Medical Business Operations: Actualization, Case study homework help (3-4 pages)

1. Introduction (25%) Provide a
brief synopsis of the meaning (not a description) of each Chapter and articles
you read, in your own words that will apply to the case study presented.

2. Your Critique (50%): Case Study

Business Operations: Actualization

The Superior Care Health Group (SCHG) has been experiencing a large percentage
of billing rejections from various third-party payers. Although there are many
reasons for the claim rejection, the main problem is Inaccurate billing codes,
specifically those as ICD-10 codes.

office manager, Mr. James Hopkins MHSA, who is new to SCHG, suspect that the
problem is with the group’s old billing software. When an office associate is
given medical chart information to code, the software only provides a list of
potential ICD-10 codes when the physician’s diagnosis is keyed and entered into
the system. It is up to the office associate to make the determination between
diagnosis that are very similar and difficult to differentiate.  Mr. Hopkins knows that newer software can
make the code differentiation more automatic and accurate.


  1. How and where Mr. Hopkin can start with
    this project?

  2. How can Mr. Hopkins address these

  3. Where should he start his research?

  4. Once all change are done, which ones
    will be future results? Describe and explain all of them in detail.

3. Conclusion (15%)

Briefly summarize your thoughts &
conclusion to your critique of the case study and provide a possible outcome
for the Health Care Center.  How did
these articles and Chapters influence your opinions about Health Care Computer

will be based on how clearly you respond to the above, in particular:

a) The
clarity with which you critique the case study;

b) The
depth, scope, and organization of your paper; and,

c) Your
conclusions, including a description of the impact of these Case study on any
Health Care Setting, Law and Legislation.


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