The Health IT industry has many facets. This facet is based on the financial processes used by health organizations and is called Revenue Cycle. The Revenue Cycle is complicated in that patients have a variety of payers such as insurance companies, government agencies, or self-pay. The price is often not known ahead of time since the patient may have varying degrees of illness, hospital stay days, and medications. The health organization must collect its fees on a timely basis in order to pay its doctors and vendors. In order to collect fees in a timely manner, exact processes must be followed. The Fishbone Diagram Download Fishbone Diagram was developed to explain to employees where processes broke down and prevented them from getting paid. Your job is to study the diagram and consider the point of view of one of the stakeholders. Write a one-page role play to understand how this would affect the employee’s tasks. For example, you might say that you are part of the pre encounter team…introduce yourself and explain the steps that you must take in order to complete your tasks. Explain how failure in any of these steps will prevent the organization from collecting funds and you and others may lose your job! If you are not familiar with the fishbone diagram. Click on this link to view an exampleLinks to an external site. https://miamioh.instructure.com/courses/191096/files/26509454/preview (fishbone diagram)
Analyze diagram and a category such as claim generation. You would explain that after the encounter with the patient, you need to generate a claim and make sure it is in the correct format, etc.
Write your essay in the form of role-playing and then consider how failure at any given point would cause payments to not be made.
Explain why a fishbone diagram is helpful in analyzing a process. If you have not used a fishbone diagram before you may wish to research this tool. This tool is often used to help identify possible causes of a problem where you can see cause and effect.
After that answer the following questions.
A college-level minimum essay complete with works cited page defining the following terms: ARRA, HITECH Act, and HIPAA in the United States. Consider how this relates to the payment model in the United States. Investigate how privacy and payment models are made in the country you have chosen to study. (Make sure to use your own words, do not cut and paste).
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