Should expensive treatments be provided to everyone who would benefit from them?

/in /by

Given that we have limited resources, what is the best use of our healthcare dollars? Should expensive treatments be provided to everyone who would benefit from them? If so, who should bear the costs—for instance, should it be third-party insurance, Medicare, Medicaid, or the individuals themselves paying out-of-pocket? There are other important facets to this issue. Should resources be used to provide basic services to the greatest number of people, such as through immunization? Should the drugs be rationed in any way, to keep costs down?
Select an ethical issue such as one of those described above and provide a pro/con comparison of related to the ethics of payment.
Suggested 2 to 4 pages. APA formatting is required. A minimum of 2 academic references are required.

Explain how new managed care contracts impact reimbursement for the healthcare organization

/in /by

Reimbursement and the Revenue Cycle
A. Describe what reimbursement means to this specific healthcare organization. What would happen if services were provided to patients but no payments were received for these services? What specific data would you review in the reimbursement area to know whether changes were necessary?
B. Illustrate the revenue cycle using a flowchart tool. Take the patient through the cycle from the initial point of contact through the care and ending at the point where the payment is collected.
C. Prioritize the departments at this specific healthcare organization in order of their importance to the revenue cycle. Support your ordering of the departments with evidence.
II. Departmental Impact on Reimbursement
A. Describe the impact of the departments at this healthcare organization that utilize reimbursement data. What type of audit would be necessary to determine whether the reimbursement impact is reached fully by these departments? How could the impact of these departments on pay-forperformance incentives be measured?
B. Assess the activities within each department at this healthcare organization for how they may impact reimbursement.
C. Identify the responsible department for ensuring compliance with billing and coding policies. How does this affect the department’s impact on reimbursement at this healthcare organization?
III. Billing and Reimbursement
A. Analyze the collection of data by patient access personnel and its importance to the billing and collection process. Be sure to address the importance of exceptional customer service.
B. Analyze how third-party policies would be used when developing billing guidelines for patient financial services (PFS) personnel and administration when determining the payer mix for maximum reimbursement.
C. Organize the key areas of review in order of importance for timeliness and maximization of reimbursement from third-party payers. Explain your rationale on the order.
D. Describe a way to structure your follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective?
E. Develop a plan for periodic review of procedures to ensure compliance. Include explicit steps for this plan and the feasibility of enacting this plan within this organization.
IV. Marketing and Reimbursement
A. Analyze the strategies used to negotiate new managed care contracts. Support your analysis with research.
B. Communicate the important role that each individual within this healthcare organization plays with regard to managed care contracts. Be sure to include the different individuals within the healthcare organization.
C. Explain how new managed care contracts impact reimbursement for the healthcare organization. Support your explanation with concrete evidence or research.
D. Discuss the resources needed to ensure billing and coding compliance with regulations and ethical standards. What would happen if these resources were not obtained? Describe the consequences of noncompliance with regulations and ethical standards

What challenges have you encountered in working with patients with mental health issues?

/in /by

What challenges have you encountered in working with patients with mental health issues? How do you feel these challenges will be different in a community health setting? Would it be easier or more difficult and why?
2. Discuss scenarios in which the community health nurses might encounter ethical issues related to mental health. Give some examples and explain.

Describe harm reduction as a strategy community nursing practice

/in /by

Describe harm reduction as a strategy community nursing practice./ Pot and Driving Campaign Describe the harm reduction philosophy underpinning your chosen program and
discuss the applicability of harm reduction practice to the community health nursing
standards. (5 marks)
Describe the basis and rationale for harm reduction as a strategy for the clients served
by your chosen program through an examination of epidemiological data prevalence data and best practice. Include a critical analysis of the determinants of health of the
aggregate group which increase the incidence and risk of harm (25 marks)
Present and analyze current evidence that supports or rejects a harm reduction
approach to the issue. Utilize the findings from your literature review (minimum EIGHT
scholarly journal articles from peer reviewed sources) and research related to this
program to critically analyze the value of the program as a community health nursing
intervention (25 marks)
Discuss your carefully considered conclusion with regard to the application of your
program to public health practice. Include an argument for continuation or
discontinuation of the program on the basis of the research and evidence. (5 marks)
Introduction Conclusion Presentation Spelling Grammar APA (5 marks)
Comments from Support Team: I am doing a assignment on Harm reduction.topic is The Pot and Driving Campaignhttp://www.cpha.ca/en/programs/potanddriving/about.aspx THIS IS THE WEBSITE OF MY PROGRAM AND WHAT THEY DO.PLEASE USE CANADIAN PEER REVIEWED ARTICLES.YOU NEED TO USE CANADIAN STATISTICS AS WELL.