Hrm/531 Week 3

Charges – This is the financial obligation made to a patient’s account for services rendered.

This article discusses how Medicare Carriers and Fiscal Intermediaries use coverage determinations to establish medical necessity. When the condition(s) of a patient are expected to not meet medical necessity requirements for a test, procedure, or service, the provider has the obligation under the Beneficiary Notices Initiative to alert the Medicare beneficiary prior to rendering the service. The Medicare beneficiary is notified via the Advance Beneficiary Notice (ABN) (see page 235 in Appendix B).

District Attorney’s Office -Administrative Assistant. Handled all travel arrangement for attorneys and clerical staff: transportation, hotel, food, etc. Entered information in on a data base for all new employees also removed information when employees were dismissed. Submitted work time sheets for employees, distribute payroll checks to employees.

This week I have fully grasp the work that goes into being an RN, case manager and what it entails to fully review a patients’ stay at the hospital in order to discharge them in the most effective and efficient way. I understand the need for these professionals in the healthcare field, not only in the hospital setting, but in skilled nursing facilities as well, one reason being is that I believe someone has to advocate and review the patients’ needs before they are sent home. Just like last week I was able to sit in on rounds and observe a great deal of the doctor and case manager dynamic and how important it is for both to know the patient as much possible. Sitting in rounds every morning makes me realize how hard it is to make decisions for another

To meet the requirements desired by the President and Vice President of the Acme Corporation, I believe that they will only need four servers, considering it is such a small business of less than 20 people. All of the servers will be running Windows Server 2008 R2. The following servers will be: a file and printer server, an email and web server, and an SQL server.

As of next week, we will require that all employees at Semper Absum take a mandatory one-hour lunch break away from their desks. After hiring an efficiency expert, we were informed that many employees were not taking a lunch-break and instead were using work time to attend to personal matters. Statistically, employees who do not take a lunch break tend to be less productive during the rest of the day.

Kudler Fine Foods uses a loyalty program which, as it currently stands, serves to “increase the consumer purchase cycle as a means to increase the loyalty and profitability of its consumers,” (p. 1, University of Phoenix, 2007); management is proposing the implementation of a new multi-media shopping cart that will appeal to the high-end clientele as well as track more customer data and improve sales. The Media cart gathers key information that will enable the marketing department to customize better the shopping experience, making use of in-store advertising, and collect data related to consumer activity (Media Cart, 2010). Although the initial investment in the carts may seem high, the return on

1. A second contribution of the Aggarwal and McGill, (2012), research is to recommend the procedure by which automatic behavior significances from anthropomorphized brand primes, and it is a motivational process. Clients of popular products want to reach the main characteristics or attribute linked to the brand. Most Apple or Disney patrons would like to be imaginative, creative, and popular like these brands (Aggarwal and McGill, 2012). Apple or Disney customers might play the part of the consistency with Apple and Disney, and they could take on the characteristics. I find it hard to believe that an adult would take on a Disney character unless they are extremely immature. I can visualize people who are concerned with status, and Apple is one if the finest products for position. Only little kids would

Identify one major exclusion and one tax credit. Find the relevant Internal Revenue Code Section that provides for the exclusion or credit using IRS.GOV, copy the first paragraph, including the Code Section, and paste it into your post. Please answer this question for each: Did Congress enact this exclusion or credit for a social or economic purpose? Or both? For your third post this week, identify one of your colleagues' posts and respond to their observations with a concurrence or not; either way, support your position. Discuss which provides a greater tax advantage to the taxpayer, deductions or tax credits.

As the Ground Station software lead for the Triton Unmanned Air Vehicle (UAV) program, I recognized that the review of software Contract Data Requirements List (CDRL) items had become a continuous “do loop” and was tying up valuable program resources. My team was responsible for the review of over 30 CDRLs and their preparation and review was costing the program almost $15,000 apiece for each review cycle. We had fallen into a rut where the documents were submitted, my team along with subject matter experts would review and provide comments. The contractor team would then respond to these comments without any coordination and resubmit the documents. My team would not agree with the adjudication of the comments so the review process would start all over again. This process needed to improve to save the program both time and money.

Further data in the following Claims (Billing), Charge Capture, HIM(Charting), Human Resources and Admissions will be collected and analyzed before the next meeting. Also, an audit of all departments will take place. The overall objective of this plan is to determine which methods in the departments are becoming liabilities so all issues addressed. The addressing and correction of these issues will keep the doors of the facility open.

1. Missing information: If the insurance claim has been denied due to missing information, the billing specialist could determine and add any missing information by reviewing the patient's registration and encounter form.

In many instances, the supervisor has to complete daily, weekly or monthly reports to keep track of the number of clients that have been invoiced and the number of bills that have been paid. The supervisor may assist clerks with locating clients that cannot be easily reached. Additionally, the billing supervisor normally has some knowledge of local collections practices and laws and can therefore advise clerks on the best legal manner in which to collect a past due

Morning Karen, thanks for responding, please note that as the Director of the program it is imperative that you and your team ensure that the accounts are below the 2 k amounts at all times. We will be meeting next week to once again review the process and your teams accountability. As shared monthly it is imperative that you and your team follow the client accounts spending process which was developed and implemented to prevent the need for the residential team from having to wait on finance for balances prior to acting. What’s evening more concerning is that I have met with you and your team specifically on 4/11/16 and again on 6/20/16 to review the process step by step and each time everyone left the meeting indicating they were fully aware and could execute the process. In addition I have coordinated at least two addition meetings with the finance team to collectively review the process to ensure all steps were covered if followed and yet again you left indicating you were fully aware. Also you and I have met 2 - 3

Treat and label such application as invalid in the electronic record in the case of defects