Assignment: MHAFP 5006 Capella University Healthcare Facility Billing Changes Paper

Assignment: MHAFP 5006 Capella University Healthcare Facility Billing Changes Paper

Assignment: MHAFP 5006 Capella University Healthcare Facility Billing Changes Paper

Question Description
Write a 3–4-page proposal for billing changes, and explain how the proposed changes will benefit the organization, the physicians, and the patients.

Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.

Resources for Further Exploration
You may use the following optional resources to further explore topics related to competencies.

Coding and Reimbursement
This website focuses on medical billing and revenue cycle management, and it has helpful links to education and publications on these topics.

Healthcare Billing and Management Association. (n.d.). Retrieved from https://www.hbma.org/.
The information on this website relates to the billing and coding process, and it provides links and information on revenue and reimbursement cycles for health care organizations.

American Academy of Professional Coders. (n.d.). Medical billing and coding. Retrieved from https://www.aapc.com/medical-billing/medical-billi…
This website provides an overview of each code set in relation to HIPAA.

Centers for Medicare & Medicaid Services. (n.d.). Code sets overview. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Admin…
This website provides technical process information on aspects of ICD-10 codes, guidelines, and regulations.

Centers for Medicare & Medicaid Services. (n.d.). ICD-10. Retrieved from https://www.cms.gov/Medicare/Coding/ICD10/index.ht…
Financial Strategies
This is a bi-weekly newsletter focusing on health care finance strategies for a variety of topics. The main website contains links to publications and resources.

Healthcare Financial Management Association. (n.d.). Healthcare finance strategies. Retrieved from http://www.hfma.org/Content.aspx?id=1728
Financial Management
This web page discusses electronic exchanges between administrative and financial entities, and it contains helpful links.

Centers for Medicare & Medicaid Services. (n.d.). Transactions overview. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Admin…
Assessment Instructions
PREPARATION
Use the Capella University Library and the Internet to locate resources and information on health care revenue cycles and billing processes.

Imagine that you have just stepped into a new role as the office manager for a very successful clinic. The clinic is a conglomeration of physicians who offer specialized care. Each group of physicians tried to manage their own billing process but it quickly became obvious that one billing office would be more efficient. You realize that there has been a lack of consistency in the clinic and that you will need to update the billing policies and procedures immediately. You also realize that there is always resistance to change, and you will need to provide evidence supporting the changes you plan to make.

Prepare a proposal for billing changes that you would present to the physicians. You will need to support each proposed change with relevant evidence to assure buy-in from the physicians.

There is no specific format you must follow for this assessment, but be sure that your proposal is clear, logical, and succinct. Follow APA guidelines for any in-text citations and references. Include a title page and reference page.

REQUIREMENTS
Write a proposal for changes you would like to make to the billing policies and procedures in a successful physicians clinic. Include the following in your proposal:

Develop a step-by-step process for the entire revenue cycle from pre-verification of insurance to accounts receivable management.
Recommend a method for determining a pricing structure. What factors can influence pricing?
Explain the factors that must be considered while negotiating insurance contracts. What major payer categories are appropriate for this practice?
Explain how the clinic will handle private pay and charity care.
Recommend either an installed or a web-based billing software system. (Please note that you should not recommend a specific brand of software; just the type of software.)
Explain how the changes will benefit the physicians, the clinic, and patients.
ADDITIONAL REQUIREMENTS
Include a title page and reference page.
Number of pages: 3–4.
At least three current scholarly or professional resources.
APA format for in-text citations and references.
Times New Roman font, 12 point.
Double-spaced.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: MHAFP 5006 Capella University Healthcare Facility Billing Changes Paper

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.