StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...

Medical Reimbursement Methodologies - Essay Example

Comments (0) Cite this document
Summary
1. You're the new director of a hospital health information management department. The chief financial officer has hired you for your expertise in health care reimbursement and needs to know how your department can help with reimbursement. List the most important functions of health information management.
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.9% of users find it useful
Medical Reimbursement Methodologies
Read TextPreview

Extract of sample "Medical Reimbursement Methodologies"

Download file to see previous pages The Blue Cross and Blue Shield Plans were really the blue prints from modern health insurance. That which started as a hospital plan for public school teachers at the Baylor University Hospital, became the model for Blue Cross Plans around the US. Essentially, these were prepaid plans for hospital services under a contractual agreement. Blue Cross dates back to 1933 where with support from American Hospital Association, this started as a nonprofit plan that covered only hospital charges. By 1946, this plan spread across 43 states and starting from 9% in 1940, in 1950, it covered about 57% of the population. In order to avoid conflict with the in-clinic private practice, to start with this was hospital oriented. This was endorsed by AMA, and later a new plan evolved in 1939, which was known as Blue Shield, and this evolved through development of active service plans. This was sign of commitment to private health insurance as the means to spread the financial risk of sickness without fear of threatening personal interests of the physician. These plans were literally responses to challenge thrown by national health insurance. In due course of time, they started working together to provide both hospital and physician coverage. Now, these plans jointly provide a comprehensive care through either joint corporations or close working relationships. Since these plans were not for profit to begin with, the commercial insurance providers were skeptical to start with, but later, with the success of these plans, they also started providing health insurance.
3. Explain why the lack of universal health care coverage can raise health care costs.
If there is a lack in universal healthcare coverage, there is cost involved in healthcare. Those who are uninsured and uncovered, they will have to pay from their pocket. Therefore, they try to tolerate symptoms and ignore ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Medical Reimbursement Methodologies Essay Example | Topics and Well Written Essays - 1000 words”, n.d.)
Medical Reimbursement Methodologies Essay Example | Topics and Well Written Essays - 1000 words. Retrieved from https://studentshare.org/miscellaneous/1530903-medical-reimbursement-methodologies
(Medical Reimbursement Methodologies Essay Example | Topics and Well Written Essays - 1000 Words)
Medical Reimbursement Methodologies Essay Example | Topics and Well Written Essays - 1000 Words. https://studentshare.org/miscellaneous/1530903-medical-reimbursement-methodologies.
“Medical Reimbursement Methodologies Essay Example | Topics and Well Written Essays - 1000 Words”, n.d. https://studentshare.org/miscellaneous/1530903-medical-reimbursement-methodologies.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Medical Reimbursement Methodologies

Reimbursement

... June 15, Reimbursement Reimbursement is a term used to refer to the process of refunding money to a given party for expenses or losses incurred. Due to the escalating expenses incurred as a result of tobacco usage in the United States of America, there is debate on whether tobacco companies should reimburse the government for health expenses. The aim of this paper is to discuss why tobacco companies should reimburse the government for health care expenses related to tobacco use. Accountability Tobacco companies have, over the years, created an uncontrollable desire to use tobacco products such as cigarettes. Over time, these products have brought about major health challenges to their users ranging from addiction to cancer of the throat...
4 Pages(1000 words)Essay

Tuition Reimbursement Implementation Report

...? Tuition Reimbursement Nam e Tuition Reimbursement Tuition Reimbursement Implementation strategy has been embraced by most of the business today given the positive results that are realized in the program. While the critics of the program will argue that when the employees are enabled to upgrade academically, they are most likely to be poached by other businesses, concluded research denounce this and in the contrary indicates that the program only facilitates employee retention capacity. This is owed to the fact that most of the employees will feel a sense of belonging to the business and consider themselves as being in kind of a family set up in which the needs of an individual is a concern of everyone. Because most employees do expect...
4 Pages(1000 words)Essay

Medicare Reimbursement

...? Medicare Reimbursement Scenario Medicare is an insurance provided by government to cover supplies and the services that are needed for the treatment of a medical condition (Medicare, 2013). Mrs. Zwick has Medicare part A, B, and D. Since Mrs. Zwick was hospitalized for mild stroke for 5 days she also qualifies for SNF (Skilled Nursing Facility). Part A is activated when the doctor has ordered the inpatient treatment of an illness and it can only be treated in hospital. Mrs. Zwick is eligible for the SNF since she needed daily skilled care and had developed a hospital related medical condition. Part A will cover the inpatient expenditures of Mrs. Zwick since she was in SNF a whole of 40 days. Part A covers full expenses for SNF...
4 Pages(1000 words)Essay

Visual methodologies

...? VISUAL METHODOLOGIES due: The main purpose of a visual analysis is to recognize and understand the visual choices the artist made in creating the artwork. This is because by observing and writing about separate parts of the art object, one comes to a better understanding of the art object as a whole. The club 18-30 advertising photograph is an interesting piece of art, which will be carefully analyzed. The message in this visual composition is that Mallorca is a fun place to be where one can go and expect to have a good time. The people in the picture who are freely enjoying themselves by being wild and carefree very well illustrate this. The picture also shows that Mallorca has suitable facilities that people can use to enjoy themselves...
3 Pages(750 words)Essay

Research Methodologies

...Research Methodologies Table of Contents Introduction Hong Kong has been well known for its cuisine that range from exotic Chinese to Western. They have been serving the 7 million population of the city and a large number of tourist and floating population that frequents Hong Kong (HKSAR, July 2006). Due to the major growth in the industrial and business status of the city, it has been undergoing major changes in the rental costs. This has been making the restaurants struggle for their profitability and for their survival. The industry has become more competitive and they need to evolve methods that will help them become more profitable. This research was undertaken to identify whether any of the new media for advertising that has been...
27 Pages(6750 words)Essay

Tuition Reimbursement Implementation

...Tuition Reimbursement Implementation Executive Summary Effective business communication forms the backbone of an organization’s success. With effective communication, the business is bound to relate well with both its internal and external clients while at the same time building its reputation and effectiveness in service delivery. Without proper communication however, the company may end up losing massively in various ways. Given the importance of business communication, the company should invest in training or encouraging more of its employees to take business communication courses. Apart from being a motivation to the employees who are compensated for having business communication degrees, the company will get to benefit massively...
5 Pages(1250 words)Term Paper

Changing Complex Information Systems: Medical records at Anersley Hospital

The problems, which rose due to the inability of the administration to maintain or replicate the status quo, and also due to the staffs’ or workers’ indifferent attitude to the assimilation process.

In an organization, the decision-making process should be carried out perfectly for its survival and for further growth. The important cogs in the decision-making process will be the top-level management and the department heads or supervisors with some inputs from the basic level workers also. But, the actual decision will be or should be taken by the top management in coordination with the department heads. But, if the top management and the department head are not on the same wavelength, then the important dec...
7 Pages(1750 words)Case Study

Medical Physiology

D. Smooth muscle cells: Though smooth muscle cells are recruited by day 3 or 4 of the wound along with fibroblasts, myofibroblasts, pericytes, and smooth muscle cells, their main role is fibroplasia, synthesis of connective tissue matrix, tissue remodeling, wound contraction, and wound strength. They do not produce cytokines and chemoattractants (Sephel, 72). Hence this is not the correct answer.
A 68-year-old man with prostate cancer and bone metastases presents with shaking chills and fever. The peripheral WBC count is 1,000/uL (normal = 4,000-11,000/uL). Which of the following terms best describes this hematologic finding?
A. Leukocytosis: This is not the correct answer because leukocytosis means an increase in WBC co...
14 Pages(3500 words)Case Study

Research Methodologies and Their Application to Counseling

Data must be subjected to the thinking process in terms of ordered reasoning.

Descriptive Research describes and interprets what it is. It is concerned with conditions of relationships that exist; practices that prevail; beliefs, processes that are going on; effects that are being felt, or trends that are developing.

The process of descriptive research goes beyond mere gathering and tabulation of data. It involves the elements or interpretation of the meaning or significance of what is described. Thus description is often combined with comparison and contrast involving measurements, classifications, interpretation, and evaluation.

In other words, descriptive research may be defined as the purposive...
8 Pages(2000 words)Term Paper

Online Recruitment Methodologies

Modifications in internet technology such as falling cost and increasing accessibility in broadband are drastically altering the recruitment process and allowing recruiters to reach a large number of quality applicants in diverse locations in a very cost-effective manner. The boundaries that used to exist between print media owners, job boards, recruitment advertising agencies, recruitment consultancies and technology companies is almost breaking down. E-recruitment should not be considered in isolation from other methods of recruitment, it is a complimentary service, rather than replacing the more traditional forms of advertising.

Online methodologies are used as the front end of the recruitment process in terms of adv...
6 Pages(1500 words)Term Paper

Medical Radiographic Technique for Dealing with the Pediatric Patients

This poses a challenge in pediatric radiographic investigations. Obtaining quality radiographs on pediatric patients can be a challenge. Minimizing radiation dose in pediatric imaging is a crucial issue that has been emphasized and reemphasized in recent years1.
Diagnostic radiation overexposure can cause radiation skin reactions and acute radiation sickness. It can also lead to systemic reactions that may lead to disturbances of normal functional processes, such as, radiation pneumonitis. It is known to have carcinogenic effects and genetic effects2. However, it is also to be considered that the dose required to produce genetic or carcinogenic effects are virtually precluded by modern radiographic apparatus and special techn...
13 Pages(3250 words)Assignment

Marketing Plan for Private Medical Clinic in Birmingham

... market. However, in order to combat with such issues, entrepreneurs must consider a number of tasks before starting a new venture. Effective planning for plausible set of market strategy is one of the most crucial tasks for an entrepreneurs and for this a comprehensive marketing analysis and research is mandatory task (Longenecker et al, 2005, p. 147). This paper will attempt to present marketing mix strategies for a new venture based on the situational analysis in respect of proposed business plans. 2. Background of Scenario This business report deals with the formulation of marketing mix strategy for a new venture of private medical clinic in Birmingham. The private medical clinics offer wide ranges of health care services by taking...
9 Pages(2250 words)Case Study

Medical Transportation and Organ Donation

... of the human body and that all persons should be buried off with all their body organs to be truly regarded as human beings. In addition, a lot of bureaucracies are involved with the medical transportation in China. The Chinese government is utilizing varied ways to tackle organ trafficking. These include; firstly, to reduce organ theft, there have been proposals to cut down medical expenditure for donors all through their infirmary stay and their interment expenses. The use of these financial incentives would encompass tax reimbursements, medical coverage or schooling waivers for donors’ family affiliates. In addition, Chine citizens will also be provided with option of registering as body part donors when they get driving licenses...
6 Pages(1500 words)Assignment

The Legalization of Medical Cannabis

The federal government, through the 2009’s Controlled Substances Act, makes the use of marijuana a criminal offense. However, various states, such as Arizona, Colorado, and California, have legalized the use of cannabis for therapeutic purposes. This paper presents an argument that marijuana should be made legal for its therapeutic uses.
The legalization of medical cannabis is justified because of the positive therapeutic effects of the drug. Proponents of the legalization of medical cannabis argue that if marijuana is made illegal, patients will not be able to access and use it for the relief of their symptoms (Gwynne 29). Marijuana has been reported to be a safe drug for the treatment of various conditions. The drug a...
6 Pages(1500 words)Case Study

Should the Family and Medical Leave Act Be Changed

...Should the Family and Medical Leave Act be changed? Robert Anthony Barnes Jr Strayer Carissa Jordan February 20, Introduction The economy of America has been on a long-term recovery path from the period of the great recession. The recession resulted in mass unemployment, social inequity, and low payments for labor. This notwithstanding, the economy has expressed resilience to the challenges of the recession. The economic recovery has inevitably resulted in labor issues that necessitate the assessment of the federal labor provisions. The efficacy of the Family and Medical Leave Act that was signed into law in 1993 to protect workers’ welfare amidst the pressures of employment arouses discussions. Although economic recovery in America...
8 Pages(2000 words)Case Study

Perceptions of Medical Marijuana

... Perceptions of Medical Marijuana Author/s Aims Methods Results Conclusion Stella M. Resko This study aims to examine patterns in public perceptions and attitudes toward marijuana use among adolescents. The methods used in the study is computer-assisted telephone interviewing (CATI) to collect data from a statewide sample of adults in Michigan identified through random-digit dialing (n = 560). CATI interviews were supplemented with web- and paper-based surveys for nonrespondents. Multinomial logistic regression was used to examine the relationship between class membership and demographics, substance use, and methodological factors. Survey participants (n = 560) ranged in age from 18 to 95, with an average age...
6 Pages(1500 words)Literature review
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Medical Reimbursement Methodologies for FREE!

Contact Us