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Abstract for swot analysis research paper
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. Define the project including the vision, objectives, and scope of the project.
This project is an electronic medical billing using a web-based program. This is a two way interface billing program. This means that we have to install a program to the client’s office and they will work on their end such as maintaining the patient’s records, encoding necessary data for billing purposes. This is an advance type of medical billing program where you can work and submit electronic billing wherever you are as long as you have internet connection.
This project is an expansion of the medical billing business that has been more than five years successfully operating in the state of California. This is the first expansion in the state of Florida. This
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Determine the customers who will use the deliverables produced from the project.
These are the five (5) deliverables and their users: The first deliverable in the list is the SWOT Analysis. This is the model used to sense the competitive benefits of this project. By carefully identifying and analyzing the STRENGHT, WEAKNESS, OPPORTUNITY and THREATS we are optimistic and working on the success of this project. The project team is interested on this deliverable. The team has to know and weight on the benefits and risk being identified in order to work best on this project.
The second deliverable is System; this refers to the medical billing program that will be used to process billing reimbursement. The IT consultant is in charge of the system to ensure that the best system is being acquired and set up properly.
The third deliverable is Intellectual Capital- I have considered that Intellectual Capital plays a significant role in the success of this project. The knowledge on how to execute the billing process accurately is the key to deliver the maximum benefits promise to the client. These are the benefits that this billing project will provide: Reduce administrative costs on the part of the client. The project manager must be the interested user of this
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Based on the project timeline these deliverables are to be completed and submitted within substantial amount of time which is twelve weeks or three months. Once the deliverables are in place, the next milestone is the procurement of the system and it will take more or less two months from order to installation and testing. This is the longest activity of the project where we focus on training and orientation to ensure that the user of the program is well equipped and trained to align with our objectives which are to efficiently process and get reimbursement within 15 days. I believe this is the strongest marketing strategy we can convince our
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
A certified medical biller is one who passes the Certified Medical Reimbursement Specialist Exam and because of the certification, they are greatly sought after. Medical billing presents the chance for a well-organized, task-oriented individual to use her eye for specificity in a crucial role within the health care industry. A biller with a good sense of self-concept can communicate effectively because they are confident in themselves, they can accurately rea...
Langenbrunner, J., Cashin, C. & Dougherty, S. (2009). Designing and implementing health care provider payment systems how-to manuals. Washington, D.C: World Bank.
objectives vital to the successful completion of the project (history would prove otherwise). In addition,
Van Doormaal, J. E., Mol, P. G., Zaal, R. J., Van Den Bemt, P. M., Kosterink, J. G., Vermeulen, K. M., & Haaijer-Ruskamp, F. M. (2010). Computerized physician order entry (CPOE) system: expectations and experiences of users. Journal of Evaluation in Clinical Practice, 16(4), 738–743. doi:10.1111/j.1365-2753.2009.01187.x
Chaffey et al., (2003) identifies the following components of the transaction processing system. The first one is the data entry. Usually it is implemented with the help of bar-code techniques and magnetic charts. In the database of dentist clinic, the information is entered using a computer keyboard and mouse. The second one is the storage and search for information in the database management system (DBMS). Microsoft Access allows saving data after input, change them as needed and find any available information. The third component is the admittance to data throw the reporting online and offline, where the last one saves records in another system for deep analyzing. In the database of dentist clinic, Microsoft Access is able to create the reports based on the queries, moderate them in a proper way and provide to managers for subsequent monitoring.
It is said that, “the most powerful force for controlling medical spending is the cost conscious consumer”; however, there are other factors (determinants of health) other than medical care spending that can affect the health of an individual and ultimately the health of a population. Some of these other factors (determinants of health) include lifestyle choices, environmental factors, family history (genetics), where one work and live, one’s income and developments in technology.
The Healthcare project I am undertaking is to implement MasterControl Document Management system for the Department of Pathology at the University of California at San Francisco. The department has 3 locations. All 3 locations will go live at the same time. CAP and CLIA requirements state that all staff must be competent in the jobs they perform and competency must be routinely assessed and documented. The current paper system is cumbersome and difficult to track staff competency completion and due dates. There is also a requirement to have an electronic method of tracking all policies. A policy present at all locations must be the same version and signed off by the licensed CLIA Medical Director at least every 2 years. There must be a
The anticipated benefits represent expectations, which in this case do not appear to have been clearly defined by IT or their business counterparts. At this point it may be of more interest to ask how the project fits into the company strategy. One important reason for this, is that benefits mentioned by the project will be tactical. In our case, improved efficiency and e-business may be good business tactics, but without clear strategy, it is difficult to predict how these features would give advantage to the company.
The purpose of this step is to clearly express problem, target, potential resources available and scope of the project. Those informations are captured and composed together in a project charter document. The records collected are problem, voice of customers, critical to quality.
Medical Billing and Coding is very important to medical professionals, I am choosing this career because I know it will always be needed and I can learn something new everyday. In the Medical Billing and Coding field I can work at various locations. I can work at a doctors office doing Office Administration for the providers. For example, I have previously worked in a counseling office for social workers, counselors, and psychologist. I did the billing two days a week and learned many traits that will help me better my career. In an office setting, there are many different provider types so depending on the office that I work for I will be able to learn various types of billing. I also can work in a hospital doing institutional billing for the facility.
Computerized Physician Order Entry (CPOE), is also known as Computerized Provider Order Management (CPOM). CPOE is a process of automated or electronic entry record of health care physician on different types of instructions on how to treat patients, especially patients that are hospitalized under a physician’s care. CPOE is one of the most remarkable system that is being used in the healthcare system to effectively reduce the amount of medication errors. The University of Health Care System might be in the process of rolling out the CPOE portion out of the EMR project, however, they did not do a thorough investigation on what CPOE is and whether or not it would have a positive impact on the EMR project. They should have not taken the step to start the project without already knowing the basics of CPOE. They might have had thought that since it is a computerized system everything would turn out okay and there would not be any problems. However, they fall short to recognize that the user’s knowledge and experience with using the CPOE system would have a significant influence on the effectiveness and productivity of the actual system.
In the business case, the project team assured that the current business environment, shortfalls in the service and finally the desired end state from business perspective are accurate. This helped us to define the performance indicators for the new project that served us in the functional verification of the project during the implementation phase. These details were captured into the Project Management Plan (PMP) to execute, monitor and control the project.
reimbursement determinations. As a result, the camaraderie among physicians has developed into a more aggressive approach to impede competition (Shi & Singh, 2012). Little information is shared with patients in regards to procedures or disease control. The subjects are forced to rely on the internet for enlightenment on the scope of their illnesses (Shi & Singh, 2012). Furthermore, the U.S. health care system fails to provide adequate knowledge on billing strategies for operations and other medical practices. The cost in a free system is based on supply and demand and is known in advance of hospital admission (Shi & Singh, 2012). The need for new technology is another characteristic that is of interest when considering the health care system. Technology is often v...
Different methods can be used in the evaluation; however, the major criteria used in evaluation should center on success factors like: efficiency, customer impact and satisfaction, business and direct success, and future potential (Mantel 273-274). The project should also be evaluated based upon the reasons why the project was selected in the first place, contributions to overall business goals, team member goals accomplished, and other factors that contributed to the strengths and weaknesses of the project. The true problem can lie in measuring the evaluation, especially when looking at earned values and expenditures. Therefore, it is important for the team to determine the measurement criteria before the project starts.