Discussion Reply- Response 1-2 paragraphs with 1-2 references

Patricia Silver

As a hospital administrator I will establish training to make sure everyone knows how to properly check in the patients upon their arrive to the hospital. This is the biggest thing that can happen, incorrect patient information in the system (Casto, 2018). Spelling of patient’s name or insurance company can cause issues when it comes to the claim process (Casto, 2018).

I would also set up an account with a healthcare clearinghouse. This is a “middleman” that goes through the information that is needed for the claims and makes sure that all information is correct before then sending the claim to the payer (Medicare in this case) (S., 2020). The clearinghouse knows everything needed to get the reimbursement back to the hospital fast and easy (S., 2020). They also know all laws and regulations that have to be followed by anyone working within or for the healthcare system, for example HIPAA (S., 2020). This will help our hospital get the revenue that is needed to continue to provide jobs and care to the people in the community.

Casto, A. (2018). Principles of Healthcare Reimbursement, Sixth Edition. [VitalSource Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781584266648/

S. (2020, September 9). Healthcare clearinghouse: What it is and how it can help. Retrieved April 07, 2021, from https://sdata.us/2020/09/09/what-is-a-healthcare-clearinghouse/#:~:text=A%20healthcare%20clearinghouse%20is%20essentially%20the%20middleman%20between,claims%20can%20get%20correctly%20processed%20by%20the%20payer.