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Problems with the Pre-admission call center - Essay Example

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The researcher of this following essay will make an earnest attempt to identify and delineate the top issues that the team should address in its deliberations, who should be the person designated to take the matter to corporate headquarters and patient satisfaction…
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Problems with the Pre-admission call center
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Download file to see previous pages The physician included in the committee should be those that have fallen victims of this exploitation and those that have information on this admission charges. The hospital administration and management should be included in the inquiry committee because they are the body that is responsible for the formulation and implementation of financial policies of the SSH. 4- Identify and delineate the top three issues that the team should address in its deliberations. The inquiry committee should address the following issues: i. The admission charges claims; to investigate whether the claims are true and establish the root cause of these charges ii. The conduct of the call center administrators; whether Mr. de Money acted within his powers iii. The long and short-term implication of the charges on the institution i.e. the claim by the physicians that they are not satisfied and would prefer serving somewhere else. 5- Since SSH is part of the larger hospital system, who should be the person designated to take the matter to corporate headquarters? The matter should be forwarded to the corporate headquarters by the CEO of the SSH. This is because, it is the SSH senior most personality in the administrative line and he is one who is directly answerable to the corporate board. 6- How should the team evaluate whether a change in corporate policy is needed? Who should take the lead on evaluation? The evaluation for the need of change in the corporate policy is based on the level of success of the organization. With the fear of losing more customers following these admission charges that are made out of pocket, there is possibility that the hospital’s profitability index is likely to decline, therefore a need for performance evaluation (Hammaker, & Tomlinson,...
The researcher develops the following research questions that need to be answered to affirm the findings: What new policies and procedures do you recommend be implemented to better manage insurance verification, customer relations, and cash collections? How can these policies and procedures improve customer service and patient satisfaction among the families in the community served by South Street Hospital? To better manage hospitals, it would be recommended that the government takes the medical financing through the Medicare insurance policies. This will ensure that medical cover is provided to all citizens irrespective of their ability to pay. Such scheme would also reduce the medical burden on the tax payers. Secondly, the medical payments should be directly made to the bank accounts of the health institutions to reduce the instances of personal (out-of-pocket) payments. This would create transparency in the management of hospital funds. In addition, the insurance verification process should be digitalized so as to enhance accuracy, safety, and reliability of the exercise. In this respect, the hospital management and administration would be least involved in the insurance verification process. The hospital management should recognize that the success and future of these institutional depends on how effective the institutional resources are managed. One of the resources of the health institution that should not be overlooked is the customers. ...Download file to see next pages Read More
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