To determine financial responsibility the specialist needs to know what services are covered and are not covered under the patients plan. The patient is also explained that they will be billed whatever services the patient’s policy does not cover. Step 3 Check in patients –In step three the specialist will have the returning patient sign in, collect whatever necessary money from them co-payment or for an outstanding balance from a prior visit, copy or scan their current insurance card. Have the patient read and sign any new/important forms that pertain to the patient (authorizing any planned procedures and payments). Step 4 Check out patients – Even though the specialist is to give the patient all prescriptions, lab slip or referral paperwork they might need and set up a follow up appointment if necessary.
A copayment is: A set amount that each patient pays for each office visit 9. Under this type of plan, insured patients must designate a primary care physician (PCP) Health maintenance plan 10. When physicians, hospitals, and other health care providers contract with one or more HMOs or directly with employers to provide care, this is called. A physician-hospital organization 11. Under this type of plan, a patient may see providers outside the plan, but the patient pays a higher portion of the fees: Preferred provider plan 12.
By providing an efficient intake process, a certain flow can be maintained to move the process along smoothly and more organized. If any of the processes are not organized there will be a lot of confusion and unhappy patients. Patient satisfaction should be a step that is included in any health care facility. The patient intake process usually began when a patient calls to schedule an appointment. This is usually where the patients personal information is obtain such as their name, phone number, date of birth, address, reason for the appointment, name of health care coverage and referring physicians if there is any.
The information may relate to a loss contingency that existed at the date of the financial statements." This information impacts the amounts to be recognized and disclosed on Shakespeare Inc.’s financial statements. As of management’s review on March 18, 2011, Shakespeare Inc. had received claims totaling $0.75 million for medical care costs incurred before December 31, 2010. This is a Type I Subsequent Event and according to ASC 855-10-25-1 that states, “An entity shall recognize in the financial statements the effects of all subsequent events that provide additional evidence about conditions that existed at the date of the balance sheet.” The information pertaining to actual claims incurred as of the balance sheet date that became available after the balance sheet date should be considered in determining management’s best estimate of the medical benefits payable.
The deductible that must be paid by the patient in 2013 is $1184.00. This amount covers days 1-60 in the hospital. The patient’s responsibility for charges for days 1-60 in the hospital are $1184.00 ("Medicare Handbook," 2012, p. 30). After a patient has been admitted for a minimum of three days as an inpatient for a medically-necessary condition, they are eligible to be transferred to a SNF if daily skilled care is required. Examples of skilled care are daily physical therapy and intravenous medication.
Advance directive laws merely give doctors and others immunity if they follow it, the only reliable strategy is to discuss your values and wishes with your healthcare providers ahead of time to make sure they are clear about what you want. Although, a doctor can be held liable in a court of law for not following those orders. There is a limited amount of time in which a patient can make a medical malpractice claim. The statute of limitations for these claims may vary by each state. Life and Death Issues in Healthcare A Review of the Case Study During a scheduled appointment a patient is given the unfortunate diagnosis of colon cancer.
All related-costs are: advertising, screen failures, prorated payments for subjects who are terminated, drop out, or lost to follow up ( UM, 2012). Other budget review costs consist of up-front, non-refundable payments to defray the cost of start-up work such as preparing regulatory documents, attending investigating meeting, site initiation training and enrollment efforts (UM, 2012). Study Personnel Before a clinical trial can begin careful review of all documents is performed by the Institutional Review Board (IRB). The IRB will review all documents pertaining to the clinical trial to make sure all guidelines are being met. Such documents are the informed consent forms for example.
Role conflicts within groups First, we will discuss role conflict and how it relates to each group in a hospital setting. Intrarole conflict occurs when there are different expectations defined for the same role. (Losh, 2011) For example, hospital administrators are obligated to manage the financial situation of the hospital, but still direct the caregivers to provide the best patient care. The greatest conflict occurs when a patient needs care, but is unable to pay. The administrator must weigh the decision of acting as a financial advocate and refusing the patient, or providing care at a monetary loss.
There are three reasons proper chart documentations are important: to avoid lawsuits, keep accurate medical information for patient, and to maintain proper communication from one professional to another. Avoiding Malpractice Suits People sue for a lot of reasons today, and one of them just happens to be improper charting that causes errors. Attorneys on the plaintiff side gather every chart and record that was made during the time in question. The proper chart documentation can either be the nail in the coffin for a case, or the factor that decides wrong doing and monetary compensation. It is imperative that documentation is done thoroughly and properly every time data is recorded.
The name and phone number of the primary contact person for the facility; 6. The approximate amount of regulated medical waste that will be generated per year at each location; 7. If regulated medical waste is to be treated and/or destroyed on-site, provide a description of the treatment/destruction methods; 8. If regulated medical waste is to be transported off-site for treatment and/or destruction, provide the approximate quantity of treated and untreated waste, as well as the name(s) and RI Regulated Medical Waste Transporter Permit Number(s) of the transporter(s); 9. The signature of the applicant or a person duly authorized to act on behalf of the applicant; and 10.