Why Are Healthcare Facilities Exist?

For a long period of time, hospitals have basically been established as nonprofit and for-profit facilities with several similarities and differences between these categories. Notably, these categories have minimal differences though it's difficult to predict their quality based on their structures. The healthcare field has also been characterized by several trends in the past three decades in attempts to improve the delivery of services and patient outcomes. In relation to the provision of long-term care, hospitals and nursing homes have different roles that enable them to achieve this objective. The hospital sector in the United States has experienced several changes that have contributed to its current state of long-term care policy.

Managed care organizations should have arrangement with both the medical insurers and providers to provide treatment for a contracted rate. Hospital should advertise the services they offer to members of healthcare plans through their healthcare provider by emphasizing on the technology, staff, and other quality of care they provide. Worker compensation plans are similar to commercial plans but treats injured employees. Hospital must contract with all workers compensation plans and must also negotiate coordination of benefits with other insurance carriers of the injured person to full compensate services. For Self pay patients hospital can reach out to them by having pre negotiate rates for treatment when payments are made in advance for certain procedures. Hospital should have system to accept payments when made in any

Obtaining reimbursement for services provided is a necessity for the survival of many health care organizations. This paper will explain, in my opinion, why the Centers for Medicare and Medicaid Services (CMS) are involved in this development and how it affects the American public. I will offer a suggestion to ensure meeting policy and procedure. I will finish by discussing three ideas listed on the CMS website.

The Obamacare/ACA, might have helped numerous of individuals in acquiring health care, but the health professionals are facing a shortage of reimbursement difference for their services. As a result, Hospitals and healthcare providers were force to layoff personal and come up with innovative solutions. This point is proven by the renowned author, Amy Anderson by stating as follows: “The American health care framework has had shortages of personnel for quite some time and would not be prepared to give the adequate service to this amount of patients in need of medical attention. Training new professional health services personnel could take years. There is a shortage of graduates from medical and nursing schools. Doctors, nurses and health professional are sharing responsibilities prospective patients will face a longer wait time”. (Anderson, 2014)

Patient Accounting and Practice Management systems are designed to help health care medical practices are to improve the quality of care, cut cost, reduce risk, and increase revenues. When it comes to the size of a medical practice from small, or to a large medical practice, multi-location group this will feather the system to allow in creating and maintaining a patient billing information much faster and more efficiently then it was ever before. Medical Assistants are able to enter a patient information and post any changes much faster and more accurately with the use of a simplified medical billing software that promotes physician acceptance and much greater investment protection that provides faster insurance reimbursement and to improve

Implementation of the Affordable Care Act (ACA) has afforded many individuals the opportunity to obtain health insurance, and many of the newly insured are seeking medical services at the same time a primary care provider shortage is unraveling. This is a great time to be a nurse practitioner, as we will be expected to fill the primary care provider shortage gaps. Upon successful completion of this graduate nurse practitioner program, my main focus will be shifted towards obtaining certification in order to be eligible for reimbursement from the Centers for Medicare and Medicaid Services (CMS).

Various elements influence how resources within a Patient-Centered Medical Home (PCMH) are managed. PCMHs veer away from traditional episodic and often fragmented care to offer patients higher quality care that is accessible, comprehensive, coordinated and more cost-effective. PCMH demonstration projects have shown that the model enhances health outcomes, reduces waste, and improves patient and employee satisfaction alike. This transition, however presents significant challenges and necessitates the restructuring of financial, material, and personnel resources within primary care structures. Effective implementation of this model is contingent upon the procurement of specialized staff, health information technology (HIT) systems, and possibly workspace reconfiguration all of which can impact an organization’s operating budget. Unfortunately, primary care payment reforms as well as complex billing and coding guidelines pose a significant threat to the financial viability of PCMHs and remain highly important factors to consider prior to undergoing this transition. Despite many of these challenges, PCMH continues to be a leading model in primary care. This paper presents a hypothetical PCMH implementation project and discusses some important considerations related to the management of financial, material, and personal resources.

Many practices today are struggling to remain solvent due to new restrictions and reporting demands. Private practice and small-group staff members may assume dual-role positions. Adding to the burden is the fact that more health plans are implementing referral-before-service and precertification requirements. The pressure to do more with less may lead to less efficiency.

This revolution in health care has resulted in an increased demand of primary care physicians due to the creation of more job openings for health care professionals. A sudden surge in demand for health care professionals such as nurse practitioner and physician assistants has arisen in the past few years. According to “Advanced Practice Trends 2012-2013”, a report published by Jackson Healthcare, job growth in nursing is expected to increase by 27% (Jackson Healthcare). While this may be beneficial for aspiring nurses and physician assistants, it may contribute to the primary care physician shortage as the supply of physicians will not be able to meet these demands. In an effort to reduce this shortage, the Health Resources and Services Administration provided over $75 million to the training of nurse practitioners and physician assistants. This is meant to encourage more medical students to specialize in primary care because of the rise in well-trained nurses. As expected, the AAMC addressed this issue in their 2015 report “The Complexities of Physician Supply and Demand: Projections Through 2025”. After extensive research and data collection, the AAMC reported that demand for physicians would decrease by a large margin if nurse practitioners and physician assistants “play a larger role in patient care”. While the expansion of health care may

The United States healthcare delivery system is a uniquely developed system that involves various features, components, and services. The US delivery system is massive, with total employment in various healthcare settings of qualified medical professionals that provide key functions to delivering quality healthcare. The market-oriented economy in the United States attracts a variety of private entrepreneurs driven by the pursuit of profits obtained by carrying out the key functions of healthcare delivery (Shi et al. 2015).

In examining the RFP of Health Care Incorporated (HCI), it is clear that the creators have gone to great lengths to exercise due diligence in crafting a proposal that will enable them to meet the needs of the business. At 176 pages, their RFP for a scalable physician data entry system is both thorough and comprehensive obviously the result of painstaking

One of a Easiest actions practices can increase it is earnings IN ADDITION TO stay competitive throughout the sometimes-shaky marketplace is to be able to outsource its billing to be able to an third-party vendor. But how do physicians make certain they

Understanding the classification of healthcare services in terms of acute and long term care enable us to plan for services, to describe institutions, and to allocate funding and reimbursement. In the United States, healthcare services provided by health care providers (such as doctors and hospitals) are paid for by the following including, private insurance, Government insurance programs, people themselves (personal, out-of-pocket funds). Additionally, the government directly provides some health care in government hospitals and clinics staffed by government employees. Examples are the Veteran’s Health Administration and the Indian Health Service.

Since they genuinely care about their patients, they want to offer them quality healthcare at an affordable price. To do so, they offer a variety of financial plans to best suit individualized needs and budgets. After working with an employee to create a prioritized plan, you can pay in a variety of ways, including:

During the past few years, the number of training slots for medical, nursing and osteopathic schools has gone up with the physician assistant and practitioner having higher slots (2, Workforce Policy). Even with this high training slot, analysts believe that there will be a shortage of physicians and specialties in some areas (2, Workforce Policy). The question here to be answered is how we can overcome this? This would be possible if more people have digital access to their health records (2). It is estimated that 17 percent US patients use Electronic records and more people would like to use it either by