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As the revenue-cycle director, how would you approach the staff involved in the revenue cycle and correct the internal process breakdown?
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- Discuss the impact of any failure in the claims production and claims submission areas of the revenue cyclebriefly describe a strategic planning, staffing impact, reimbursement compliance and revenue cycle process in healthcare reimbursementWhat makes staffing competency needed for hiring team members in the back-end revenue cycle specific to the healthcare domain
- Analyze the revenue-cycle errors that may occur in internal and external workflows that can impact a healthcare organization’s cash flow and financial strength.What is the rationale for exempting a firm’s contribution to its workers’ health insurance from taxation as worker income? What is the impact of this exemption on allocative efficiency in the health care industry?You usually work 37 hours each week and earn $12.25/hr. Last week you worked 42 hours (2 overtime hours) since some employees were on vacation; calculate the following: What is your usual gross pay? What was your gross pay for last week? How much more was your gross pay for last week than your usual week?
- Revenue cycle management (RCM) is important to the operations of a healthcare practice. We learn that the RCM process begins even before a patient has been seen by the doctor. The RCM has three components: front-end process, middle process and back-end process. Discuss the front end of the RCM process. Then, explain the component and provide an example of the selected component.What important skills do future managers / administrators need to have to be able to manage price transparency in an healthcare organization.Describe how patient perception towards payment can affect the revenue cycle for a healthcare organization
- Identify Kaiser Permanente’s key stakeholders and whether they are internal or external. What effects do these stakeholders have on the organization or what impact does the organization have on these stakeholders? Discuss stakeholders’ needs and potential conflicts among their different groups.What are the three common regulatory requirements for federal, state, and third-party payersProvide examples of legal and ethical considerations when resolving customer conflicts, especially in industries like healthcare and finance.