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Data Modernization Initiative
Write a 3-page summary explaining the “Data Modernization Initiative” from the link provided.
https://www.cdc.gov/surveillance/surveillance-data-strategies/dmi-investments.html
Cultural Analysis: Economic Influences
Write a succinct one-page summary about the economics of the culture you would like to focus on.
What is the leading industry in the country and in the specific culture?
What is the average annual income for the country and the specific culture?
Is universal coverage available?How is the health system financed? How do people pay for healthcare?
Are there an adequate number of healthcare providers and what is the quality of care received?
Each culture will be different and often times data must be extrapolated from regional and national information available.
Hand Sanitizers The good and The bad
Paper needs to just discuss the positives and negatives of use of hand sanitizer.
Also needs to state my premise that overall believe hand sanitizers are overall a positive when used in moderation.
Needs to include reference numbers from the resources that supplied the information.
IHP FINAL Recommendations
Using the attached paper and prompt on Immunizations answer the below you can use the sources already listed in the FINAL document if needed.
Recommendations
Recommend a course of action to the healthcare executive. The course of action you recommend must be supported by your analysis.
Propose how you plan to reconcile divergent stakeholder needs and interests.
Assess the extent to which legal risks and potential malpractice issues shaped your decision, if at all. Be sure to explain your reasoning.
Assess the extent to which your recommended course of action addresses financing practices that impact key stakeholders, if any. Be sure to
explain your reasoning.
Propose how you plan to resolve potential conflicts you identified. Be sure to identify the risk management strategies you would employ.
Propose a strategy for key stakeholders to influence the healthcare executive’s decision.
Discuss how the strategy for key stakeholders may improve population health outcomes. Be sure to explain your reasoning.
Summarize your analysis and recommendations in a brief concluding paragraph.
Medicare and Medicaid
Chapters 8 and 9 provide an overview of the two largest health care programs, Medicare and Medicaid.
Explain the differences in these two programs,as well as how they became enacted into law.
This paper should be 1-2 typed, double-spaced pages and include references.
Be sure to use APA formatting (see Supplemental Material section)
Medicare is a major arena of conflict in American health politics
Medicare politics often divides: Democrats / Republicans liberals / conservatives advocates of government health insurance / proponents of private coverage
Stakes associated with Medicare only grow2
For the Unit 4 Assignment 2, you will be putting into practice your knowledge of data analysis and charting. You will use a series of data compiled by the Coding Department to study a high readmission rate for joint replacements. After you have completed your analysis of the data, you will create a specified series of charts from the data and share your results and analysis with management.
Unit 4 Assignment 2: Case Study: Global Memorial Hospital Joint Replacement Readmissions
Grading rubrics for this Assignment are located under Course Resources.
Unit Outcome assessed in this Assignment:
Apply evaluation processes to performance improvement programs.
Analyze PI project data and communicate results to management.
Assignment Requirements
Download the HI230 Unit 4 Assignment 2 Instructions document that defines the case study.
Analyze the problem using the HI230 Unit 4 Assignment 2 Data Set.
Create a professional presentation outlining your findings (including graphs) to the Director of Health Information Management.
Search course materials, including your text and the Internet, to find a spreadsheet program that will assist you in completing this assignment. The spreadsheet and calculations are to be attached at the end of the paper as an appendix after the Reference page.
Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:
Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).
Using the same CPT code, 99214, determine the reimbursement for Medicaid (fee schedules should be available from the individual state).
Using the same CPT code, 99214, create at least 3 other traditional indemnity insurance reimbursements. If possible, use the actual reimbursement from the insurance carrier. It may be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.
Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.
Assess the information for areas of improved reimbursement of at least 20% or more.
Evaluate the options available to change the payer patient mix with consideration of related legal and ethical issues.
Propose a best strategy with justification and rationale based on effective decision-making tenets.
The body of the resultant paper should be 10–12 pages. Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.
Review the scenario (located in HIM Case Studies textbook) am attaching file. Use your textbooks and/or Internet research to help you thoroughly answer the following questions. Submit your answers to Case Study 3.25 in a word document or pdf. References should be cited in APA format. Your answers will be graded in accordance with the attached rubric.
1.At a recent department head meeting, your organization’s CEO indicated that there is discussion about purchasing a lithotripsy machine.
2. What can you assume will be HIM’s role in these discussions?
3. You asked your assistant director to run a report for the CEO on the number of patients transferred out for open heart surgery. This is a preliminary investigation to determine if the organization should pursue the expansion of the heart center to include performing open heart surgery. Your assistant director asks that you review the report for errors before you send it on to the CEO.
4. Analyze the included section of the report and identify any errors, including justification for why they are errors.
What is your overall analysis and conclusion about this report?
The chief of staff requests a report from HIM on all the patients who have sepsis that died in 2018. Below is a sample of the criteria used to run the report. Evaluate it for accuracy. Recommend changes if necessary, and include a justification for your change(s).
Only answer questions have listed above NOT on the ones on the downloaded file.
Must be in APA format with cited sources
Textbook information
AHIMA VLab: Health Information Administrator & Ciox Healthsource Gym Bundle
(this is an access code to an online virtual lab, available at the IRSC bookstore and on the
AHIMA online store)
Revenue Cycle Management
Review the scenarios 4.0, 4.20, and 4.36 (located in HIM Case Studies textbook). Use your textbooks and/or Internet research to help you thoroughly answer the following questions. Submit your answers to 4.0, 4.20, and 4.36 in a word document or pdf. References should be cited in APA format. Your answers will be graded in accordance with the attached rubric.
Case Study 4.0
1. Identify the issue with the codes/data.
2. What should the correct code(s) be? Why?
3. After changing the code(s),what impact might this have on the MS-DRG? Is reassignment of MS-DRH necessary or unneccesary to comply with coding standards? Why?
4. If reassignment is necessary, what is the correct MS-DRG? Why?
5. If reassignment is necessary, evaluate the impact this could have on billing.
6. What training could you recommend to the coders to prevent this error from occuring in the future?
Case Study 4.20
1. Create a physician query to be used for the scenario.
Case Study 4.36
1. Determine any areas of inaccuracy in the CAC identification.
2. Recommend corrections to the code assignment.
3. Recommend strategies to be implemented to identify/correct coding errors in the event that CAC is adopted
Resources
ICD-10 CM Coding Guidelines FY21
ICD-10-CM/PCS MS-DRG v37.0 Definitions Manual
Guidelines for Achieving a Compliant Query Practice (2019 Update)
Physician Query Examples
APA format with any cited sources
Pick a health promotion-related organization of interest to you with an extensive website that includes the description of a health promotion program or intervention. Review the website and information about the intervention. Respond to the questions related to the intervention and planning process below that are posed for the assignment. Note: If you cannot locate information on one of the items below, it is fine. However, you have to state in the paper that you could not locate that specific information via their website. If this is the case for more than two items,choose another organization for this assignment.
Include the following in your paper (Again,write the paper in paragraph form and don’t use bullet points or numbering):
1. Name of organization
2. Mission and goals of the organization
3. Priority population for their services/programs
4. Name, title and duties of the person interviewed for paper (if you chose Option A)
5. Short explanation of why you chose this organization for this assignment
6. Explanation of how or if the organization determines the needs of their priority population
7. Description of what they’ve found through their needs assessment processes (i.e. what are the problems/issues they’ve identified; what are the assets of their priority population)
8. Detailed description of the process they go through to plan their programs/interventions:
Who are their stakeholders, and do they involve them in the planning process?
Do they have goals and objectives for their program/intervention? If so, what are they?
Do they utilize theory in the planning process? If so, how?
Do they create logic models as part of the planning process?
Regarding budgeting,do not expect the organization to tell you how much funding they have for the program.
Consequently,if you are interviewing them,just ask them their thoughts on the funding climate for these types of programs/interventions (i.e. are they finding funders who are wanting to fund this type of work?),as well as how funding impacts their planning process. If you are only reviewing their website (Option B), please share any budget-related information you can find.
What are the challenges and facilitators for program/intervention implementation with this priority population? (If you are not interviewing someone, what do you believe would be the implementation challenges this organization encounters when implementing their health promotion programs?)
How do they market their program/intervention?
How sustainable is their program/intervention? Are there any challenges to program/intervention sustainability?
Do they evaluate their program/interventions? If so, what type of evaluation do they typically conduct?
9. Provide your reflections and analysis of how and if this organization is implementing the basic elements of the generalized model of program planning. (use course literature to support your response to this question. Incorporate at least one citation for this response.)
10. State and explain three things you learned about program/intervention planning from this assignment. (use course literature to support your response to this question. Incorporate at least one citation for this response.)