2-1 Discussion: Daily Activities and Reimbursement

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YRTNY_8292_1676975528

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hcm 345

Southern New Hampshire University

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In your post, analyze and describe how the activities within each department at a hospital impact reimbursement. Choose three procedures and explain each step of a patient visit for each of these three procedures. It can be any type of procedure within the hospital field. 1 page. The picture is a sample of what the page is going to look like. Please do not copy the same procedure, choose different procedures.



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Hello Class, Below are the three procedures I chose and how it impacts hospital reimbursement. 1. Outpatient Rehabilitation services such as Physical Therapy/Occupational Therapy/Speech Therapy- The patient is scheduled for an Initial Evaluation for any Rehabilitation services, Check in the patient, verify insurance information and making sure demographic information is up to date. We then Verify with Authorization department if visit today is approved, once this process follows through the patient goes in for treatments. After treatment is done, the therapist then how often the patient will be seen for follow up treatment, the therapist job is too making sure Authorizations is approved before the patient comes back for a follow up. After visit we schedule follow up and we then send the authorization request to the auth department and sends billing services as well for the Initial Evaluation for todays visit. 1. Laboratory Services- A patient walk in for a schedule lab work, checks in with lab orders and registration is too verify demographics and billing information such as insurance. Front end will transcribe the orders in the computer. At this time there is no copay for laboratory services and patient is advise they will have to wait until they are billed for the services. Phlebotomist draws the patient and prepare for sends out to certain test but most of the time they are usually resulted in the hospital. Sends results to the doctor and billing will then sends out claim. Patient then received statement. 1. X-Ray- A patient is scheduled for an X-ray and Registration department will then verify demographics information. At this time Authorization for this service is all set and usually most doctors refer the patient to get X-ray. Once the front end is verify information, we then sends then to the X-ray Technician and they usually sends the report to the radiologist. Once they are resulted information will be sent to the Doctor for any finding. Procedures done today will be send to billing and starts the claim processing.
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