be fill by me. at least 300 to 400 words per page for each paper. doubla space, APA style since it related to health. see attachment for direction on what is needned to write the paper. from page 17 to page 25, there is a topic for each paper. the rest of the pages will be fill by me. at least 300 to 400 words per page for each paper. doubla space, APA style since it related to health.

Healthcare Quality Structural Characteristics

You have studied Donabedian’s structure-process-outcome (S-P-O) model (Kelly, 2017) of healthcare quality in your textbook readings. Based on your reading, respond to the following:

  • Analyze and evaluate how quality is defined, measured, and reported with regards to the S-P-O model.
  • What structural characteristics of the S-P-O model do you think are necessary in creating an effective and efficient process? Why?
  • Does evidence-based medicine play a role in the S-P-O model and quality outcomes of care? Justify using examples.

Resources:

Ayanian, J. Z., & Markel, H. (2016). Donabedian’s lasting framework for health care quality. The New England Journal of Medicine, 375(3), 205-207. Retrieved from https://search-proquest-com.southuniversity.libpro…

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details:

  • Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Areaby the due date assigned of this Week. Be sure to cite your sources using APA format.
  • Respond to your peers throughout the Week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of this Week.
  • Use the following rubric as a guide to complete your discussion responses.

Hippocrates On the Sacred Disease

what is the argument that the author wants to put forth, and what do you think of it?

2.5 pages double spaced — no works cited page needed

Please note: the sacred disease he writes about is epilepsy

attached is the reading needed

Adult Health Risk appraisal tool

Find a health risk appraisal tool either online or in paper form. Complete your chosen appraisal tool as if you were the client. Review and critique the tool; post the tool or link to the tool, along with your critique. Many professional organizations, federal health organizations and insurance companies have these tools available.

A risk factor predisposes or increases the likelihood of ill health. The reduction of health risks is a major approach to improving the health of the nation.(300 words)

Importance of Advance Directives

. State reasons why Advance Directives are important

2. What’s the difference between Advance Directive and Living Will with example

3. What does case management involve?

Relevance Of Health Information Exchanges

the subject is Relevance of health information exchanges.

Use APA format and headings

follow the instruction

Introduction A brief description of the topic and overview of the scope of the project.

Problem Statement What is the specific issue/problem you are trying to solve?

Hypothesis or Point of Investigation What is your hypothesis or what is the expected outcome if your solution is implemented?

Methods What specific plans do you have to meet the purpose of the project, identify solutions, and create the deliverable?

Literature Review What will you search, review, and study from peer-reviewed and other appropriate literature to balance the theory with your practical application?

References (if any) used in this proposal

Roles and Responsibilities OIG

100 word minimum, definition of what an Office of Inspector General is and then list role and responsibility of the position.

Theories of Health Promotion

Read chapter 4, 13 & 14 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions;

  1. Discuss various theories of health promotion, including Pender’s Health Promotion Model, the Health Belief Model, the Transtheoretical Theory, and the Theory of Reasoned Action.
  2. Discuss at least two definitions of health.
  3. Critically analyze racial and cultural diversity in the United States.
  4. Describe the importance of air, water and food quality as a determinant of health.

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 4 discussion questions”. The assignment must include at least 2 evidence-based references (excluding the class textbook) no older than 5 years. Refences must be quoted in the assignment in order to comply with APA. Two replies to any of your peers sustained with the proper references are required. A minimum of 700 words is required.

Legal Issues With Medical & Nursing Professionals

Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.