Posted: August 4th, 2022

Patient registration

Develop a 10-slide PowerPoint presentation with accompanying 10 to 20 minutes of audio focused at educating new hires at a well being care group in regards to the revenue-cycle course of.
Introduction
The monetary well being of the well being care group relies upon upon its potential to generate constant and recurring funds from the providers it supplies. Collectively known as the income cycle (RCM), vital phases on this course of embrace:
• Patient registration.
• Assortment of demographics and payor supply.
• Rendering providers.
• Documenting providers.
• Establishing expenses.
• Getting ready the declare or invoice.
• Submitting the declare.
• Receiving fee.
• Managing accounts receivable.
Reducing fee delays and misplaced revenues is a focal point for a lot of well being care managers tasked with oversight of the RCM course of. Revolutionary approaches in expertise have Helped with streamlining the RCM course of and allowed for automation of many processes, leading to expedited processing and fast remittance.
Managed care dollars characterize a good portion of all well being care organizations’ reimbursements. In consequence, well being care organizations search to ascertain contracts with giant managed care organizations (MCOs). Negotiating and securing contracts with MCOs is essential for a number of causes, together with preserving revenues, enhancing affected person satisfaction, and producing further sources of income. Many well being care managers who’re in command of overseeing the RCM course of need to lower down on fee delays and misplaced earnings. Expertise improvements have helped streamline the RCM course of and made it potential to automate many duties, which has led to quicker processing and quicker remittance.
An enormous chunk of the cash that well being care organizations get again comes from managed care. So, well being care organizations attempt to make offers with large managed care organizations (MCOs). Negotiating and signing contracts with MCOs is essential for quite a lot of causes, equivalent to protecting cash coming in, making sufferers happier, and bringing in more cash.
All contracts will include language outlining the administration of the contract together with the fee schedule. Whereas the fee schedule could also be seen as a very powerful component, the phrases outlined throughout the contract are equally as important to the monetary success of the group.
This Assessment focuses on the income cycle and the way technological improvements have impacted reimbursement for well being care organizations. You’ll tackle the position of a affected person entry supervisor. Considered one of your job features entails educating new hires in regards to the income cycle course of.
Demonstration of Proficiency
By efficiently finishing this Assessment, you’ll reveal your proficiency within the following course competencies and Assessment standards:
• Competency three: Clarify the organizational income cycle course of.
o Clarify the aim of every step within the income cycle course of.
o Describe key obligations of people who work within the income cycle course of.
o Clarify the results to the group of failing to satisfy key obligations within the income cycle course of.
o Clarify further steps and challenges within the income cycle course of when working with an uninsured affected person.
• Competency four: Talk in a way that’s scholarly, skilled, and respectful of the variety, dignity, and integrity of others and is per the expectations of well being care professionals.
o Adhere to the principles of grammar, utilization, and mechanics.
o Apply APA formatting to in-text citations and references.
Directions
For this Assessment, put together a 10-slide PowerPoint presentation outlining the varied steps of the income cycle. For the situation, think about you’re a affected person entry supervisor who should educate a bunch of recent hires in regards to the income cycle course of. The presentation ought to embrace:
• The income cycle course of.
• Their potential obligations.
• Why the method is essential to a care group.
• Challenges that they could face of their work.
When structuring your presentation, take into account the next factors and questions to make sure that you’re assembly the scoring information standards:
• Clarify the aim of every step within the income cycle course of.
o “Clarify” means to make (an thought, scenario, or downside) clear to somebody by describing it in additional element or revealing related details or concepts.
o The steps throughout the income cycle course of together with admissions, case administration, documentation, coding, billing, and different steps.
• Describe key obligations of people who work within the income cycle course of.
o “Describe” means to present an account in phrases of (somebody or one thing), together with all of the related traits, qualities, or occasions.
o Describe key parts (equivalent to verifying insurance coverage, monetary counseling, coding of documented providers supplied, and others) and who’s accountable (people equivalent to coders, registration clerk, and others).
• Clarify the results to the group of failing to satisfy key obligations within the income cycle course of.
• Clarify further steps and challenges within the income cycle course of when working with an uninsured affected person.
o Present data for the brand new employees concerning choices obtainable for the uninsured.
o Determine any further steps all through the income cycle that one should concentrate on when working with an uninsured affected person.
o Determine the challenges that exist for the income cycle as a result of supply of uncompensated care.
• Adhere to the principles of grammar, utilization, and mechanics.
o “Grammar” refers back to the primary guidelines for the way sentences are constructed and the way phrases mix to make sentences (for instance, phrase order, case, and tense).
o “Utilization” refers to right phrase alternative and phrasing, notably with regard to the meanings of phrases and phrases.
o “Mechanics” refers to right use of capitalization, punctuation, and spelling.
• Apply APA formatting to in-text citations and references.
o Be sure you embrace a separate references slide.
Report audio for this presentation. You may file immediately into your PowerPoint presentation, or via Kaltura. Chances are you’ll want to seek the advice of these assets earlier than beginning your Assessment:
• Tips for Efficient PowerPoint Displays [PPTX].
• Utilizing Kaltura [PDF].
Submit your accomplished PowerPoint Presentation as an attachment within the Assessment.
Further Submission Necessities
• Media presentation: Use the Income Cycle Course of template [PPTX] supplied. Create 10 slides you’d current in 10–20 minutes, plus an APA-formatted reference slide on the finish of the presentation.
• Sources: Cite no less than three scholarly assets.
o Your textbook may be one of many three.
• APA tips: Use APA type for references and citations. When applicable, use APA-formatted headings. For extra data, seek advice from the APA assets situated within the courseroom navigation panel.
• Font and font dimension: Occasions New Roman, utilizing applicable dimension and weight for a presentation, usually 24–28 factors for headings and no smaller than 18 factors for bullet-point textual content.

Order | Check Discount

Tags: Patient registration