Physician Case Study

In week 2, I will be answering some questions that are relevant to the company “Central Health Services” selling service contracts for healthcare applicants and equipment. I will be discussing adjusting the accounts, adjustments and ethics also located in our textbook. In conclusion, I will be discussing my overall review of my findings and the difficulty in accrual accounting.

The assignment this week is to discuss pressing issues in our practice not yet discussed. This came at a perfect time for me, as I struggle with this issue almost on a daily basis. We all as professionals are aware that while working as a team in our practices, a good medical assistant can make you or break you. Medical assistants (MA) have an important role with-in the setting and in my office we have several that are fully competent, have been with our office for long lengths of time, and have some further education exceeding the minimal MA training required. Then, we have the handful of MA’s that can’t function without direct supervision constantly and even then at times things are completed in accurately, causing more work for the rest of the team, including myself.

The senator’s aides said their office had received more than 1400 letters in favor of the bill.

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

* Revenue: Patient service revenue be reported net of estimated adjustments and does not include charity care. Include note disclosures of method revenue recognition and management’s policies for providing charity care and notes charity care provided. Operating revenues cover patient service revenue, premium revenue based on agreement for a fixed fee, other revenue from parking fees, gift shop, cafeteria, and tuition. The unrestricted gifts; investment income for current unrestricted purposes be classified according to the policy there in.

They are more likely to be compensated in part on the basis of quality than physicians in small or medium-sized group practices. Financial incentives that are facing with doctors and hospitals push up cost. But not all doctors have a financial incentive to over treat patients. In particular, some hospitals are owned and operated by health maintenance organization insurance companies. At these hospitals doctors are salaried employees who receive no financial rewards for their performance. Physicians are paid before services with set amount of money for each patient. The amount that is rewarded determines by the service that is giving for each patient. These charges are developed by using general expenses and normal operation of services. This proportion is a capitation security pool. This funding cannot be compensated to doctors until the end of the economic year. The only method doctors will get compensated or uncompensated is for their medical services; only if the procedure does monetarily adequately or inadequately expenses will

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

FirstHealth Moore Regional Hospital is working on renovations to their hospital. The county has seen growth in the community and with golf tourism to their county in the past few years. To develop the revenue enough to generate a definite bottom line; FirstHealth wanted the county commissioners and the community to support the renovations with the renewal of the ending annual $4.6 million tax support, which outlined about 15 percent of costs. Developing the project a financial transaction group of members developed forecast revenue that involved profit increase from the new physicians, increase from clinical services, and advantages of expense based reimbursement of a CAH. The forecast indicated FirstHealth’s debt expanse of $41 million, FirstHealth would be able to finance the whole expense of the renovation, while depending upon using their own money to retire the $3.3 million of remaining debt. A plan was generated for the renovation project that was inside the $41 million budget. Securing the financing, convincing the county commissioners, and gaining the community support are the three sources of revenue that will assist FirstHealth Moore Regional Hospital in the financial forecasting.

On 08/12/16, Mr. Barnett completed a two-week workshop at the CPS Student Outreach and Re-Engagement (SOAR) Center, 2622 w. Jackson. On 09/01/16, Mr. Barnett registered for school at Bridgescape Learning Academy, 3222 W. Roosevelt, and submitted a copy of his school schedule to his DOC case manager in order to obtain movement. On 09/07/16, Mr. Barnett started classes at Bridgescape Learning Academy.

Kathy is a professional candidate with a background working with medical insurance billing. Her most recent position was with IU Methodist Hospital as a Release of Information Specialist. In this role, she would prep patient’s information to be sent out, answered inbound and outbound calls, and transmitted records in a timely manner. Her time came to an end when they started to eliminate many different positions. They did gave them a warning before hand and possible end dates. Previously, she had worked a temporary position for JWM Neurology as a Medical Records Specialist. She would schedule appointments, process patient’s information, review medical bills, and responded to requests for medical records. Prior to this, she worked for Select

Topic: Nurse Practitioner the Role they hold in our Health Care, how changing their scope of practice may help with the demand.

Provena Hospitals owns and operates six hospitals including Provena Covenant Medical Center, the plaintiff, which the Illinois Department of Revenues, the defendant, denied the property tax exemption application. In 2002, Provena hospitals realized a net los of 4.8 million on revenues of 713.9 million. PCMC realized a net profit of 2.1 million on revenues of 113.4 million. PCMC waived 1.7 million charges for 302 patients under its sliding-scale charity care program. The cost of the serives provided (under the charity program) was $831,00, which was $268,00 less than the value of the property tax exemption. The calculated cost of the charity program was .723 percent of PCMC’s revenues. The legal principle at play is whether a medical institution

Hospital reimbursement begins with the Clinician’s documentation most especially the Physicians who must ensure a complete, precise and accurate clinical documentation to support reimbursement and optimal quality reporting. It is of paramount importance that the Physicians ensure the documentation in the medical records reflects the genuine and exact story of the patient (Corsello, 2015). Additionally, if a Physician's documentation such as the primary diagnosis does not clinically reflect the documentation recorded in the patient's chart, there is a potential that the insurance company or the Centers for Medicaid and Medicare may deny the hospital reimbursement for the services provided to patients. Furthermore,

Pt states that he was seen in the clinic yesterday and was treated for sore throat and postnasal drip. Pt states later that he went to the ER becase he started feeling fatigue, increased postal drip, nausea/ vomitting unable to eat and drink.Pt states the he was treated with Zofran and IV fluids. Pt states that he was informed to pick up his quarter slip her at the clinic. At this, time pt states he is feeling somewhat better but he feels fatigue and he has not attempted anything. Pt pt with 48 hours quarters. Brat diet instruction provided. Informed the pt take Zofran as directed. Pt instructed to return to the ER if has fever greater than 101, abdomen pain/cramping, unable to take liquids or bland diet. Pt agrees and verbalized understanding.