... b. 40%. c. 50%. d. 60%. Answer: b EMPLOYMENT DEMAND 2. The percentage of all healthcare providers who are allied health professionals is: a. 25%. b. 40%. c. 50%. d. 60%. Answer: d EMPLOYMENT DEMAND 3. The increased demand for medical billers, medical office assistants, and medical coders can be attributed to: a. the growth of managed care. b. physician practices having more responsibility for filing claims. c. the need for additional staff to file claims and work to obtain timely payment. d. all of the above. Answer: d EMPLOYMENT DEMAND 4. All of the following changes were a result of managed care EXCEPT: a. physicians having to wait 30 days or longer for payment. b. physicians having more responsibility for filing claims. c. patients having to pay for services when rendered. d. physicians having to add to their staff. Answer: c EMPLOYMENT DEMAND 5. Before the 1970s, a physician’s practice would grow based on: a. advertising and referrals. b. managed care contracts. c. consultations. d. hospital affiliations. Answer: a EMPLOYMENT DEMAND 6. Before the 1970s, a solo practice included all of the following staff members EXCEPT: a. physician. b. nurse. c. certified medical biller. d. receptionist. Answer: c EMPLOYMENT DEMAND 7. Managed care is a system in which physicians contract to participate in a health insurance network and healthcare delivery is a. at the discretion of the physician. b. provided only by...
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...MEDICAL BILLING AND CODING CAREER Medical Billing and Coding Wanda F. Pervish Instructor: Elbert Trone Learning Framework 12 December 2012 MEDICAL BILLING AND CODING CAREER Abstract When people think about jobs in the health care field, it can be easy to assume that most jobs involve direct, hands-on patient care. What many people don’t realize is that administrative jobs are equally vital to ensuring quality health care services. Medical billing and coding is an important piece in the administrative puzzle that makes up the vast health industry. As with most administrative jobs, medical coding and billing professionals need to have excellent attention to detail, as one wrong code or inaccurate statement can have an extremely negative impact on a health care facility. MEDICAL BILLING AND CODING CAREER Medical billing and coding professionals hold pivotal roles in hospitals, doctor’s offices, physician’s practices and specialty medical practices. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. Without them, healthcare businesses could not function efficiently. A medical billing and coding specialist’s main goal is to provide medical billing and coding services so the health provider is paid for medical services rendered. Every medical service is assigned a numeric code to define diagnostics, treatments and procedures. It is the medical biller and coder’s job to enter this information into...
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...Technology Paper Each year technology has become more advance making professionals interaction among people within the business community much better and faster. Especially the internet people are flocking to be a part of that network. There is more virtual banking where cooperation’s are conducting business in a virtual setting. It cut back on their administrative costs tremendously various businesses has capitalized with the utilization of the internet and the Healthcare Industry is a huge beneficiary. Over a period of time many doctors gave such resistance to incorporate the use of modern technology in their daily routines such as entering information on patients, or even a progress or update note in a database or computer system. Many physicians were set in their own way; as the old saying goes a person cannot teach an old dog new tricks it is the same with moving away from paper and welcoming electronic. Almost every specialist embraces the usage of the internet perfect examples of the specialists are Radiologists, Cardiologists to list a few. Electronic Medical Records The utilization of paper records and information’s has been existed for almost a century which the integration has been a very slow and gradual process. It has been underway for twenty years in the Western healthcare system. According to Open Clinic (2005) Computerized information systems have not achieved the same degree of dissemination in healthcare...
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...30349 A challenging growth-orient it position, utilizing a strong background in clerical, strong computer skills and administrative duties in the management arena. ·*Program Specialist 2007 to 2011 Arapahoe County Department Human Services, Aurora, Co Maintained ongoing cases files for Food Stamp and/or Family Medical Programs Verified continuance on eligibility with documentation provide by the client. Prepared the monthly report. Data entry. Provided support to other areas within the agency included but not limited to other Program Specialist with their cases load in a monthly basis. Processed new applications after verifying if client has been in the system. Performed interview to current clients and new clients. Processed newborn medical assistance with information provided by the hospital. Sent cases suspected of fraud to the Investigation Unit to determine if fraud has been committed. A percentage of 99% of cases submitted for investigation was proven of committing fraud. *Clerk 2007 to 2007 Job Store/Arapahoe County Department Human Services, Littleton, Co Verified the status of each application for Family Medicaid with the used of CBMS. Transferred open cases to the appropriate Specialist. Cases data entry; programs and their status on Family Med Log In also assisted specialist translating for Hispanic community. *CBMS Technician 2005 to 2005 Job Store/El Paso County Department...
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...Auxier February 6, 2012 MEDICAL RECORD PROCEDURES HEARTLAND HEALTH COMMUNICATIONS Volume 2 Kelley Auxier Heartland Health Communications Revised February 7, 2012 Table of Contents Heartland Health Communications……………………………..1 Table of Contents……………………………………………………….2 Mission Statement……………………………………………………...3 Objectives………………………………………………………………….3 Chapter 1……………………………………………………………………….4 Purpose and Function of a Health Record……………………………………..4 * Patient care management * Financial and administrative processes * Patient self-management Maintenance of the health record………………………………………...5 What is a medical record used for………………………………………..5 Who can document in the chart…………………………………………..6 Chapter 2………………………………………………………………….7 Medical Record Department Responsibilities…………….........................7 Medical Record Departments major functions……………………………7 Retention of Medical Records…………………………………………..8-9 Glossary…………………………………………………………………10 Acknowledgements………………………………………………….......11 Introduction: This procedure manual will help properly train the staff on how to maintain a medical record. This includes medical office assistants, nursing homes, administrators and medical billing specialist. The reason for the manual is for medical/health record workers to develop and manage the records more effectively and efficiently. After reviewing the manual you should be able to: * Identify functions and purpose of a medical record * Understand...
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...DEPARTMENTAL SALARY DETAILS 2014/15 TABLE OF CONTENTS Page Summary of Salary Details by Department 2014-15 .......................................................................1 Summary of Salary Details by Department 2013-14 .......................................................................2 Executive Council ............................................................................................................................3 Finance ...........................................................................................................................................14 Public Service Commission ...........................................................................................................21 Service Newfoundland and Labrador.............................................................................................23 Transportation and Works..............................................................................................................30 Legislature ......................................................................................................................................42 Advanced Education and Skills .....................................................................................................47 Environment and Conservation......................................................................................................52 Fisheries and Aquaculture.........................................................
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...Managing Human Resources for Health in India A case study of Madhya Pradesh & Gujarat 2007 Central Bureau of Health Intelligence Directorate General of Health services Ministry of Health & Family Welfare Nirman Bhawan, New Delhi – 110011 Website: www.cbhidghs.nic.in, www.prodindia.nic.in Email: dircbhi.nb.nic In collaboration with WHO - India Country Office Managing Human Resources for Health in India A case study of Gujarat & Madhya Pradesh October 2007 Central Bureau of Health Intelligence, Dte.GHS, MoHFW, GOI In collaboration with World Health Organisation - India Country Office The Report on Managing Human Resources in India may be freely reviewed, abstracted, reproduced or translated, in part or whole, but is not for sale or for use in conjunction with commercial purposes. Any relevant enquiry may be addressed to the office of Director, Central Bureau of Health Intelligence, Directorate General of Health Services, 401, A-wing, Nirman Bhavan, New Delhi 110011(India). © Central Bureau of Health Intelligence, Dte. General of Health Services, Ministry of Health & Family Welfare, Govt. of India. 2007 Technical Support: Advent Healthcare Group 102, Tribhuvan Complex, Mathura Road, New Delhi 110065 (India) Tel: 91-11-65689631, 26312631 Email: info@adventhcg.com 2 Table of Contents Foreword ............................................................................................................. 5 Preface ........................................
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...research. This will populate your Career Plan. Select Job Sales and Related+ First-Line Supervisors of Non-Retail Sales Workers Sales Agents, Securities and Commodities Insurance Sales Agents Energy Brokers Travel Agents Real Estate Sales Agents Sales Agents, Financial Services Sales Representatives, Wholesale and Manufacturing, Technical and Scientific Products Sales Representatives, Wholesale and Manufacturing, Except Technical and Scientific Products Real Estate Brokers Securities and Commodities Traders Advertising Sales Agents Sales Engineers Management+ Medical and Health Services Managers Industrial Production Managers Regulatory Affairs Managers Postmasters and Mail Superintendents Human Resources Managers Lodging Managers Financial Managers, Branch or Department Compensation and Benefits Managers Education Administrators, Postsecondary Chief Executives Administrative Services Managers Sales Managers Treasurers and Controllers Purchasing Managers Property, Real Estate, and Community Association Managers Gaming Managers Investment Fund Managers Education...
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...MODULE 2 – ESSAY ANSWERS Chapter 4 In Whose Interest Does the Physician Act? 1. Why do physicians play such a crucial role in the delivery of medical services? Although only 25 percent of personal medical expenditures are for physician services, the physician controls the use of a much larger portion of medical resources. In addition to their own services, physicians determine admission to the hospital, the length of stay once in the hospital, the use of ancillary services and prescription drugs, referrals to specialists, and even the necessity for services in nonhospital settings, such as home care. The role of the physician has been shaped by two important characteristics of the medical system. The first is the legal system: only physicians are permitted to provide certain services. Second, both patients and insurers lack the necessary information to make many medical-related decisions. Patients depend on the physician for diagnosis and recommended treatment and have limited information on the qualifications of the physician or the specialists to whom they are referred. The patient’s lack of information places the physician in a unique relationship to the patient. The physician becomes the patient’s agent. 2. How might a decrease in physician incomes, possibly as a result of an increase in the number of physicians, affect the physician’s role as the patient’s agent? In addition to being the patient’s agent, physicians are suppliers of a service, and their incomes depend...
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...Also, the impact of distance delivery on healthcare will be addressed by considering the use of e-mail, telemedicine and the electronic transfer of records. The Internet and Healthcare Today any type of medical information can be found on the internet. With such sites as WebMD, Mayo Clinic and Healthline, providers and patients alike can go to these websites to research medications, symptoms and health advice. It is estimated that 60% of the United States population access the internet for health information (Cullen, 2006). Patients are becoming more informed before they go to their doctor’s visits; sometimes letting the internet becomes their doctor. The internet has created a culture in which technology gives patients a new structure of feelings and thoughts. The internet and e-mail is used widely in the world of academia for the search of health and diseases. Various websites such as Health on the Net (HON) and Cliniweb are used for educational uses. These websites play key roles in obtaining health information in a scholarly/scientific way (Cullen, 2006), for they offer a great range of information that printed material can no longer offer. Medical schools also offer a wide array of medical journals online for students and providers to access for research. The medical library today now offers their catalogs of books, journals and other medial via a web-based format. This says something on how providers are learning. E-mail plays a...
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...American Well To make health care coverage more affordable, the country must address the soaring cost of medical care that continues to increase at a dangerous rate. A greater focus is needed on the main drivers of medical cost growth: soaring prices for medical services, new costly prescription drugs and medical technologies, unhealthy lifestyles, and an outdated fee-for-service system. More than one-sixth of the U.S. economy is devoted to health care spending and that percentage continues to rise every year. Regrettably, our system is not delivering value commensurate with, for example an estimated $2.5 trillion in 2009 spend on health care.1 These costs punish us on multiple fronts. For American families, the soaring cost of medical care means less money in their pockets and forces hard choices about balancing food, rent, and needed care. For all businesses, employers alike, it makes it more expensive to add new employees, more difficult to maintain retiree coverage, and harder to compete in the global economy. For federal, state, and local governments, rising health care costs lead to higher Medicare and Medicaid costs, and funding cuts for other priorities, such as infrastructure, education and public safety. Thus, the net results of rising health care costs are far-reaching: higher costs for health insurance, the fraying of the nation’s safety net, an erosion in our global competitiveness, nauseating political positioning and long-term fiscal insolvency. While the health...
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... the administration of audits and appeals needed an overhaul. So after a contracted (government-like) study costing somewhere near $100,000 (L. Emerson, personal communication, October 14, 2014), a new department was recommended to handle any Recovery Audits. The Recovery Audit Response Program department was born. Let’s take a closer look… Evaluate: Who makes up the new department? What are recovery audits? The Centers for Medicare and Medicaid (CMS) was issued a mandate to implement the Recovery Audit program (RACs) to investigate and correct the overpayments made by their Medicare Administrative Contractors (MACs) who are contracted to payment Medicare claims presented by Medicare participating providers. A demonstration program was implemented and running for a year before the Recovery Audit Contractors were chosen. Their directive was to look at a particular number of medical records and determine if Medicare overpaid or underpaid the provider. By looking at the documentation sent by the provider to the RAC, the RAC determined that the documentation supported the payment or fell short of supporting the payment made. Since there are over 20 (as of this writing) auditing bodies for just the Department of Health and Human...
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...PRIMARY HEALTH CARE CLINICS IN WILLIAMSON COUNTY, TEXAS MARKET RESEARCH AND ANALYSIS AUSTINTATIOUS CONSULTING, LLC PREPARED FOR: DR. CHAU NGUYEN TABLE OF CONTENTS I. PURPOSE AND SCOPE OF ENGAGEMENT ........................ 1 A. YOUR CLINIC ........................................................................... 1 B. OUR EVALUATION.................................................................... 2 II. THE EVOLUTION AND CURRENT STATE OF THE HEALTH CARE INDUSTRY IN THE UNITED STATES............................... 2 A. THE IMPACT OF MEDICARE ...................................................... 3 B. IMPACTS OF THE THIRD-PARTY PAYER SYSTEM ........................ 3 C. THE AFFORDABLE CARE ACT AND BEYOND .............................. 5 III. MARKET STRUCTURE........................................................... 5 A. QUALITATIVE ASSESSMENTS .................................................... 5 B. QUANTITATIVE MEASURES ....................................................... 7 IV. COMPETITIVE ENVIRONMENT .......................................... 9 A. THE FIVE FORCES ................................................................. 10 B. SYNTHESIS ........................................................................... 11 V. LEGISLATIVE AND REGULATORY CONCERNS ............... 12 VI. CONCLUSION .................................................................... 12 ABSTRACT This analysis and memorandum were prepared by Marshall Coover, Chau ...
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...field of medical services, many providers become overburdened with the tedious tasks and administrative duties involved in the filing and processing of medical claims and payments. Our vision is to be a Medical Billing Service Company that provides excellent quality management and administrative services to medical providers for their Medical Billing and Coding, maintaining of patient accounts, Medical Payments from Insurance Providers and patients, in addition to the follow up on minimum rejections from Insurance Providers. Our mission is to provide these services to alleviate the office staff of these tedious duties and in turn allow them to maximize their income or bottom line, while remaining compliant with all rules and regulations. In addition, we provide consultations and classes to the individual Medical Providers with regards to Medical Coding and Compliance with the various Insurance Providers. We also offer a very aggressive Collection Specialist to minimize the many bad debts and write-off accounts to maximize revenues. Strategies Our corporation believes that out-sourcing the tedious tasks involved in the filing and processing of claims and payments is a smart move for a medical practice. Instead of in-house processing, which takes up a lot of time and effort on the part of the medical staff, out-sourcing the work will help the medical staff in focusing more on the patients and in assisting doctors. With a service-oriented business like ours, Medical Providers...
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...BELIZAR, JR. Administrative Officer V (Administrative Services) ROMEO A. GO Administrative V (Budget and Finance) ARNALDO B. CUENCO Administrative Officer V (Cash) LEA L. ERAYA Administrative Officer IV (Personnel) GERARDO G. FELEBRICO Administrative Officer IV (Supply) EMMANUEL C. DABUET Administrative Officer IV (Records) LETECIA R. GUERRA, Ph.D Chief Education Supervisor (CID) NANCY M. ABARRACOSO Education Program Supervisor (MAPEH, Kindegarten, SPED) CECILIA G. ASON,D.M. Education Program Supervisor(Filipino, K-12 Curriculum) NENITA B. FELEBRICO Education Program Supervisor (Mathematics) RUSTUM D. GEONZON Education Program Supervisor (English) EDUARDO G. PABUNAN, Ed.D Education Program Supervisor (Industrial Art & Physical Facilities Coord.) GINA L. PALINES, Ph.D Education Program Supervisor (Science) OSWALDO A. SERRANO Education Program Supervisor(Technology & Livelihood Education) FAUSTINO M. TOBES Education Program Supervisor (ALS & ADM) ELOISA R. ZARTIGA Education Program Supervisor(Araling Panlipunan & EsP) CRISTA JOY A. TORBILA Education Program Supervisor(Learning Resource Management Officer) DONA C. PONCE Librarian II JEZER N. ESTRADA Project Development Officer II CLARITA M. MENDA Chief Education Supervisor (SGOD) BALDWIN C. BABON Education Program Supervisor (Programs & Projects) ANGELICA C. RODRIGUEZ, M.D. Medical Officer III MELISSA N. MABANGUE Senior Education Program Specialist (School Management...
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