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Career goals for healthcare administration
Short and long term career goals in healthcare administration
Career goals for healthcare administration
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As I begin to embark on a career as a new medical and billing coder, and with no experience, my search for employment will be daunting at best. With my ultimate goal in mind, working from home, I begin to research medical billing and coding outsource companies. There were numerous companies to choose from, all claiming to be the best in the industry, but there were two that really peaked my interest.
Healthcare Administrative Partners (HAP) was the first company. Founded in 1995 by a team of medical billing professional with more than 20 years experience. HAPs headquarters is in Media, PA and two additional locations in Berwick, PA and Portsmouth, NH. They offer a wide variety of services in Medical Billing, Medical Coding, and Medical Practice Consultant Services. "Healthcare Administrative Partners is one of the top medical billing and coding companies of 2013 in the nation" (medicalcodingonline.com) Delivering complete billing,, coding and practice management consultent services to independent practices and facilities. They specialize in Radiology, Radiology Oncology, Pathology, Emegency Medicine, Employed Physicians, and Physician Practices. Their goal is to help reduce the pressures physicians and/or facilities face with compliance, Medicare regulations and multi-payer plans. The bottom line, to improve the physician's and/or facilities revenue by executing clean claims. Using coders who are AAPC, ACMCS, and AHIMA certified and specialty coders who focus solely on one account, these health care providers can reduce the risk involved in the billing cycle of the medical industry.
The Healthcare Administrative Partner's web page did not offer any general qualifications for a medical coder, except that all coders where ...
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..., to keep the coders up to date and current on all yearly coding changes.
With my end goal to work from home, and Precyse's vast resources for their coders, I would love to work for Precyse. After gaining the knowledge, the minimum of three years experience and the confidance, I feel as though Precyse would be a perfect fit for me.
In comparison, Healthcare Administrative Partners' staff of professionals are working close together in a smaller office based company, while most of Precyse's professionals are working from home or other areas across the nation. Both companies needing and employing professional coders with experience, credentials, knowledge and education to deliver the service they take pride in, for health care providers to have a more efficient office and to generate revenue.
Works Cited
medicalcodingonline.com
Advance Healthcare Network
- Kabene, Stefane M. Human Resources in Healthcare, Health Informatics and Healthcare Systems. Hershey, PA: Medical Information Science Reference, 2011.
Around 595,800 establishments make up the healthcare industry. The healthcare industry varies significantly in staffing partners, size, and organizational structures. Even though hospitals make up only 1 percent of healthcare organizations they provide work for 35 percent of all workers in the industry. 76 percent of the healthcare organizations are formed by offices of dentists, physicians, and other health practitioners. The healthcare industry is designed to administer care 24 hours, respond to needs of patients, diagnose, and treat. The purpose of this industry is to combine the human touch with medical technology (U.S. Bureau of Labor Statistics, 2010).
Healthcare professionals associated with medical billing and coding know the progress the technology has made so far. In the last few decades, medical billing and coding has switched from being a paper-based system to a computerized format. Under HIPAA laws, medical practitioners had to develop new software in order to send out electronic bills. With the advent of electronic medical records (EMR), with one touch of a button, doctors, Nurse Practitioners and PAs can gain access to all the care a patient has ever received from every healthcare facility the patients visited previously and can figure out possible illnesses. This enables statistical documentation of the population as a whole as well. EMR can also make the healthcare system more transparent and allow integration with reimbursement data. As the healthcare system changes, this will prevent unnecessary costs and make it easier to get the reimbursements needed to treat a patient.
Hospital Corporation of America (HCA). Staff Analysis Statement of Problem HCA, after following a conservative financial policy since its establishment, has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since its establishment, HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals that need to be met in order to accomplish milestones in the future.
With consolidation among hospital systems over the last few years there has been a trend toward ways to streamline processes. By having “shared services” such as laundry services, human resources and radiology and diagnostic services it’s possible to lower costs and have common processes. The advent of health care reform and the Affordable Care Act (ACA) with its Information Technology (IT) incentives has led to greater interest in risk management and IT solutions. While there was a decrease in 2012 on outsourcing IT services the finalization by the Supreme Court of the ACA and President Obama’s re-election cemented the need for an IT solution (Kutscher, 2012)
34). One of the main opportunities for this change is that it will allow all the Nurse Clinicians to apply their extensive knowledge, skills, and judgment to better monitor and audit the documentation system. Each Clinician will also have the authority to address any identified issues or concerns directly with the staff, as opposed to handing this over to the APN. Furthermore, the Nurse Clinicians will ensure the data gleaned from the EHR and MDS accurately represents the care provided, and they will assist in translating the results of the MDS into practice to better enhance patient care. Additional opportunities for professional development could include developing educational material or developing and implementing unit quality improvement projects. A second opportunity is the chance to be a part of the new initiatives coming to the VC over the next few years. As the organization moves towards implementing more technology, such as electronic medication administration records and computerized provider order entry, the Clinicians will be able to provide their knowledge of organizational workflows to ensure a system will meet the needs of the staff. Additionally, the Clinicians can be a part of the implementation team to help educate and support the staff as they learn any new software. Finally, the benefits of a centralized model and
The rapid growth of managed care is the response to limited financial resources and the demand for healthcare services to be affordable. Economic viability is a crucial aspect of health care. Managed care plans were developed to provided health care services, but also to be a method to collect payment for services. There are different types of managed care plans. For example, health maintenance organization (HMO), preferred provider organization (PPO), and point-of-service (POS) plans. For brevity of this paper the HMO managed care system will be discussed along with the relevance of the role of the advance practitioner practicing in HMO setting.
In our current time period of complex laws and regulation regarding healthcare, organization like Kaiser Permanente also uses the Ethics Committee to address difficult issues. In California, KP is synonymous with trust and respect. Every medical and non medical staff is an ambassador for KP. KP is committed to the entire staff, by promoting within, developing future leaders through it internship programs, and reward when the organization is successful. The organization believes that a well developed team with different background and experience, working as one in an environment that encourages respect and resulting in high levels of commitment, is crucial to its continued success. KP listed their mission statement and promise as
This section is a part of the billing process, it tells the insurance what needs to be reimbursed. There are seven components. History, Examination, Medical Decision Making, Counseling, Coordination of Care, Nature of Presenting Problems, and Time. E/M coding has become the most frequently billed physician service, and auditors are taking notice of its popularity. Frequent E/M coding errors happens when therapeutic practices are either upcoding or undercoding. Upcoding builds the danger of reviews. Coding too minimalistically doesn't shield your training from reviews, and it seriously diminishes your level of repayment. Here are some common pitfalls: Not following guidelines: When you don't follow the guidelines it can cause your coding to be incorrect. Mismatching the diagnosis with the procedure: You have to make sure the linking are correct. Billing for a consultation or a referral: You have to make sure you are billing for the correct thing if it a consultation then makes sure that is what you are billing. When you code the place of service make sure you are coding the correct place of service, you can not code public health clinic if the place of service was at the prison/correctional facility. When coding and you have a modifier, make sure that you are using on when needed and make sure the one you are using goes with the code. If you leave a modifier off or use the wrong modifier then it changes
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
Choosing a major has never been an easy task; after high school graduation, without a college plan, many of us finds ourselves taking classes we don’t even need in the first year of college. Setting aside some times to decide what we want to do in life, what we want to study, and where we want to be in the next five years or so can help us save time, money, and most likely can direct us toward our most coveted career goal. Changing our mind along the way is typical of us, but there are always many majors to choose from; but when it comes to the healthcare field, not every single one of us interested in healthcare as a profession gets to wear the white coat or the scrub because some of us hate the sight of blood and needles. These people may consider healthcare administration as a career, but is it worth it to choose healthcare administration as a career?
Healthcare administration is a field that is often overlooked, but is essentially the beating heart of any healthcare organization. With more and more hospital, and clinics, and other healthcare organizations popping up everywhere there is a need for people like me to manage the day-to-day operations. I am choosing to apply to this program because I want to study how the U.S. healthcare system operates. I want to learn the essential skills of operating a healthcare facility such as managing a budget, reducing healthcare costs, analyzing the efficiency of an organization and proposing ways to improve it. This program is going to give me the necessary education and skills so I can carry out my goal of being a healthcare administrator.
In order for primary care practices to be successful they have to arrange their office setting and scheduling to satisfy their consumers’ needs. Bodenheimer (2003) advocates for improving primary care accessibility by arranging their offices into teams. He explains each team would have “one primary care physician, two non-physicians clinicians (nurse practitioners or physician assistants), three nursing staff, and a receptionist” (p.797). He states patients will be greeted by their team who knows their h...
An MBA in healthcare opens doors to lucrative careers in four areas: providers of medical services, suppliers of equipment and pharmaceuticals, insurance companies and administration of healthcare facilities. Each area includes hundreds of opportunities that range from hospital administration to formulating policies for governmental and health departments.
Health care administration is a very popular degree and you can use it for many things. Health care administration is a thriving business and it is one of the biggest fields in one of the fastest growing industries around. The degree in the health care administration field is for those professionals that plan, direct, coordinate, and supervise the delivery of health care.