...Medicare Exhaust Billing Procedure Manual Project Cynthia Gause Colorado Technical University Online ENGL205-1301 Technical Writing and Speaking Phase 4IP Contents Contents 1 Phase 1 IP 2 Procedure Manual Outline 2 Phase 2 IP 3 Procedure Manual Proposal (Revised) 3 Brochure 4 Brochure Continued 5 Phase 3 IP 6 Medicare Exhaust Billing Checklist 6 Procedure Manual 7 Preparing Bill 3 Step I – Census 3 Step II – Bill Upload 4 Exhaust Billing Claim Coding 5 Step III- Xclaim 5 DDE Step IV 7 Secondary Claim Submission 8 How to submit Secondary Exhaust Claim 8 UB04 Claim examples 8 Billing Reference Tools 10 Type of Bills 11 Patient Status Codes 12 DDE Access/ Menu 13 Phase 1 IP Procedure Manual Outline Outline for Medicare Exhaust Billing Procedure Manual I. Introduction This section will provide an overview of Medicare exhaust billing and the purpose of this manual. II. Bill Uploads Upload bill and billing data in the Ram system to allow bills to be created. III. Claim Coding, and required remarks Once bills have been uploaded and created, bills need to be coded correctly and remarks need to be added to the claim. IV. Submit Bill to Medicare thru Xclaim...
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...San Diego Water and Sewage Customers Affected by Glitches in the Billing System KTC COMM/215 November 1, 2011 Pamela J. McGlynn San Diego Water and Sewage Customers Affected by Glitches in the Billing System The recent 24 million dollar upgrade to the San Diego water and sewage billing system is not performing as planned. The new billing system errors are occurring in customer billing rates, water and sewage service, and customer service response. In July 2011 the City of San Diego Public Utilities Department upgraded the water and sewage billing system at a cost of 24 million dollars. This billing system serves San Diego and the surrounding metropolitan areas, and has not performed satisfactorily,” in fact”, as of today; thousands of customers cannot log into the billing system whereas others are experiencing interruptions in their water service. It takes a few days up to two weeks to process mailed in payments. The system is back logged, and response times are very slow with customers waiting hours or days before receiving a response. The water and sewage billing system, is overseen by the City of San Diego Utilities Department. The Utilities department has been deluged with both calls and e-mails complaining about the situation. This increase in customer service complaints is forcing the department to hire new employees and also to have current employees working nights and weekends to respond to the increased workload. These employees, both new and current can...
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...payment for health care which took place in the past, present or future of the individual. The common identifiers like name, birth date, address and social security number are also included in the individually identifiable information. With the application of this law, the health care organisations have to be cautious about whom to share the information of patient with. Thus, it acts as an added responsibility for the staff. The separate billing system can be beneficial in such situations for a health care organisation, since they helps in getting the EMR and private policy in place. The separate billing system can also substantially improve the revenue cycle since it is included in their field of expertise and thus, leave enough time for the health care staff to do their jobs. The introduction of HIPAA has been proved to be a challenge for the medical billing field through the recent years. The health care providers are required to send their claims electronically in compliance with the act, in order to receive their payment. The medical billings along with the insurance companies have been affected because...
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...This Literature Survey has been submitted by Mr. Anirudh Dhawan ID No: 212142 On Economics-I During the Monsoon Semester 2013 Cost Recovery in the Increasing Block Tariff System in India Introduction The need for imposing a tariff on the consumption of water domestically by households arises for the basic reason of revenue sufficiency. Due to the economic diversity prevalent in the society and diversified and potential inequitable use of the good, this tariff has to be determined keeping in mind the basic principles of equity and fairness and should be made to be economically efficient. Hence, reasonable objectives for an adequate tariff scheme would be all of these three, revenue sufficiency, economic efficiency and equity and fairness. This literature survey would concentrate only on the first aspect, that of revenue sufficiency vis-à-vis imposition of water tariffs. The various single-part tariff systems followed in major cities in India include increasing block tariffs (IBT), uniform water tariff, linear water charge and a pre-determined annual flat rate. The first three are for connections that are for connections that are metered and the last one is for connections that are unmetered. This literature survey seeks to assess whether the tariff system of increasing block tariff is adequate for production cost recovery in the Indian cities that it is being currently implemented and to ascertain the possible reasons for such a deficit, if at all there...
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...for watching video? Can you identify any shortcomings of the device? 2. Compare the capabilities of the Kindle to the iPad. Which is a better device for reading books? Explain your answer. 3. Would you like to use an iPad or Kindle for the books you use in your college courses or read for pleasure instead of traditional print publications? Why or why not? II Porter’s competitive forces model helps companies develop competitive strategies using information systems. In this context answer the following questions: 1. Define Porter’s competitive forces model and explain how it works. 2. Describe what the competitive forces model explains about competitive advantage. 3. List and describe four competitive strategies enabled by information systems that firms can pursue. 4. Describe how information systems can support each of these competitive strategies and give examples. 5. Explain why aligning IT with business objectives is essential for strategic use of systems. III Discussion Questions 1. It has been said that there is no such thing as a sustainable competitive advantage. Do you agree? Why or why not? 2. It has been said that the advantage that leading-edge retailers such as Dell and Wal-Mart have over their competition isn’t technology; it’s their management. Do you agree? Why or why not? 3. What are some of the issues to consider in determining whether the Internet would provide your business with a...
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...Structural functional theory is when society is a complex system of interconnected and interrelated social structures each having a function and working together to promote social stability. One hundred million people shop at Wal-Mart every week. Wal-Mart is very convenient for people to shop at. Most people do not even have to shop at other stores because Wal-Mart has everything. It’s also convenient because it is right around the corner from a lot of customers houses; they don’t have to travel far to find a Wal-Mart store so they save gas. People already know that Wal-Mart has the lowest prices so they don’t have to search for stores with low prices. The items sold are good quality as well as cheap. What more could someone ask for. Wal-Mart is a world leader in logistics and promotes greater efficiency between its suppliers. Bob McAdam who is the Wal-Mart vice president states in the video, “We are raising the standard of living through lowering the cost of goods for people.” He is saying that Wal-Mart is good for Structural functional theory is when society is a complex system of interconnected and interrelated social structures each having a function and working together to promote social stability. One hundred million people shop at Wal-Mart every week. Wal-Mart is very convenient for people to shop at. Most people do not even have to shop at other stores because Wal-Mart has everything. It’s also convenient because it is right around the corner from a lot of customers houses;...
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...The systems approach Attempts to reconcile the classical approach (emphasised the technical requirements of the organisation and its needs) with the human relations approach (emphasised the psychological and social aspects, and the consideration of humans needs). The attention is focused on the total work organization and the interrelationship of structure and behavior, and the range of the variables within the organisation. The principal idea is that any part of an organisations activities affects all others parts. The business organisation is an open system, there is continual interaction with the broader external environment of which it is part. The systems approach views the organisation within its total environment and emphasies the importance of multiple channels of interaction. The systems approachs views the organisation as a whole and involves the study of the organisations in terms of the relationships between technical and social variables within the system. The contingency approach This approach explain that the most appropriate structure and system pf management is therefore dependent upon the contingencies of the situation for each particular organisation, this approach implies that the organisation theory shouldn’t seek to suggest one best way to structure or manage organisation but should provide insights into the situational and contextual factors which influence management decisions. Other approaches to the study of organisations: -The decision-making...
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...Chapter 1: Two Different Worldviews The Framework of Individual Psychology The Framework of Systemic Family Therapy Basic Concepts of Systems Theory and Cybernetics Family Therapy or Relationship Therapy? Summary Chapter 2: The Historical Perspective Planting the Seeds: The 1940s Cybernetics Development of Interdisciplinary Approaches Gregory Bateson Putting Down Roots: The 1950s Bateson (Continued) The Double-Bind Hypothesis Nathan Ackerman Murray Bowen Carl Whitaker Theodore Lidz Lyman Wynne Ivan Boszormenyi-Nagy John Elderkin Bell Christian F. Midelfort Overview of the 1950s The Plant Begins to Bud: The 1960s Paradigm Shift The MRI Salvador Minuchin Other Developments Blossom Time: The 1970s Psychodynamic Approaches Natural Systems Theory Experiential Approaches Structural Approaches Strategic Approaches Communication Approaches Behavioral Approaches Gregory Bateson Connecting and Integrating: The 1980s Other Voices The Limits of History Controversy, Conflict, and Beyond: The 1990s The Feminist Critique Family Therapy and Family Medicine Integration and Metaframeworks Managed Care The Twenty-First Century: Continuing Concerns and Emerging Trends Summary Chapter 3: The Paradigmatic Shift of Systems Theory A Cybernetic Epistemology Recursion Feedback Morphostasis/Morphogenesis Rules and Boundaries Openness/Closedness ...
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...first lectures of the course show an empirical and theoretical view of the major principles of the organizational design as well as the alternative design forms. The stakeholders, both insiders and outsiders, and their behavior or relations of cooperation and competition suppose an analysis need that provides them of a huge importance. I also realize about the importance of the agency theory and the problems and remedies caused, improving the importance of efficient corporate governance. This need of a good organization is solved by the systems theory, ”Organizations are systems of interdependent activities linking shifting coalitions of participants; the systems are embedded in – dependent on continuing exchange with and constituted by – the environments in which they operate”. (Scott, 1998:28). The systems which formed the organization have a common target and are classified in three levels based on their relevance. Both, stakeholders and systems, needs an analysis in order to get success in our procedures and adapt the venture structure to the different organizational designs provided in the lectures. After understanding these concepts, the lectures focused on the relation between the main management factors (Vision and mission) and the drivers analyzed, providing goals and strategies to the organization. As important as the creative process is the analysis to know the organizational boundaries, which let the organization look for available goals based on the efficiency and effectiveness...
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...for watching video? Can you identify any shortcomings of the device? 2. Compare the capabilities of the Kindle to the iPad. Which is a better device for reading books? Explain your answer. 3. Would you like to use an iPad or Kindle for the books you use in your college courses or read for pleasure instead of traditional print publications? Why or why not? II Porter’s competitive forces model helps companies develop competitive strategies using information systems. In this context answer the following questions: 1. Define Porter’s competitive forces model and explain how it works. 2. Describe what the competitive forces model explains about competitive advantage. 3. List and describe four competitive strategies enabled by information systems that firms can pursue. 4. Describe how information systems can support each of these competitive strategies and give examples. 5. Explain why aligning IT with business objectives is essential for strategic use of systems. III Discussion Questions 1. It has been said that there is no such thing as a sustainable competitive advantage. Do you agree? Why or why not? 2. It has been said that the advantage that leading-edge retailers such as Dell and Wal-Mart have over their competition isn’t technology; it’s their management. Do you agree? Why or why not? 3. What are some of the issues to consider in determining whether the Internet would provide your business with a...
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...Organizations as a system. A system is a whole made up of parts. Each part can affect the way other parts work and the way all parts work together will determine how well the system works. when can look at business organization as a system because it conforms to the system definition; it recognizes the interrelationships of people, processes, decisions and designs organizational structure in order to realize its projected economic goal. An organization with a good designed system will requires an understanding of how all the parts (for instance, HR department, production department, logistic department, finance department, sales department, marketing department, IT department …etc) fit together as a whole, an intimate understanding of the parts themselves for a better understanding of endogenous event and a full awareness of the organization’s environment including the other external systems to which it is connected to better prepare for exogenous changes. Some hypothetical problems that disrupt the balance of the an organization would be a coordination or communication issue between departments, for instance HR department not selecting adequate candidate for a specific job skill because it did not have all relevant information about the job, or for instance marketing department lunches a new product without integrating logistic department in the project which may cause delays of production and order fulfillment issues. Another issue that may disrupt the balance of the system is exogenous...
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...PubMed Abstract: Retroviral capsid proteins are conserved structurally but assemble into different morphologies. The mature human immunodeficiency virus-1 (HIV-1) capsid is best described by a 'fullerene cone' model, in which hexamers of the capsid protein are linked to form a hexagonal surface lattice that is closed by incorporating 12 capsid-protein pentamers. HIV-1 capsid protein contains an amino-terminal domain (NTD) comprising seven α-helices and a β-hairpin, a carboxy-terminal domain (CTD) comprising four α-helices, and a flexible linker with a 310-helix connecting the two structural domains. Structures of the capsid-protein assembly units have been determined by X-ray crystallography; however, structural information regarding the assembled capsid and the contacts between the assembly units is incomplete. Here we report the cryo-electron microscopy structure of a tubular HIV-1 capsid-protein assembly at 8 Å resolution and the three-dimensional structure of a native HIV-1 core by cryo-electron tomography. The structure of the tubular assembly shows, at the three-fold interface, a three-helix bundle with critical hydrophobic interactions. Mutagenesis studies confirm that hydrophobic residues in the centre of the three-helix bundle are crucial for capsid assembly and stability, and for viral infectivity. The cryo-electron-microscopy structures enable modelling by large-scale molecular dynamics simulation, resulting in all-atom models for the hexamer-of-hexamer and pentamer-of-hexamer...
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...well: This chapter involves review of previous studies and researches carried out which were found to be related to this presently. Detailed review of literature was carried out to cover the following study areas as shown: - Organizations - Management - Motivation (Reward) and its theories - Relevance of motivation (reward) on productivity. 2.2 ORGANIZATION Organization can be defined as two or more people who work together in structured way achieve a specific goal or goals. Organization can be defined form diverse perspectives. According to Scott (1981) these are there perspective for defining organization these are: 1. Organization as rational systems. 2. Organization as natural systems. 3. Organizations an open system. Organization as Rational Systems: The definition of Organizations as a rational system emphasizes two major characteristic of Organizations. a. Specification of goals b. Formalization of structure. According or Barnard (1938) “formal Organization is that kind of cooperation concision of men that are conscious l deliberate and purposeful Scott (1981). Defines an Organization as a collectively oriented to the pursuit of relatively specific goals an exhibiting a relatively highly formalized social...
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...Nakelya Moragne 03-18-2014 HRDV 5630 QE S2 2.) How does OD differ from a single-change technique such as management training? Answer: OD represents a systems approach that is concerned with the interrelationship of various divisions, departments, groups, and individuals as interdependent subsystems of the total organization. A single technique such as management training is aimed at changing individual behavior, whereas OD is focused on the larger goal of developing an organization-wide improvement in managerial style. OD uses many different techniques and no single technique represents the OD discipline. 5.) Explain three basic responses an individual may have to socialization. Socialization is the process that adapts employees to the organization’s culture. An individual may respond to the socialization in three basic ways. The notion of socialization has been primarily a result of the inequality that exist within the capital system, as a result of the relationship present between the capitalist and the workers strata of the society. Though the response of capitalism to socialization has traditionally been harsh claiming it to be against the right of ownership for which the capitalist system stands for, the response have been changing in its magnitude from time to time. In today’s world where we are witnessing such acute difference in the wealth distribution in different parts of the world. Individuals may be worried about how they’re going to interact with their...
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...outside of the suggested resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, your name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Design high-level logical system characteristics (user interface design, design of data and information requirements). Develop clear and concise business requirements documents and convert them into technical specifications. Use technology and information resources to research issues in...
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