Role Of The Practice Management System In Billing Essay
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Role Of The Practice Management System In Billing Essay
Review the Case Studies located in the ATI Study Guide prior to completing your Key Assignment Final Draft. You will be able to respond and review the responses so you can correct any deficient area.
Key Assignment Final Draft
This final draft represents Part 1 and Part 2 of the Key Assignment. You should treat it as a finished document in terms of grammar, formatting, references, all necessary sections, and complete content. There is also a Part 3 to this week’s assignment related to implementing the training of new staff with the completed Training Manual.
Part 1 Tasks (from Week 4)
Training Manual
In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.
Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. Your responsibilities as a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician.
Note: Content from Weeks 1–4 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs.
The project deliverables are as follows:
Training Manual
- Title page
- Course number and name
- Project name (“Training Manual”)
- Your name
- Date
- The training manual should include the following topics:
- Introduction to the health care facility
- Explain the mission and services provided by the facility
- Explain the type of healthcare delivery model that this facility represents and the difference between this model and that of other facilities in the same region
- The organization’s structure
- Office procedures
- The Practice Management System and other Software Systems
- Description of the practice management system
- The administrative role of the practice management system
- The role of the practice management system in billing and coding
- The process of checking patients in and out
- Recording patient demographic and insurance information
- HIPAA forms to be reviewed with first time patients
- HIPAA rules and regulations to protect patient privacy
- Interacting and communicating with patients professionally
- Scheduling patients
- Other Office Procedures related to Patient Care
- Various community and patient resources
- Receive, triage, and route phone calls
- Advance Directives
- Medical Record Responsibilities
- Office procedures and guidelines for various forms of documentation (Release of Information and use of the electronic health record)
- Financial Procedures
- Financial procedures related to the policies of the organization
- Accounting and bookkeeping procedures and processes Financial procedures related to the organization’s cash flow
- Description of 2 or more reimbursement models used in the facility, e.g., fee-for-service.
- Billing policy and procedures
- Claims for reimbursement – submission processes and procedures
- Review records for medical necessity
- Clean claims submission and use of the Clearinghouse
Part 2 Tasks (Week 5)
Risk Management
In this assignment, you will add a final section, “Risk Management”, to your training manual that will be utilized for training new employees (CMAAs) who join the clinic.
As a CMAA in a clinic, you are responsible for ensuring that job performance is in compliance with regulatory agency guidelines. There are many areas of compliance that a CMAA must be familiar with: financial risk, local and state regulations, Occupational Safety and Health Administration (OSHA), transmission and release of information, HIPAA guidelines, patient care procedures, and prevention of medical errors. For this part of the assignment, you will add the following topics to your training manual:
- Identify and discuss 3 compliance risks.
- Indicate the consequences of not meeting these requirements.
- Add a conclusion that should include the guidelines or policies that should have been followed to prevent this infraction.
Part 3 Task (Week 5)
As the manager of the healthcare facility and supervisor for the office staff, you must plan for the implementation of staff training using the Training Manual.
- Create a plan for implementing use of the Training Manual to make sure that the office is run efficiently and effectively. Consider how you will use this Manual to train staff, assess their completion of training and continuously update training for staff. Write a one page memo to the Physician Director of the Practice describing your plan.
Note: you should include a minimum of 3 references in your training manual.
- All sources should be cited using APA formatting.
- Grammar, spelling, punctuation, and format should be correct and professional.
Please submit your assignment.
For assistance with your assignment, please use your text, Web resources, and all course materials.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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