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Billing Costs and Rates - Assignment Example

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Billing Costs and Rates

…4 Key elements of Green Valley Medical Center’s strategy……………………………………………..4 Capital budgeting system needs a change…………………………………………………………......4 Two projects………………………………………………………………………………………………..4 Acceptable project………………………………………………………………………….......................6 Step three…………………………………………………………………………………………………………….6 Critiques of the methodology and findings of the benefit/cost analysis……………………………...6 Level of Funding…………………………………………………………………………………...............6 Conclusion ……………………………………………………………………………………………………….........
The billing procedure involve: Enter patient details into an EHR software program; Entering ICD-9 and CPT codes from the main bill into the patient’s documentation; Automatically Transmit claims to cover providers; receive an audit statement, review and correct errors, resubmit discarded claims then post payment to patient account (Ferenc, 2013). Physicians must maintain correct and complete therapeutic records and documentation of the services they offer. They should ensure that the claims they present for payment are backed up with proper documentation. Physician relationship with patient, billing department and management would be reviewed. I think Bobcat Community Hospital is liable for poor billing practices and poor physician relationships. Actions recommended and corporate compliance plan The hospital has retained some physicians for more that 10 years thus compromising on services. The action that has been taken is to control the period a physician can stay within an institution. Yes, corporate compliance plan is needed. Corporate compliance plan would detect and prevent violation of regulation by the physicians, agents, officers and director of the hospital. Physicians are under the same law no matter the location thus no breaks for rural hospital in dealing with physicians. Question 7 Medicare Initiatives on physician payments The two percent across-the-board cut to Medicare physician remuneration mandated by the centralized budget sequester has been an issue for a while; however implementation was to commence as from April. Physician would compromise service delivery in reaction to payments cut. Health-association infection and readmission payment Since 2009, it is true that Medicare stopped payment of medical ...Show more

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Billing Costs and Rates Name Institution Table on Content Step One…………………………………………………………………………………………………………….3 Question 6…………………………………………………………………………………………………
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