Centers for Medicare and Medicaid Services

administrative life cycle is a simple concept. A patient needs to see a health care professional for a medical service. The patient calls to make an appointment with their physician. The medical assistant gets insurance information and verifies patient eligibility and benefits. The patient is scheduled for an appointment. The patient goes to the medical facility, like a clinic, Rehab Center, a Lab or even in some cases a hospital. The patient arrives and starts the check in process. A new…

In December 2009, the Department of Health and Human Services published an interim final rule to certify EHRs to support the achievement of Meaningful Use (Thurston, 2014). “Meaningful Use” is defined as the utilization of a certified HER technology to improve healthcare quality, safety, efficiency by reducing…

I called several different facilities to gain an insight on the process that one has to go through to get a bill paid from services rendered. After deep consideration I decided to speak with a coder by the name of Naomi at Sacred Heart Hospital her first inclination to me was the importance of their job and the steps and processes that they have to go through from start to finish making sure that the hospital and doctors get paid in a timely manner and about the changes that have occurred in…

Healthcare Finance: Ongoing Change Healthcare in the United States (US) is a progressive movement that is constantly changing. Some may say these changes occur in hopes of providing the highest quality of care without causing undue financial burden to the largest group of citizens. Unfortunately, potential changes brought on by the American Health Care Act (AHCA) may be a step backwards when considering financial hardship to the most vulnerable of society. When comparing the Affordable Care Act…

The U.S. Department of Health and Human Services (HHS) is part of the executive branch and presides over much of the health care within the country by implementing health policy. Through policy, some of the most significant advances in the 20th century have occurred. The health of the population has been greatly improved by the government’s management of immunizations, motor-vehicle safety, workplace safety, safe and healthy food handling, family planning, fluoridation of drinking water, control…

countries. In spite of high investments and spending on healthcare, efficiency in treatment, equity in care and access to health has still been a question mark. Most of the spending comes from the government through various programs like Medicare, Medicaid, and Veterans Services. The health insurance to the public is also provided majorly by the government. Leading to tremendous changes in the healthcare insurance, came into play the amendment of Patient Protection and Affordable Care Act in…

Value Base Purchasing (VBP) is an imitative by the Centers of Medicare and Medicaid Services (CMS), that rewards acute care hospitals with incentive payments for the quality of care provided. Hospitals are rewarded based on three district measures; the first is the quality of care provided to Medicare patients, the second is how closely clinical best practices are followed and the third is how well patient care experiences were during their hospitalization. Hospitals are no longer paid based on…

The act was designed to offset the budget by lowering payments to hospitals, Increasing Medicare taxes on higher income households, assessing penalties on employers who don’t offer, and individuals who don’t take, health care insurance, assessing taxes on various health related activities, and reducing overhead by consolidating the higher education…

summary. Retrieved from http://www.nursingworld.org/DocumentVault/NursingPractice/Executive-Summary.pdf Blais, K., & Hayes, J. (2015). Professional nursing practice: Concepts and perspectives (7th ed.). Boston: Pearson Education Inc. Centers for Medicare and Medicaid Services. (2015). Retrieved January 29,2016, from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical.html Fernandez, R., Johnson, M.,…

impairment. 2. Skilled medical care/services - Currently Receiving…