Step 1: Put the following steps in the order of a routine patient care flow, from the beginning through to the...

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Step 1: Put the following steps in the order of a routine patient care flow, from the beginning through to the end of the patient encounter flow. 

  • New patient paperwork is signed and returned to front desk with insurance information for verification of benefits
  • Patient pays standard co-pay if applicable
  • Hard copy record is pulled, or made if new patient
  • Patient called to back office
  • Height, weight, and blood pressure taken by CNA or CMA
  • CMS 1500 form is coded and sent to insurance for reimbursement
  • Signs in at reception desk
  • Patient released from exam room
  • Call in to schedule appointment
  • Doctor, NP, or Physician’s Assistant examines patient
  • Shown to patient care room
  • Reason for visit reviewed with patient by CNA, CMA, or NP
  • Any refunds due to patient or insurance sent out
  • Collections efforts initiated if patient's charges not paid, and any insurance appeals are processed
  • Patient checks out and pays any deductible verified
  • Explanation of benefits returns with breakdown of payments
  • Height, weight, and blood pressure taken by CNA or CMA
  • Practice manager applies payments, writes off amounts required by contract with insurance companies, adjusts patient’s account records, and initiates billing to patient that indicates insurance has processed charges

Step 2: Write an essay of 1–2 pages explaining how a new office would be set up or organized. Some of the elements included could be: 

  • The physical appearance of the office
  • The types of personnel that would be needed
  • The types of activities, policies, or procedures that would be put into place to mentor employees and promote teamwork
  • Create and describe the demographics of the patients that would receive care at this facility. 
    • Remember that demographics include any and all of the following: type of population (rural, suburban, urban); male or female; adult or child; type of insurance, public assistance, or no insurance; emergency care needed or preventative care; and many others.
  • Describe the specialized training that you, the office manager, need to help this particular facility accomplish its mission of efficient integrated medical care to its patient population. 

Please submit your assignment.

    • 10 years ago
    • 5
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