Discussion Questions
1.)
a.) How often will a statement usually be sent out if there is a balance on the account?
b.) In which part of the process is patient information verified?
c.) What percentage comes from private pay insurance?
d.) In which part of the process are no shows explained?
e.) In which part of the process are fee schedules discussed?
2.) Tom Anderson is the controller for Morningside Medical Clinic. At the end of each month, the financial management system used by Morningside generates a series of standard financial reports. In his review of the current reports, Mr. Anderson notices that the accounts receivable aging report shows that patient accounts receivable over 60 days old has been steadily increasing over the past 6 months and is increasing at a rate faster than the growth of inpatient visits and scheduled fees for services. An accounts receivable aging report is a report available in computerized financial management systems that categorizes receivables based on the number of days elapsed since the date of service. Receivables are grouped as:
· Receivables less than 30 days old
· Receivables between 31 and 60 days old
· Receivables more than 60 days old
This report serves as a measurement of the effectiveness of the medical facility’s billing and collection procedures.
Morningside has detailed procedures in place to collect patient deductibles and copayments at time of service as well as procedures for billing account balances remaining after payments from insurance. Mr. Anderson calls a meeting with both employees responsible for receiving payments from customers at time of service and accounting personnel responsible for accounts receivable. The employees charged with the responsibility of receiving payments at time of service share an embarrassed look and admit that at times of high patient volume, they will sometimes tell patients that no payment is due simply to avoid delays at checkout. The accounts receivable clerks then share with Mr. Anderson how heavy their daily workload is and admit to neglecting to bill patients for balances due when other work needs to be completed. Mr. Anderson now understands the reasons behind the growth in accounts receivable balances. What steps would be appropriate to resolve the problem?
3.) Mrs. Johnson is an established patient of the medical practice. She comes into the office for her scheduled appointment and is seen by Dr. Smithers. At the checkout station, instead of paying her office visit copayment, she informs the cashier: “Dr. Smithers said that I did not have to pay today.” The cashier reports the incident to the practice manager. What steps should the practice manager take in a case like this?
4.) Ann Reynolds has recently been hired as practice manager for Dr. LaRue. In reviewing the financial records of the practice, she notices that a substantial amount of money is owed by patients with outstanding balances. Further review finds that the practice has no written financial policies outlining the responsibility of patients in paying for their costs of medical care. Outline a set of basic financial policies to address patient responsibility for payment of charges.
5.) Tom Gregory is the practice manager for a local urologist. The practice has a detailed set of financial policies dealing with required payments from patients, but the staff have not been enforcing the policies and patients are not familiar with the requirements or the reasoning behind these policies.
How does Mr. Gregory address this issue?
6.) Granite State Medical is experiencing claims denials in a larger percentage than industry average. As the practice administrator, what steps would you take to bring down the percentage of denials?
7.) As practice manager for a single-physician medical office, you notice that the physician is coding most patient contacts as simple office visits, and the practice is reimbursed by insurance at the lower reimbursement level. How do you ensure that the practice is paid for all appropriate costs of medical services provided?
8.) John Donald is an established patient of the medical practice with chronic health conditions. Mr. Donald also has a history of missing appointments without any prior notification to the practice. As the practice manager for the office, what steps would you take to convince Mr. Donald to stop missing appointments?
9.) Dr. Findley and Dr. Rocker are partners in a family medicine practice. The practice appears to be busy and well run, but always seems to be short on cash at the end of the month. Billing rates are appropriate, and staff member salaries and draws of the partners are in line with the area. You are the practice administrator, and the partners have asked that you review the problem and make recommendations. What areas will you look at to improve the revenues of the practice?
Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.
Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.
This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.
To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.
It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.
Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>
