1. What forces have had an effect on increasing health cost over the past 30 years? 2. How is research used to produce effective public health care policies in order to spend public resources wisely? Give one example. 3. Identify your legislators for the state and national level. Please include the name of your state, district numbers for both your state level representatives and senators, as well as those on the national level. To respond to this item, you will have two US senators, one US Congressman, one state senator and one state representative 4. What contexts inform crafting policy? […]
What influence do state and federal law and accrediting and licensing bodies have on the type of electronic health record system technology that is adopted by a healthcare provider organization? Do you think this is appropriate? Why or why not?
What does a healthcare provider organization consider when contemplating its involvement with a health information exchange (HIE)? Do you think there are additional things they should consider that may not be at the forefront of the conversation? Are there things they shouldn’t consider as highly as they do? Explain.
Reconciliation is the process of resolving or settling the payment of claims. This month ABC Pediatrics had 10 Explanation of Benefits (EOB)/Remittance Advices (RA) returned back to the organization, with details of the status of claims including suspended claims, denials, and rejections for various patients and physicians. Discuss some steps the reimbursement manager and insurance specialist can take to record the completed transactions and address the suspended claims, denials, and rejections. Also discuss the significance of the 10 returned claims, out of 200 claims submitted for the month.
Discuss the use of technology and informatics in your current practices. Discuss two positive reasons for the use of technology and also discuss two drawbacks. What would happen in your agency if the computer system “went down”? How would the failure affect patient care? What are the backup and redundant systems?Remember to cite your sources.