Reimbursement

Allotting incentives to the institutions that meet the goals. Various risk sharing methods in current usage 1) Fee for service (FFS)- In this widely used traditional payment system payment to the physician or hospital is done by patient or by reimbursement method from insurer…

Even though hospice providers feel they are providing compassionate care for patients in the end stages of life by focusing on pain management, and emotional and spiritual support, they should not be allowed to deceive the government, hospice employees, or the terminally ill and their families. The goal for most hospice providers is to keep the patient census high so Medicare and Medicaid can be billed for millions, and the owners of these companies can maintain their affluent lifestyles. At…

My family and I checked into the Regal Palms Resort in Davenport, Florida on June 17, 2017 and checked out on June 23, 2017. During our stay at Regal Palms Resort we were assigned to three (3) different condos. Each condo we were assigned to had unresolved issues. The issues are as follow: 1st Condo: Wasn’t cleaned from the previous renters. The linens were in the bath tub, dishes were in the sink, and the condo was dirty. 2nd Condo: As we entered the condo we noticed the front burner on…

For the past thirty years, the American healthcare use International Classification of Disease, ninth edition (ICD-9) however on October 1st 2015, United states transitioned from ICD -9 to ICD 10, which was met with different reaction across the healthcare system. While many believed that we as a country is going the right way by implementing ICD 10,it was also meet with a lot skepticism by many in healthcare. International Classification of Disease-10 (ICD-10) developed by World Health…

Health Care Act, her biggest concern was that some doctors don’t accept Obamacare. Doctors have the right to refuse Obamacare for many reasons, the decision is usually up to the insurance company, not the provider, but it usually comes down to reimbursement,…

preventable by center for Medicare and Medicaid services (CMS) (Zarakiewicz, Whitney, Lowe, Taylor, O’Donnell, & Minton-Foltz, 2010). Hospital acquired pressure ulcer (HAPUs) is a major concern for hospitals due to morbidity, treatment cost and reimbursements. CMS does not pay for HAPUs anymore, therefore…

review of the organization’s strategic plan, often after listing out the strategic plans and tactical plans of the organization, the areas where technology could enhance or enable such plans becomes apparent. The transition from fee for service reimbursement to bundled payment and value based purchasing will require the use of electronic health records to develop integrated systems between health care organizations that foster provider collaboration across the continuum of care (Harris, p.129). …

As our aging population in the United States continues to grow our healthcare systems must adapt to deliver care to these patients. The Affordable Care Act has placed a high priority on preventative care and expanding a patient’s continuum of care. The long term care segment of healthcare will need to grow significantly in order to care for these patients and continue to improve avoidable hospital admissions. Skilled nursing facilities sit on top of the pyramid of long term care facilities in…

Appraise the Academic and Professional Requirements of Clinicians, Scaling Benefits and Compensation Packages That Attract Highly-Skilled Physicians Some primary care physicians (PCPs) state that they can provide care for their patients without a comprehensive medical staff or hospital privilege, especially as it supports the curtailing of expenses. In your opinion, should hospitals be concerned about that mind-set? Yes, hospitals should be concerned if any of their physicians have that…

their mileage to and from the meeting location at the state travel expense rate. They also provide hotel rooms for committee members who live over 45 miles from the meeting location. Committee members are responsible for their own meals, without reimbursement. In addition, the test contractor reimburses school districts for the cost of a substitute teacher for each day of committee work. Committee members not paid by their district while attending the meeting may accept a stipend of $75 per…