DM Medical Billings incorporated in October 1997, and has been providing EMS and medical transportation billing for over nineteen years. When DM Medical Billings was established, it was decided to focus our billing efforts solely in the EMS and Medical Transportation industry. This has proven extremely successful for us. By specializing in one industry, we can say, with certainty, that we are more experienced and more knowledgeable in emergency medical billing, than your average third party billing agency. Dina Mueller is the sole principal of DM Medical Billings.…
In your grievance filed at Meadows Unit, you claim your property is missing after being moved from Rynning Unit to Meadows Unit. You further assert that the staff who conducted your property inventory threw out some of your property. You are requesting reimbursement for the following items: one pillow, six books, one Speed Stick deodorant, one Old Spice deodorant, two lever soap, One Bunch O’Kranch cereal, one salami sausage, one hot summer sausage, two spicy refried beans, one sausage bites, four Ranch dressing, one choc frosted doughnut, one box chocolate chip pop tarts, one Frito Chili Cheese chips, one pair of sweat pants, one sweatshirt, one pair of sweat shorts, three pair of socks, one ice chest, one master lock, two long sleeve shirts, one stinger, one Lotta body hair product, one hat, and one beanie. Your grievance appeal has been reviewed at Central Office and the Warden's response is affirmed. In order for a claim to be properly submitted to Risk Management, the following facts need to be established: there must be proof that the property did exist, that staff was negligent in the handling of the inmate's property, that the property was secured through proper channels, and that the inmate is the rightful owner.…
According to the Association of American Medical Colleges (AAMC), about 81% of medical school grads are walking away with an average medical school debt of $183,000. Because of the high incomes physicians make, many people (new medical school graduates included) think that their loan repayment is something they can easily handle. However with ever increasing costs and significant declines in physician reimbursements from Medicare and Medicaid, some doctors are finding trouble paying off loans without accruing tons of interest. Physicians still accepting Medicare and Medicaid patients are expected to see reimbursement rates drop as much as 21 and 43 percent, respectively.…
Nurse practitioner reimbursement is a complex configuration that includes regulatory factors both at the state and federal levels. As late as 1990, direct Advanced Practice Registered Nurse’s (APRN) reimbursement by Medicare was available only in rural areas and skilled nursing facilities (1). In 1997, President Clinton instituted the Balance Budget Act that expanded the reimbursement for APRN’s to all geographical and clinical settings allowing the direct Medicare reimbursement to NP’s, but at 85% of the physician reimbursement rate (2). Although the expansion of nurse practitioners scope of practice was intended to meet the needs of a shortage of family physicians, it has left gaps in care for many of the most defenseless populations.…
What are two issues of physician reimbursement some are the practice expenses, doctor’s income and the reimbursement rates. The physician reimbursement is what the insurance company paid your physician for his services. Physicians cannot negotiate with the insurance company about the cost. Managed care organizations are trying to control the cost of health care but it’s not working.…
Vancrest Health Care is an excellent nursing home for anyone who needs to recover from an incident or a place to get assistance at an older age. Deanna Brinkman has a bachelor’s degree in social work and furthers the education while working with her residents at this nursing home located in Van Wert, Ohio. She is one of three that works in social services and any further questions she can be reached at (419)-238-4646 Ext. 244. I sat down myself and spoke with her for an interview on Friday, October 28, 2016 and came back for several more sessions.…
Managed Care is a health care delivery system set up to manage cost, quality, and utilization. Medicaid Managed care allows for the delivery of Medicaid health benefits and additional services through contracted arrangements between Medicaid agencies and Managed Care Organizations (MCOs), that accept a set number per member per month (capitation) payment for services. By contracting with various types of MCOs to deliver Medicaid program services to beneficiaries, states can reduce Medicaid program costs and manage utilization of healthcare services. Keep in mind the goal is to improve health plan performance, quality, and outcomes.…
Introduction The goals of the Patient Protection and Affordable Care Act (ACA) has propelled all primary care practices into new and uncharted territory. To meet the primary goals of the ACA, primary care physicians would play a pivotal role in improving the health of Americans and lowering the costs of the health care they receive. The legislation plans to accomplish this by moving from fee-for-service to value-based reimbursement. The value of the value-based reimbursement is based on improving the quality of care as demonstrated by improved quality measures.…
There are many key factors to consider when juxtaposing the ideas of a national Medicaid program and 56 different state and territorial programs. These include the role of government, the effectiveness in meeting local needs and financial obligations, flexibility in seeking innovative resolutions, the impacts on healthcare providers and access to care, the improvements in service quality, and the ability to overcome resistance to change, among many others. The first consideration is the role of the government in the distribution of care. The federal and state governments have a shared responsibility to ensure that people are provided with appropriate healthcare services and insured against catastrophic incidents.…
As discussed in the previous assignment, the issue that has been examined is major decreases in Medicaid reimbursement. This posed challenges in the way that Boston Medical Center (BMC) surgical department delivers efficient care, specifically dealing with patients’ needs. Applying the SWOT analysis tool is significant for BMC’s surgery department to reduce costs and provide quality care. The SWOT analysis concept consists of strength, weakness, opportunities, and threats (Walston, 2014. p.182). Strength is the first level of the SWOT analysis.…
1. Why does the Medicaid program receive a great deal of attention each year in the state of Florida? From legislators? From providers? From health plans?…
Please answer the question in 350 words or less. Why are you interested in attending the University of Virginia School of Medicine? What factors will be most important to you in choosing a medical school? University of Virginia’s reputation as a forerunner in medical education and research with values such as excellence and leadership make it an ideal match for an engaged, driven student like myself.…
1. There are two main types of third party payers: private insures and public programs. Private payers sell insurance as a product in order to invest into health benefits, where the provider gets paid for the delivered healthcare service. Commercial insurers, Bleu Cross Blue Shield and self-insures are the main private insures in the country. BCBS is a set of independent companies that are required to follow the rules of the main nationwide association in order to be part of it.…
Part I: Medicaid Reimbursement: Cost of Patient In the healthcare industry, everything is expensive; from medication, technology, and treatments that cost from hundreds to thousands of dollars. This have caused a stressful mental breakdown and burden by the charges and bills. For example, my mom surgery cost $25,000 total; surgery, medication, and three night stay at the hospital. Medicaid and its’ reimbursement program have cover majority of the bill.…
Doctor’s Hospital is an acute care facility in a small town. Due to a major financial disruption they had to transform their organization’s governing structure. As a result, they did not consider the impact of CIO in IT and they turn CIO’s full-time job into a part-time job. Therefore, Doctor’s Hospital faces many information system challenges. Along with that hospital is undergoing 3 phase construction.…