Your office has experienced a number of insurance claims that have been denied. The cause cannot...
You have been asked to do the collection calls in your large medical clinic. Although you work in insurance coding and billing, you are not sure you have the skills to do so. This assignment will also include appealing denied insurance claims. What must you do to be prepared and to be successful?
CRITICAL THINKING EXERCISE 4.3 Your office email account has been receiving a large number of jokes and chain letters from one of your coworkers. You understand that it is against office policy to send emails unrelated to your job duties. How do you handle the situation?
Many of you have had to call your doctor's office, pharmacy or insurance company for assistance. What was helpful and what was difficult? List one of each. For example: I find it helpful when I can press "0" to bypass a recording and talk to a person directly. On the other hand, I find it extremely difficult to have to repeat the same information to every person I've talked to.
How many of you have been involved in a FMEA or root cause analysis after an event has occurred? What were your thoughts on both and how many times did you see institutions see them as one and the same?
Your group has been called to a dialysis clinic that has seen an unusually high number of patients with vancomycin-resistant Enterococcus (VRE) or methicillin-resistant S. aureus (MRSA). It is your job to check out this clinic, determine the cause of the high number of infections, and propose measures to decrease it. Use what you learned in this lesson to help you answer the following questions; How could you determine the potential sources of the outbreak? What measures can be taken...
Assume you have just been hired as a coding manager at a local hospital. One of the things that you have discovered in your first week is that the coders are not allocated any funds for continuing education. Discover ways that you can remedy this situation, keeping in mind that currently you will not have any budget for this. Come up with 3 solutions to rectify this problem? What options do you have for your coders to obtain continuing education?...
Discuss a situation you have experienced or observed where over-delegation or under-delegation has occurred. What was the outcome? What suggestions do you have for ways this could have been better handled and include your rationale
A number of advances have been made in biotechnology. CRISPR/Cas9 one of the most controversial, and is getting a lot of current media attention. It is a method by which scientists can precisely edit DNA sequences at exact locations. Benefits obviously include the potential to “repair” mutated genes that cause disease. In fact, preliminary results from one of the earliest clinical trials of CRISPR/Cas9 provide evidence that the technique is safe and feasible to use for treating human diseases. What...
111UndLIUIUM to use for patient education. loyees in your office have been spend Workplace Applications ing the knowledge you obtained from this chapter, pro answers to the following cases. 1. You notice that the employees in your office nav ing company time using the Internet for person primarily reading blogs, exchanging emails wit downloading music, and watching YouTube videos. Cita an office policy for the employee handbook that prohibits the misuse of the Internet and describes in what situations it...
You own a local coffee shop and your senior barista, whom everyone loves and has been with you for 6 years, just informed you that she will be leaving soon as she has decided to move to a different city. You are considering hiring a junior person and training them as a barista knowing that they will make mistakes on customer orders, or you can hire an experienced barista at a higher wage that has a great resume and references. ...