• Organized and reviewed technical/administrative denials for all payer’s and targeted problem areas which affected claims payments.
• Performed research regarding health insurance denials, such as referrals and authorizations.
• Communicated information to managers and associates concerning claims and payment issues.
• Researched and reviewed claims information, analyzed and interpreted managed care contracts.
• Follow-up with health insurance companies regarding underpayments and denials.
• Required to write appeals and adjustments requests on behalf of Piedmont Henry Hospital.
• Experienced in healthcare codes, such as CPT, ICD, HCPCS, and DRG.
• Coordinated the denial and appeal program activities and resources tools. Organized and submitted
The North Texas State Hospital (NTSH) is part of the Department of State Health Services (DSHS) administration. NTSH is a mental healthcare facility that has two campuses: one department is located in Wichita Falls, TX and the other in Vernon, TX. Including both campuses DSHS is the largest mental hospital in the state of Texas, which provides psychiatric services for the mentally ill. NTSH is the only facility in the entire state of Texas that provides forensic psychiatric care. Forensic psychiatric care is a specialized service for prisoners who have mental disorders. NTSH offers a 284-bed maximum security program for adults and a 78-bed adolescent Forensic Program (DSHS Center, 2017). NTSH aims to improve the health, safety, and wellbeing of individuals by providing the right stewardship, reducing health care problems, improving public health awareness, and preventing diseases. In order to improve health and safety, NTSH is accredited by the Joint Commission on Accreditation of Healthcare Organizations. The Joint Commission is an independent, not for profit association that set standards to evaluate
FACTS: Orleans Regional Hospital is a Medicaid funded psychiatric hospital that mainly provides service for adolescents and children. The hospital was a limited liability company that established itself with three members; NORS LLC which had two corporations including North Louisiana Regional Hospital and Precision, Inc. The defendants John C. Turner and William C. Windham held a 50 percent share in North Louisiana Regional Hospital. Richard W. Williams was the only shareholder of Precision Inc and together they both owned North Louisiana Regional Hospital Partnership and they treated
Start the restore process which would involve contacting the appropriate technical support staff, explaining the problem to the technician.
Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.
If you are interested in this position please answer the following questions. We will review your responses and if you qualify we will begin setting up interviews. Please have your responses returned to me within the week of your receipt.
The Midhudson Regional Hospital has diversed employees. They are made up of individuals with different culture, gender, socio-economic and race. During the infection control awareness week,I was very conscious of the diversity. Everyone was welcomed. Some of the participants received very easy question to avoid embarrasment . I was able to met and interact with many employees, patients and visitors with different cultures, genders, race and socioeconomic backgrounds. Cultural competency was applied..
On 02/012016, at approximately 1833hrs, Officer Estimond unit 3610 was dispatched to a reported subject urinating inside of the train located on the southbound platform at Doraville station.. Once Estimond made contact with Mullins, he realized that Mullins was staggering and unable to stand alone. Officer Estimond also smelled the scent of alcohol coming from Mullins breath. Mullins was arrested for Drunkennes and transfered to Doraville city jail. Doraville refused to intake Mullins because of his drunkenness. officer Estimond returned with Mullins back to Doraville Station and called for an Ambulance to respond. Dekalb EMS #54 arrived, treated Mullins on scene and decided to transfer Mullins foR further evaluation to Northside hospital.
We are committed to giving our patients the highest level of care regardless of ability to pay.
Arrowhead Regional Medical Center (ARMC) is a 456-bed teaching hospital located in Colton California. Out of the 456 beds, 90 beds are behavioral health and 366 are inpatient hospital beds. ARMC is a comprehensive inpatient and outpatient health care facility providing multitude of care including: primary care, specialty care, trauma care and houses the only burn center for four counties. Moreover, ARMC has 9 residency programs which are accredited by ACGME and AOA, both are known entities in graduate medical education. Furthermore, Arrowhead Regional Medical Center’s Ambulatory department operates over 40 specialty clinics and 4 family health clinics. Three of the family health clinics are off site located in Fontana, Rialto and San Bernardino. ARMC covers about 98% of Medi-Cal patients through the coverage plan of IEHP and Molina.
Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to
Management of post- surgical wounds. Performed several procedures including suture placements, drain placements/removals, wound dressings, e.t.c
After surveying employees from Delta Regional Medical Center, study showed that the faculty did not have a violence protection plan in place to protect their employees in case a violent act should occur. In 2014, Brookdale University Hospital and Medical Center was cited after an OSHA inspection uncover that the facility's workplace violence program was ineffective, with many employees unaware of its purpose, specifics, or existence," (Occupational Health & Safety, 2014). The inspection showed that approximately 40 incidents of workplace violence reported between Feb. 7 and April 12, 2014 involved employees who were threatened or physically and verbally assaulted by patients and visitors, or when they were breaking up altercations between patients
I would like to volunteer at Rutherford Regional Hospital because I am interested in learning what working at the hospital is really like. I want to be a Registered Nurse in the birthing center of a hospital or in the NICU. I want to know for sure that I’m completely capable of doing the job and working in a hospital setting before I officially decide. I have also been interested in medical work and I enjoy getting to work around people. Although the volunteer workers don’t get to do everything that I’d do as a nurse, it is still a great opportunity to learn and discover new things that I didn’t know about before.
The Texas UTMB, John Sealy Hospital, is located in Galveston, TX. The hospital was completed in 1978 at a cost of $32.5 million. It was funded in full by The Sealy & Smith Foundation. The John Sealy Hospital is a 12-story hospital that includes 310 single patient rooms and specialized intensive care units with 60 rooms. There was second John Sealy Hospital, built in 1954, named the John Sealy Annex. It currently houses administrative, business and support services. They opened a facility in April 2016, that connects the old hospital with the new one. The new addition to the hospital offers a 28-bed day surgery unit and also has over 20 operating suites that are said to be state of the art.
Columbus Regional Health (n.d.) serves 10 counties in Southeast Indiana. The demographics include a predominantly Caucasian population of approximately 300,000 people (Economic Opportunities through Education by 2015, n.d.). In southeastern Indiana, about 140,000 individuals have employment, and 15% of them, who are over the age of 24, have a bachelor’s degree (Economic Opportunities through Education by 2015, n.d.). Approximately 30% of the high-school students drop out in this mainly rural area with a flat population growth (Economic Opportunities through Education by 2015, n.d.).