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Prepare a presentation for the physician group stakeholders detailing how the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will affect reim

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Prepare a presentation for the physician group stakeholders detailing how the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will affect reimbursement practices and customer services. Introduction: Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence. For this assessment, you will look at … Read more

R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse prac

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case study #3 R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments to individuals inclusive of the environment, provide direct skilled care and treatment, and provide education and referrals as needed. He must work closely with … Read more

The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) r

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The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to … Read more

Summarizing Medicare Compliance Documents

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As a leader and manager, the health information administrator is responsible for communicating compliance requirements and regulations. This responsibility requires the manager to interpret compliance guidance documents, relate requirements to hospital-specific operations, create a plan of action, and execute the plan. Go to the Medicare National Coverage Determinations Manual (Publication #100-03) located at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS014961 Links … Read more

The Administrative Simplification Compliance Act of 2001 requires that all Medicare claims be submitted electronically. Discuss at least two (2) vulnerabilit

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The Administrative Simplification Compliance Act of 2001 requires that all Medicare claims be submitted electronically. Discuss at least two (2) vulnerabilities in the protection of electronic health information? 2. Identify and discuss specific resources or federal agencies that you will utilize to remain informed and current in public health trends and practices.

Describe the reimbursement mechanisms (Medicare, Medicaid, private insurers, and HMOs) for APRNs Are there any differences in the fee schedules betwee

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Describe the reimbursement mechanisms (Medicare, Medicaid, private insurers, and HMOs) for APRNs Are there any differences in the fee schedules between Physicians and non-physician providers (NPP) such as APRNs? Please describe. Can APRNs own their own practices in your state? Why or why not?