1098 claims were originally processed for Waverly Health Ctr under the wrong ID#. This caused the claims to pay $9.77 for code T1015. Those claims are currently being reprocessed for the correct payment of $ 223.97. The claims have an ETA completion date of 12/16. Furthermore, a fix is also being put in the system to ensure that future claim don’t have this issue.…
In order to apply a goal or plan, the organization must develop a budget. It takes strategic planning within an organization such as Cape Fear Valley Health System (CFVHS) to help recognize their goals, activities, and resources necessary to fulfill their overall vision. Fritze states that a budget is the gathering of data for the preparation of anticipated cost and revenue for a future period (2001). Budgeting for CFVHC is crucial for overall supplies and services along with the many different departments that must plan individual budgets because it will raise awareness to reduce economic risks, therefore ensuring survival of an organization (Fritze, 2001). In order to become profitable, it is important to monitor incoming money, but limiting the amount of money being spent will help maintain the stability of the organization.…
This inadequate health care at its finest should not be taken lightly and should be brought to the attention of all those who deserve the best health care possible. To understand the complexity of the question asked, a history of the hospital is necessary. Caldwell Memorial Hospital…
Carol Burrell is a local Gwinnett woman who has had a major impact on the Health care systems. She was named Georgia’s Most Respected Business Leader in Georgia Trend magazine. With Carol Burrell’s leadership, the North Georgia Health System has now opened the Northeast Georgia Medical Center in Braselton, it is the first new hospital in twenty years. Carol Burrell holds responsibility of overseeing our fast growing system. It now includes more than eighty thousand employees that are working in three hospitals.…
-Focus on the continuum of care, there is a big change occurring in healthcare and that is with the shift from fee-for-service to value based reimbursement payment and that is why the continuum of care is important as “the initial admission, how services are provided within that admission to create the most efficient process for a quick yet appropriate discharge, a discharge to the appropriate post-acute setting and follow-ups with that discharge” (Herman, 2012). this will ensure that the agency is generating and losing revenue. -Take into consideration other methods of treating opportunities. -Increasing the organization's presence within the community as well as of a difference that donations and gifts make that allow Hillsboro to provide…
County: Life, Death and Politics at Chicago’s Public Hospital by a Chicago based physician and health activist David A. Ansell is a very inspirational book because it covers 30 years of Cook County Hospital’s history, beginning in the late 1970s till 2002. Cook County Hospital is an urban public hospital in Chicago that admits patients who are uninsured. Time, space, communication, and identity are portrayed throughout the book. These four factors are important in inter-ethnic relationships between patients and health care providers. Being able to identify these factors in a clinical setting, health care providers can provide more efficient care for all patients.…
The end of the “separate-but-equal” provision of the Hill Burton Act, the Civil Rights Act of 1964, and federally funded Medicare and Medicaid have changed the way hospitals operate forever. Even privately owned hospitals could no longer continue the segregation and discrimination of people. They simply couldn’t afford loosing Medicare and Medicaid reimbursements, as well as the Blue Cross and Blue Shield plans that would no longer pay for patients unless the hospitals agree to comply.…
The Tennessee State Office of Rural Health organizes and manages grant programs that improve health care on a county and state level. SORH main goals are to create innovative advances and deliver information to rural parts of Tennessee, strategize to create one-of-a-kind health activities utilizing their resources, provide technical support to public and non-profit entities serving rural populations (“TDH”, 2016). SORH is made up of three programs, Medicare Rural Hospital Flexibility Program (FLEX), Small Rural Hospital Improvement Program (SHIP), and Primary Care Office (PCO). FLEX is federally funded and targets to improve access to preventive and emergency health services for rural residents. SHIP helps support small hospitals with 49 staffed beds or fewer by providing equipment, updating health information technology, payment bundling, and assisting in the transition to the new ACA guidelines to improve quality of care.…
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.…
Cone Health System is a health system Central North Carolina operating across multiple counties and serving those communities through six hospitals, three ambulatory centers, three outpatient surgery centers, four urgent care centers, 100 plus physician practices and two retirement communities. Having worked with the system for 19 years I have seen the system utilize multiple strategic methods to gain a competitive advantage in the region. Acquisition is the one the first strategies that the company has utilized to gain a competitive advantage. Over the past 25 years the system has grown from a singular hospital to a health system acquiring or merging with other hospitals in the region.…
The health plan has the best understanding of its medical spend and the Governor’s Office wants to provide each plan the flexibility to target cost centers. The AHCCCS Works program will be run by DES and will require each member to be actively looking for a job. The member will have to create an account, post a resume, and apply to jobs through the DES portal. The AHCCCS Works requirement will be waived if the member has a job, attends school or participates in a job training program. The requirement to have a job will include jobs less than 40 hours a…
In rural communities in Georgia such as these areas there is a lack of healthcare services such as health clinics and hospitals in which individuals can get adequate treatment for medical problems or illnesses. The challenges that prevent individuals in a rural community from accessing health care are due to the population being poor, cultural and social situations, they are economically disadvantaged, an increased population of elderly individuals, lack of transportation and lack of insurance coverage or no insurance coverage at all. In addition to all of these challenges, there are also financial constraints in operating, maintaining, and adequately staffing hospitals or clinics in rural areas to administer quality care.…
Renown Health (RH) is the Northern Nevada 's largest healthcare network. They are a not-for-profit locally governed network with over 5,000 employees. Offering multiple hospitals, urgent care centers, imaging and x-ray services, and dozens of other medical specialties, Renown Health is the most comprehensive community based healthcare network available to northern Nevada. As such, the primary value premise for this company is to make a genuine difference in the health and well-being of the people and communities they serve. To develop, maintain, and grow this premise, Renown Health works to achieve a set of key goals: Integrate Care and Manage Population Health, Build Key Relationships, Grow Their Scale and Scope with a Focus on Innovation.…
The health care system in aurora is important because many people depend of those services and it may affect those who do not have access. Residents who have access to health care are those with health insurance, Medicare, and also the affordable Care Act that benefit many. According to UC health benefits report, it states “UC health incurred nearly $185 million in uncompensated care cost in 2015 providing services to these patients and many of these new patients were newly insured through Medicaid which covered a portion of their care as a result of the increased availability of coverage through the affordable act.” This report examines the health system of UC health and how it has it has benefited many by offering new services to those who may not have access to paying health care…
There are several business principles related to patient and system costs in health care that are needed to maintain safe, quality, patient-centered care that is fiscally sound. For this discussion, I will put myself in the shoes of a nurse manager, director of nursing, Chief Nursing Officer, or business owner and consider three of the principles from the Greg Fisher Power Point (2008). The principles I will examine are: 1) decide what makes you different; 2) manage employees; and 3) set goals. The reason why I selected these three business principles is that they appear to me to be a good place to start the groundwork for any business model, including the field of health care.…