IMy Questistion keep leaving so I will try it like this

Sep 21st, 2014
SKTFaker
Category:
Health & Medical
Price: $15 USD

Question description

“After graduating as a Medical Assistantarrow-10x10.png/ Medical Administrative Assistantarrow-10x10.png, you landed the perfect job at a clinic that just opened.  After working there for 1 ½ years, all of the staff is called in for a meeting with the Administrator and are told that the clinic has to downsize.  This means you are losing your job, as the bills are not getting paid because not enough money is coming in.  But you know this to be wrong because the schedules are filled every day and insurance companies are being billed.  What happened?  How can this be happening? Look up the statistics on how many medical facilities open and have to close within a short time frame due to lack of money coming in.”

Answer the following in your discussion. Be creative in your posting as well as in your responses to your team members.

  • Speculate on what you think the series of events and deficiencies may have been in this office to cause the lack of funds. 
    • Was it not filing claims timely or at all?
    • Was it filing claims on paper and not electronically?
    • Did this office use a Practice Management Systemarrow-10x10.png like Medisoft?
    • If insurance was being filed timely, was there any follow-up on those claims, i.e. calling insurancearrow-10x10.png companies on their status?
    • Were claims being filed according to the guidelines of the third-party payers?
    • Were the physician reimbursement fee schedules high enough to pay for the services being provided to the patients and to cover overhead?
    • Were services being pre-authorized?
    • After entering data and completing other tasks within the Medisoft Practice Management Systemarrow-10x10.png, do you think that if the reports were more closely monitored and shared with all office staff that the downsizing could have been prevented?
    • What role did you play as an employee?  If you were aware of the situation, how did you handle this knowledge?
    • What would have been different if claims were filed electronically instead of paper?  Do you think this could have been a problem?




Tutor Answer

(Top Tutor) Daniel C.
(997)
School: Rice University
PREMIUM TUTOR

Studypool has helped 1,244,100 students

7 Reviews


Summary
Quality
Communication
On Time
Value
kpcutie
Dec 6th, 2016
" Excellent job "
Hemapathy
Nov 22nd, 2016
" all I can say is wow very fast work, great work thanks "
BlueOcean
Nov 9th, 2016
" Awesome! Exactly what I wanted. "
kevin12622
Oct 31st, 2016
" Goes above and beyond expectations ! "
ashleyisgod
Oct 17th, 2016
" Top quality work from this guy! I'll be back! "
likeplum4
Oct 8th, 2016
" Excellent work as usual "
Molly_Moon
Sep 25th, 2016
" AMAZING as always! "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1822 tutors are online

Brown University





1271 Tutors

California Institute of Technology




2131 Tutors

Carnegie Mellon University




982 Tutors

Columbia University





1256 Tutors

Dartmouth University





2113 Tutors

Emory University





2279 Tutors

Harvard University





599 Tutors

Massachusetts Institute of Technology



2319 Tutors

New York University





1645 Tutors

Notre Dam University





1911 Tutors

Oklahoma University





2122 Tutors

Pennsylvania State University





932 Tutors

Princeton University





1211 Tutors

Stanford University





983 Tutors

University of California





1282 Tutors

Oxford University





123 Tutors

Yale University





2325 Tutors