Laserfice Case Study

Mr. Phillips, this is Ms. Daniels from Memorial Hospital. I am calling to confirm that the request for the medical records for Ms. Munstrom has

I done reviewing all the accounts just making sure that was a valid refund and I advise Jenilee so she can continue calling the patients for address confirmation and I can continue prepare the forms. The list that is complete is the Old list now I need to work on the new one that PMG FWD to us few weeks ago.

I will do only the patient demographic part and the provider or someone for clinical has to complete the form. I still don't understand why Johana or any MA can complete the patient demographic part on vase of the list that I provide to them but anyway I will do that part so they can't said that our billing department don't want to cooperate on this process.I know we shouldn't not be responsable for this but we need to recovery that

The office would need to establish a goal to accommodate all post-discharge patients. When appointments cannot be made then an escalation process to the office manager needs to occur. In order to foster communication with professional partners, an investigation of the system failures. How can the transition to home be improved? The workflow should include a validation step that would entail hand-off communication between hospital rounders and office schedulers. If missteps occur, then the office staff could catch the near misses and call the patient at home. Care coordination among providers on an outpatient basis could be supported by the electronic medical record and having verbal care conferences. Next strategy could involve the hospital completing a call back within twenty-four hours to all patients discharged. This intervention could potentially catch some of the missed opportunities. Another approach involves face to face reinforcement of the patient-centered partnership with H. H. According to Counsil et al. (2012), “patient-centered care plans for complex patients changed the relationships with the health team” (p. 190). The development of this patient directed plan of care and partnership is

 It is essential to read back the details of the appointment to reconfirm the correctness of the appointment time / place etc.

I forwarded the accounts with the information to the Appeal Coordinator (Ed), in which, Ed informed me to forward the information to Gail Belsik, of Patient Accounts, to obtain the required information and/or bill modification. Below, you will find Gail’s response.

However, I think I should email you the information before the appointment so that you can tell me if I should hold the appointment that I 've set up with you or not.

I'm FWD to the SFL billing department some colposcopy f/u labs results visits. When I was working with all the colposcopy visits I found that the patient came already for the colpo labs F/U results but alot of the claims was adjusted incorrectly on PM. I review all the claims and I correct all the incorrect adjusments and these are all the patients that I'm billing back to SFL.Hopefull we can get paid all these visits.I spoke with Robin from SFL and she told me what I should to bill back to them for these type of service and I did. ALL the claims been bill out to the program today. I just want to keep you on the loop with this little project.

While this is an area of concern, I also believe that processing the patients at the registration desk is a task that could be virtually eliminated altogether. Simply by requiring patients to register online and scan or fax documents by a predetermined cutoff time, staff members could complete this process without interruption and have the necessary information already in a file when the patient arrives.

To rectify the issues I suggest that the doctors get educated with the ICD/CPT codes and get educated on the new LCD policies. The coders themselves need to keep updated with any changes that were made in coding and reimbursement policies. An important part of avoiding errors is communication

I would contact the patient by phone, mail or email. What ever way he wanted to be contacted in his file that’s how I would contact the patient. I would ask him if he wanted to

I, Adrian Nicholson, was not told by the Line coordinator not to leave to do PM’s. Earlier that day Supervisor, Wesley Ricks, called all Technicians in the change room, inquiring about the form the Maintenance Supervisor, Josh Barnes, requested the VisIV Technicians to sign upon the receipt of assigned PM’s. The Preventative Maintenances (PMs) are left in our boxes in the VisIV office. Josh implemented this form due to three PM’S that went past due and generating PR’s. Completing PM’s in a timely manner is a vital process to Pfizer

I review the patient SFL forms and the reason that the forms never was'nt FWD to SFL is b/c the patient SFL insurance was not active or enter on PM system and the paper claim and forms for this patient was pending. I double check today and I foud now that the SFL insurance information is added it now on PM. This is one of the million reasons the I need to deal with when I need to complete all the SFL forms for all the sites. I will FWD the forms now to SFL for this patient. Also about Kelleane questions about who need to response all this questions I think that Robin should be contact me or you by email message as she always do with me when she missing any SFL forms or labs she knows that I'm the only one on our Billing dept. who is working

Would you please review my attachment and provide me some fedback on all these Podiatry encounters that are almost more an a year already and PMG still FWD to me on my encounter tracking report all the time and asking for the missing billing information(E&M code and DX codes). I create a list with the patient that we are missing the paper encounters. Please let me know what I can response PMG about all the missing encounters.

Time constraints with calling the insurance company to change the member’s PCP to the MRZ PCP.