Health care requires adaptability to change. If you are going to work in the field, you will need to be a change leader. How can you influence change? You can take an active role within your position and assist with process improvement.
In this scenario, Dr. Fellows is a family practitioner and has been practicing within his community for the past 5 years. He has noticed that there are several issues within his office that need some attention. The revenue has been slow to come in and his patient population has begun to decline. He has limited his participation with insurance companies because he has been successful with treating patients without insurance. However, since the implementation of the Affordable Care Act in 2010, which requires everyone to have a health plan, patients are turning to the Marketplace health insurance plans and are no longer able to see him. He wants to revamp his practice and make the changes needed to ensure his future success, but he is not sure where to begin. He has decided to hire a project team to redesign his office by improving processes and procedures, and learning more about areas like compliance, billing and coding, and patient needs.
Imagine you are a member of this project management team and you have been tasked with conducting the initial assessment of the practice. After your assessment is completed, you will present your recommendations to Dr. Fellows.
Create a 9-slide Microsoft PowerPoint presentation with detailed speaker notes. Your initial presentation must include the following:
Describe daily processes of a successful health care office.
Describe the importance of the revenue cycle to the health care office.
Describe insurance processing.
Describe the use of tracking and trending for a health care office.
Identify office procedures.
Identify electronic systems and processes used in health care offices.
Explain the use of coding.
Cite 2 peer-reviewed, scholarly, or similar references to support your presentation. Cite any graphics from other sources used in your slides.
Format your presentation according to APA guidelines.
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