Thursday, January 30, 2020

Working With Teams Essay Example for Free

Working With Teams Essay The scenario is inaccurate coding and lack of patient information which delays payments for the doctor. As head of the billing department a process will be implemented to solve problems on this issue. The current process is not working and because of the loss of productivity, a team was assembled to solve problems. The goal is to find where the error is, and recoup the loss revenue. The first person to question would be the front office personal who checks in a patient upon arrival. After getting the insurance card and demographic page, it is important to compare that information on file to be certain it is accurate, and up to date. A copy of the insurance card should be taken at every visit. Even if the patient were there just there a few weeks ago, it is important to establish a routine of quality. Second, the front office personal should check the insurance carrier to see if a referral is necessary. However, most insurance carriers do not require a referral for family practice it is advantageous to determine if the doctor is in network. When the patient is called back to their examining room, the medical assistant will ask for the reason for the visit. It is up to medical assistant to write down the signs and symptoms of the patient. The documentation must be detailed and recorded properly on the patients face sheet. The department manager of nurses should be scrubbing the documentation before it is submitted to the billing department. For example, if a patient has a routine check and the physician decides to order labs, the lab draw must be documented; even though it was not the reason for the visit. The communication starts with the first point of contact, which is the front office. This person must be detailed, efficient and willing to ask questions without hesitation. They do not assume or fill in the blanks. They are assertive and responsible, to answer staff questions. Without this, the team will spiral downward like a domino effect. For example, the check out personal will not be able to excuse the patient without collecting the co pay. The co pay is not determined unless the insurance is entered correctly by the front office. According to Veean (2012) â€Å"We are paying more attention to electronic devices than to one another. The person to person communication between doctor and staff; and doctor to patient is decreasing. The answer to the question, is we can save health care by utilizing a balance of words and computers†. The team will be organized by personality types. Keeping in mind the group of people has a variety of experience, skills and talents working to help each other achieve a common goal. The group has the task of problem solving why the billing codes are incorrect, and where the missing link is for payment. According to Chong (2007) â€Å"team performance can be positively correlated with the teams that are organized based on their individual characteristics†. Each person will be responsible for their role. Selecting the team by department will make sure all employees are contributing to their individual duty and this will equal success. There will be one leader, a couple of nurses to scrub the documentation for errors, two administration personal to make sure the demographics and insurance information is correct. A person from the billing department who will run a report from the last 120 days. The doctor also needs a friendly reminder, to document according to the procedure. The doctor must know that treating patients is not their sole responsibility in an office. Consequently, all team members were selected according to their talents and skill level. How well they communicate with written and verbal communication. According to Cheesebro, (2010) the ability to solve problems and think critically are good traits to have. They have a desire to accomplish the task and be held accountable for their performance. The potential for conflicts would consist of pointing fingers and judging without investigating. A person might already know who the employee is that started the problem and approach the person, unprofessionally. The process needs to be redefined and no one should be singled out as the culprit. Furthermore, a conflict may ignite if communication is not open. Hence, one person might feel an idea or strategy is not helpful to reach the goal. Although, good teamwork creates a positive environment. If there is a heated disagreement, it can lower the mood, and demotivate the rest of the team. However, according to Cheesebro, (2010) Conflict is healthy in certain situations, because it will bring a team together. Research has shown, employees who feel part of a strong team are happier and more productive. An acronym for team is: trust, empathy, attitude and mutual respect. In conclusion, the best way to avoid future billing failures is to call the insurance company. According to University of Florida, College of Medicine, (2010) Cigna, United Health Care, Medicare and Medicaid will notify the billing office the reasons for denial. It could be as simple as the birth date does not match what is on the enrollment application. A modifier was not placed after an International Classification of Disease, 9th Revision (IDC-9) code. Perhaps the Current Procedural Terminology (CPT) was entered as a 4 digit code instead of a 5 digit code. Even though a report will catch this error, if a person overlooks uploads it electronically anyway, it will be denied. The rules for assigning these codes are complex, and have a significant role in coding; so that payment can be received. For example, if a bill for CPT 31256, nasal/sinus endoscopy would not be supported by ICD-9 826.0, closed fracture of the foot. This claim would be rejected and sent back. In most offices, it is presumptuous to label the front office as the reason for failure in payment. It could be anyone’s guess the reason; hence a team approaches to solve the mystery of lack of payment is effective to problem solving. A person from the billing office would concentrate on these rejected claims, repair the error’s, and return them for payment. They will have 15 days to reprocess the claims, and recover the blunder.

Wednesday, January 22, 2020

Karl Marx :: essays papers

Karl Marx One day, I was walking in the forest, yearning for just something that will nourish my body. I had not eaten for days, and in order to survive, I needed food. All of a sudden, I came upon a block of bread laying ten feet in front of me. Running towards it, I was confronted by another man twice my size. He was definitely more than I. Being the smaller man, I lost out on my nourishment and on my survival. I lost my â€Å"struggle for existence†. Throughout this paper, I will expand on why this short story, has to do with a man by the name of Charles Darwin. Charles Darwin (1809-1882) was a failed medical school student, who finally received his B.A. degree in Biology. His schooling was finished up at Cambridge. If anyone is at all familiar with Darwin, they know his beliefs are pretty much the exact opposite of the Christian Theology. What strikes me, as strange, is that Darwin, when younger, was a Clergyman at the Church of England. As I will elaborate later on in this paper, he went from a religious clergyman, to questioning his beliefs, to even stating some of the most non-religious Theories known to man. As an unpaid Naturalist, he traveled on the H.M.S. Beagle, across the coastline of South America. While being dropped off and left on the Galapagos Islands for a number of days, he began to watch the species on the Island. To sum it up, He watched, for many days, Nature run its course. Throughout this time, and even after, he started to develop ideas about how he thought species survived. How they do survive, and how they should survive. This has to do with one of his greatest theories of all, Natural Selection. As I explained earlier about â€Å"the survival for existence†, Darwin developed a theory that explained how the most fit, biggest, and better of all the species have they opportunity to live on and survive. The weak, and less fortunate are able to compete for food, or other survival musts. He coined these thoughts along with a fellow Naturalist, Alfred Russel Wallace (1823-1913). Wallace actually gathered his evidence in Indonesia. This theory in which these two men established has been critiqued for years.

Tuesday, January 14, 2020

Multivitamin

In my house I have two types of multivitamins on hand. I have Marvel’s, The Amazing Spider-man complete multiple Vitamin and Mineral Supplement with DHA. I also have Equate Woman’s One Daily with calcium, Iron, and Zinc multivitamin and Mineral Supplement. My son, although an adult, prefers the taste of a chewable, which is why I have Spider-man vitamins on hand for a 20 year old. The benefit of taking either of these vitamins every day is that no matter what you eat each day, since a daily diet usually varies, your body is guaranteed to receive at least the minimum amount of essential vitamins and minerals a body needs to perform at its best. Almost every person has a day where they didn’t eat breakfast, or maybe they skipped lunch, the vitamin, helps to replace what they missed in getting from the nutrients given to a body through food. For instance, I do not drink a lot of milk. Therefore, unless I am eating a larger amount of other dairy products to compensate, I need a vitamin that contains calcium to support my bone growth, structure, and to prevent osteoporosis since I am in my 40’s. While not having enough vitamins and minerals in your body can cause many health related problems, over taking them can also cause health problems. They fact is that most vitamins and minerals are absorbed into the body, and eating a healthy diet with only one supplement can keep a person healthy and balanced. However, most people do not eat a healthy diet, therefore the supplements can help keep them on track. One must keep in mind as well though that some people over use supplements thinking they are increasing their health when the reality is they may be causing the very problems they are trying to prevent. The textbook relates to a study showing that too much pyridoxine caused people to lose the ability to walk (Chapter 8: The Vitamins, n.d.), whereas not enough was thought to cause anxiety and depression. The text also explains how sailors did not get scurvy when they took vitamin C. Too much vitamin C causes stomach ailments. Based on the guidelines, in my home, vitamins are needed. We do not eat a proper healthy diet that would contain all the correct amounts of vitamins and minerals our bodies need to support good health. Taking a vitamin everyday, which we do, makes me feel a little bit better about the state of our health and daily diet.

Sunday, January 5, 2020

Animal Testing for Humanity Essay - 537 Words

Animal Testing for Humanity Animal research is vital to human existence. This testing enables doctors to find treatments and cures for various diseases and aliments. The people, who object and think that mad scientists preform all animal research, merely do not understand the importance. There are many regulatory acts protecting the animals in experiments, therefore proving that ending animal research all together would be a harsh blow to society. The regulations, such as the Animal Welfare Act, which ensures that animal, care for research is a main priority. The AWA requires appropriate veterinary care, housing, feeding, handling, sanitation, ventilation, and sheltering. Also, in that act the Animal and Plant Health†¦show more content†¦This means scientists are using these animals to find cures and treatments. Animal rights groups are also saying that pets are routinely stolen and end up in research facilities, which also proves to be untrue. Forty percent of dogs and cats involved in research are bred for this purpose, while the rest are purchased from highly-regulated Class B animal dealers or pounds, where otherwise these animals would be put to death. The USDA also mandated a holding period of ten to fifteen days, which provides ample time for owners to locate their lost pets, or for the unwanted animals to find homes. Life without animal research would be a disaster. According to the Americans for Medical Progress Educational Foundation, without animal research, insulin-dependent diabetics would be dead. Polio would kill or cripple thousands of unvaccinated adults. This year 7,500 newborns that contract jaundice each year would develop cerebral palsy, which is now preventable through phototherapy. Finally, millions of dogs, cats, and other pets and farm animals would have died from anthrax, distemper, canine parvovirus, feline leukemia, rabies and more than 200 other diseases, which were made preventable through animal research. Animals in research benefit humans and their fellow animals. The research has developed gene therapy, bone marrow transplantation, vaccines andShow MoreRelatedIs Animal Testing Essential For Humanity?1468 Words   |  6 Pages2015 Period 3 Ene/European Literature Is Animal Testing Essential for Humanity? Around the world, animal testing has been a controversy for many years. In the cosmetic and medical industry, doctors claim that animal testing is essential for life and solves many issues. Although animal testing may have helped the cosmetics industry and has provided opportunities, this form of experimenting has not been imperative to humanity. 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Animal are usedRead MoreAnimal Testing And The Scientific Field1305 Words   |  6 Pagesscientific field, people find that the richest discoveries in health or medicine generally depend on animal testing. According to Animal Testing in the History of Anesthesia: Now and Then, Some Stories, Some Facts, the writer says, â€Å"There are many interesting anecdotes, [†¦] about how dogs have been loved, named and tested by many anesthesiologists, [†¦]. However, the contribution of experiments on animals such as rabbit, monkey, mice, guinea pigs etc., also played a significant role in the evolution