Pediatrician Care Plan

Improved Essays
Patients recognize the need for a pediatrician to provide their child with comfort. This comfort can allow the child to be healthier as they age. Correspondingly, with the pediatrician’s attempt to build a comforting relationship, the patient can learn and analyze health goals, and manage overall progress. Moreover, a primary care pediatrician gains valuable information about health history, habits, personality, and can easily recognize symptoms that indicate a potential danger to their health.
Not to mention, patients want their insurance to be accepted. It is critical because doctors do not accept all insurance brands. Simply, patients pay for an insurance and want it to be put into place.
Moreover, the patient wants to have a pediatrician

Related Documents

  • Improved Essays

    Cms 1500

    • 444 Words
    • 2 Pages

    The CMS 1500 and the UB04 are two types of claims forms used to submit charges for reimbursement. The UB04 (also called CMS 1450) is mainly used for facility claims, such as hospitals, surgery centers, and nursing homes. They cover both inpatient and outpatient charges, along with any associated with diagnostics, supplies, and lab work. This forms shows the “resources used” by the facility. When this form is submitted electronically, it is called the 837-I, with the “I” standing for Institutional.…

    • 444 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Employers choose to self-insure because it allows them to save the profit margin that an insurance company adds to its premium for a fully-insured plan. Ideally Aetna would want everyone to be on fully-insured plans to maximize its profits. In fully-insured plans Aetna bears the actuarial/financial risk. In self-insured plans, employer pays Aetna a fixed administrative fees.…

    • 545 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    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.…

    • 693 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    The National Association of Pediatric Nurse Practitioners (NAPNAP) health policy agenda for 2017, Goal 1 discussed the enhancement of child and adolescent health by encouraging support on numerous health issues pertaining to this population. For the promotion of health, they encouraged breastfeeding, proper nutrition, and importance of physical activity to prevent childhood obesity. Prevention of injury and harm on leading causes of childhood illness, injury, and death are also of utmost importance. NAPNAP is recommending increase access to extensive and integrated health care services that cover childhood developmental, behavioral, and mental health. In addition, is to develop quality health indicators for children and their families to…

    • 223 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Physician Manipulation of Reimbursement Rules for Patients Between a Rock and a Hard Place Matthew Wynia, Deborah Cummins, Jonathan Van Geest, Ira Wilson American Medical Association Synopsis and Summary A study was done to determine at what rate physicians manipulate the rules of reimbursement in order for patients to receive services for which they may not otherwise be granted under utilization review rules though the physician may find the service necessary. The 1998 study was a random study that contained a national sample of 1124 physicians who were surveyed through mailings and the response rate was 64%. Three areas of concentration were involved that asked if the physician’s (1) exaggerated the severity…

    • 1392 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    When I accompanied her to visit different patients, I noticed that the Pediatrician’s returning patients whom she had a firm relationship of trust with where more open in divulging information about their current problems, while her new patients seemed to be less open, making it harder for her to grasp the roots of the diagnosis. Dr. Skylar’s article explains in “Beginning the Journey” that “the clinician agrees to behave in a competent and responsible manner, putting the patient’s welfare above all considerations and trying to imagine being in the patient’s shoes.” Similarly, the TIME Competency 1.5 highlights the importance of a physician’s commitment to patients through ethical practice. Based on…

    • 1171 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    As of June, there were over 24 million people who took advantage of the Affordable Care Act (ACA) and purchased their health insurance through the Market. It’s reasonable to expect that many more Americans will do the same this year and have coverage for 2017. If you are interested in subscribing to one of the health care plans on the Market, then there are a few things you should consider. You May Have Fewer Options Within the Marketplace…

    • 397 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Challenges in Physician-Patient Relationships in Managed Care Introduction The United States healthcare system has been controlled by managed care organizations for more than 25 years. The purpose of managed care was to restrain the rising cost of healthcare while maintaining high levels of quality care. The rules and regulations created by managed care organizations has cause some significant issues within the physician practices. A positive physician-patient relationship is essential to receiving good healthcare.…

    • 1800 Words
    • 8 Pages
    Improved Essays
  • Decent Essays

    Accuracy Of Billing

    • 135 Words
    • 1 Pages

    EHRs can improve the accuracy of billing and reduces claim rejections. Use the health care provider’s documentation of the patient visit to generate a list of codes for billing. (You no longer have to translate handwritten notes into billable services.) Link diagnostic codes with CPT codes to streamline billing processes.…

    • 135 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Medical Necessity Analysis

    • 1271 Words
    • 6 Pages

    In order to discuss medical necessity in the current era of health information technology, we must have a comprehensive knowledge and understanding of medical necessity. Most of this article focuses on explaining medical necessity and towards the end includes some thoughts on how medical necessity relates with health information technology. The meaning of medical necessity is different for providers, physicians, courts, government/private insurers, or consumers. Medical necessity is used for managed care plans as a tool to deny or approve necessary care.…

    • 1271 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    The Pros And Cons Of HIPAA

    • 1251 Words
    • 5 Pages

    HIPAA as a whole is designed to protect an individual’s medical records along with personal information. Safeguards are installed to protect that health information with limitations for it to be released. Patient authorization is required to share information with others. It also allows the patient to have control over their health information. As a patient, they have a right to obtain information regarding health records.…

    • 1251 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Teen Drug Abuse Satire

    • 537 Words
    • 3 Pages

    This pediatrician should perform screenings to diagnose the child during the check-up. After the physician had properly diagnosed the issue, the…

    • 537 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    As previously mentioned, the problem is not have an effect not only on the government but also on the people. We cannot refuse that all of the policies are created in order to help the people. If the government encounters difficulties in implementing policies, people will encounter similar troubles. For example, the government encountered obstacles in widening its policies and the people suffered from low quality medical services. In the universal health care system, everyone has the right to care.…

    • 547 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Managed Care Benefits

    • 791 Words
    • 4 Pages

    Given the provided literature on the subject it is clear to see that Managed Care is both a blessing and a curse. Although there are many noted benefits most important being the ability for people to be able to see doctors for their medical problems it is not a perfect system, it is one which is compared with wearing glasses to see, sure you can still see without them, blurry, hazy but you have the vision to get you by, however you still need them and you see better with them even if you don’t want to rely on them or even if they are not the best glasses. A study was performed on availability and time of providers for managed care patients based on random selection of over 1800 providers (OoIGD/DoHHS, 2014). Study found that out of the random…

    • 791 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Transition Theory

    • 1128 Words
    • 5 Pages

    Hopper, Dokken, and Ahmann (2014) emphasize the importance of preparing patients for this transition to prevent unmet needs and feelings of uncertainty for the patient, parents, and providers. The aim of the DNP project is to develop and initiate a customizable plan to assist adolescent patients and their pediatric and adult providers in the transition from pediatric to adult primary care. The overall goal of this project is to provide a successful and fluid transition from pediatric to adult primary care and to assist adolescent patients in gaining independent control of their health. The Transitions Theory provides the theoretical framework supporting the relationship between the concepts and the DNP project and organization and ideas behind the project as a…

    • 1128 Words
    • 5 Pages
    Improved Essays