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T197 Healthcare Revenue Cycle

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Running head: HEALTHCARE REVENUE CYCLE 1

Healthcare Revenue Cycle

Institution Affiliation

Date

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HEALTHCARE REVENUE CYCLE 2

The ways in which MCOs work toward their objective to patient care

MCOs (Managed Care Organizations) usually have a major objective which is to provide

patients with quality medical services (Glanz, Newcomer, Narwaney, Hambidge, Daley, Wagner

and Nelson, 2013). Hence, to achieve this particular goal, the organizations usually use different

ways. The first way to ensure they provide good medical services is by selecting the medical

providers very carefully. The organizations also ensure that they bring out and emphasize on the

well-being of their whole populations. Thirdly, organizations also ensure that they have

effectively used the tools of managed care. Lastly, they also ensure that they are regularly

maintaining their recognition and participation in programs that focus on the quality

improvement in medical services.

Reasons why the MCOs survey most of their members for feedback

Managed Care Organizations usually survey most of their members for feedback because

of different reasons. One reason is the fact through getting feedback; the organizations are

usually able to identify and determine whether their participants are pleased with the services of

the organizations. Another reason for the survey is that it enables the organizations to know the

perceptions that the members have towards recognizing the strong point and weaknesses of the

plan. The feedback also enables them to get suggestions from the members on how to improve

the medical services. These are some of the reasons that propagate the MCOs to conduct a

survey to get feedback from their members.

Three steps in utilization review and medical necessity

There are usually three major steps in regards to medical necessity and also utilization

review (Snethen, Bilger, Maula and Salzer, 2016). The first step is an initial critical review. The

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Running head: HEALTHCARE REVENUE CYCLE Healthcare Revenue Cycle Institution Affiliation Date 1 HEALTHCARE REVENUE CYCLE 2 The ways in which MCOs work toward their objective to patient care MCOs (Managed Care Organizations) usually have a major objective which is to provide patients with quality medical services (Glanz, Newcomer, Narwaney, Hambidge, Daley, Wagner and Nelson, 2013). Hence, to achieve this particular goal, the organizations usually use different ways. The first way to ensure they provide good medical services is by selecting the medical providers very carefully. The organizations also ensure that they bring out and emphasize on the well-being of their whole populations. Thirdly, organizations also ensure that they have effectively used the tools of managed care. Lastly, they also ensure that they are regularly maintaining their recognition and participation in programs that focus on the quality improvement in medical services. Reasons why the MCOs survey most of their members for feedback Managed Care Organizations usually survey most of their members for feedback because of different reasons. One reason is the fact through getting feedback; the organizations ar ...
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