Reimbursement

impacting force is in the hands of nursing. Nurses have a high exposure to patients and processes requiring and buy-in for the activities that lead to positive outcomes as defined by internal financial drivers, the regulatory agencies, the third-party reimbursement agencies and the consumers. Transformational, authentic, and trustful leadership has been shown to a have significant impact on the desired outcomes. The dynamics roles are interconnected between the leaders, frontline staff, and the…

safety and provide cost effective care (Piscotty, 2015). According to Allen (2015), “In today’s era of health care, documentation has become almost as central to patient care as the actual care itself”. Although necessary for patient safety and reimbursement, documentation is time-consuming. The use of electronic health records not only reduces time spent documenting, but also ensures safe care, reduce costs by preventing duplicate orders, and provides continuity of care amongst health care…

In week 6, I will discuss what value-based purchasing (VBP) is and its characteristics. I will also discuss VBP’s history and its goals. Lastly, I will explain key highlights regarding the future of VBP in healthcare. I will be using the course material and an internet resource. In my conclusion, I will go over the VBP and the future it holds in healthcare. What is Value-Based Purchasing (VBP) and its characteristics? Value-based purchasing defined: “a system in which purchasers hold…

Person of Interest When I read the course contents, the first one that caught my interest is the major paper, requiring us to interview a nurse administrator. It indicates to conduct it as soon as possible, plan ahead, and give yourself leeway for unforeseen circumstances in your part or the person you are going to interview. Why I need to look somewhere else to interview when, I have a Chief Nurse Officer (CNO) at my work of employment. That very first week of class, I contacted the…

Operational and Financial Change Model Effectively implementing the electronic health record requires a large amount of strategic and financial planning. Point of View, (2012) states that operational models are essential toward bridging the gap between strategic and financial planning. The traditional financial services operational model is a model that I would employ during this transitional process. Baptist Health is a community centered healthcare organization, and must remain up to date…

Close your eyes for a few seconds and imagine sleeping in a warm bed. Suddenly, you are awaken by the sound of crashing water traveling at unimaginable speeds. You jolt out of bed towards the window only to witness a horrible sight. Water from every direction converging on you and there is little time to escape. In February of 1972 one of the most horrific disasters in West Virginia’s history was known as the “Buffalo Creek Disaster”. On a frigid Sunday morning, a dam owned by the Buffalo…

then later claim the money. Ignorance of the insured on how the policy works creates tension for the insured and rejection by the TPA. TPA can sometime give the insured and the insurer a hard time rejecting the policy, making them run around for reimbursement and delaying the cash settlement. Hospitals also have no uniformity in the charges creating…

Meaningful Use Regulation #8 refers to Patient Electronic Access. The objective of this regulation allows the patient to receive their health record within four business days of an encounter with their Eligible Provider (EP). This entails viewing online, downloading and transferring their health information if desired. This regulation is broken down into two core measures. The objective is only met when both measures are satisfied. 1. To meet the first core measure, the EP must give greater…

The President Obama administration rules set fat, sugar and sodium limits on foods in the lunch line and beyond. Schools have long been required to follow government nutrition rules if they accept federal reimbursements for free and reduced-price meals for low-income students, but these standards were stricter, and kids were throwing the lunches away “If kids aren’t eating the food, and it’s ending up in the trash, they aren’t getting any nutrition — thus undermining the intent of the program,”…

manner by making desired investments in the new oil tankers. Exxon claims that it saved $22 million by not building the Exxon Valdez with a second hull. During the period of the oil spill, Exxon spent more than $2.2 billion for cleanup and for reimbursements to the federal, state, and local governments for their expenses in response to the oil spill. In addition, 31 lawsuits and 1,300 claims had been filed against Exxon within a month of the spill. On August 15, 1989, the state of Alaska also…