Analyzing and improving hospital claims

please review attachment (mgt655_smac) complete highlighted sections:

This paper will discuss the hospital billing paper claims process and the recommendation is to improve the process by processing the claims electronically.

Introduction

Literature review section

Body of work – Six Sigma

Define

Measure

“Before” flowchart (Required)

Process Chart (Required)

Work Measurement Techniques

Surveys

Analyze

Checklist (Required)

Pareto Chart (Required)

Cause and Effect Diagram (Required) (Place last)

Histogram

Bar charts

Scatter Diagram

Graphs

Improve process performance by addressing and eliminating the root causes through Process redesign.

Creative solutions based on the analysis:

Controlthe improved process and future process performance.  Sustain the gains!

Conclusions

Recommendations

Ethic and/or Social Responsibility

textbook: Krajewski, L., Malhotra, M., & Ritzman, L. (2019). Operations management: processes and supply chains (12th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. (ISBN: 9780134741062)

resources:

https://medcitynews.com/2013/04/paper-based-billing-services-vs-electronic-medical-billing-services/

https://www.medicalbillingandcoding.org/electronic-vs-paper-coding/

https://www.healthcarefinancenews.com/news/technology-key-curbing-rate-claims-denials-hospitals-health-systems

https://www.healthcarefinancenews.com/news/revenue-cycle-leaders-share-top-3-ways-reduce-days-accounts-receivable

https://www.medicalbillingandcodingonline.com/medical-billing-claims-process/

https://revcycleintelligence.com/news/hospitals-write-off-90-more-claim-denials-costing-up-to-3.5m

also resources are attached.

sample of a paper do not use to cite is also attached

you can add additional resources but must cite them

Apply: signature assignment organizational analysis

Managers at each level of the organization use a type of SWOT analysis to identify strategies that will best position the company to achieve its mission and goals. The first step in a SWOT analysis is to identify an organization’s strengths and weaknesses that characterize the present state of the company. The next step requires managers to identify potential opportunities and threats in the environment that affect the organization in the present or possibly in the future. When the SWOT analysis is complete, managers begin developing strategies. These strategies should allow the company to attain its goals by taking advantage of opportunities, countering threats, building strengths, and correcting organizational weaknesses.

Use the company and SWOT analysis for Coca Cola

Congratulations! You’ve been hired as a manager and have been asked to analyze the current status of your new company.

Review Coca Cola’s SWOT analysis and other available sources to evaluate the strategic needs of the organization within a changing global environment. Use the Wk 2 Apply Worksheet for your evaluation.

This type of information is often found in the company’s annual report.

Please see attached file.

Operational Excellence – Nursing Experts Help

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organizational behavior choosing the right leader 1

In creating a positive organizational culture, good leaders need to understand how individual personalities fit into the workplace. When the right person is paired to the right job, productivity goes up! Read the scenario and the document provided and then address the checklist items.

The following Course Outcome is assessed in this Assignment:

MT302-2: Apply personality theory within a business environment.

Scenario (fictional): The Pilston family has been in the cookware or camping business (your choice) for over 60 years. They have always had a family member as president of the (your company name of choice). As the current president steps down, the founders’ remaining family members are not inclined or are unable to take over the business and have called you in as their consultant to perform the executive search. They know this will be a challenge based on several changes that may need to take place in the very near future in order to successfully continue their business.

The industry is beginning to change. The competition is beginning to change over to using Blockchain Ledger Technology that shares data within a network in sequential order with a timestamp — like a database, but encrypted. They also have been increasingly automating their production line. Now with the increasing competition, they realize that without changing to these technologies, the business may not survive. This will mean laying off some personnel, and this will be the first time in its history that this company has had to contend with major layoffs; in the past layoffs were not necessary since growth outpaced the need to lay off workers. With no family member currently to lead the company, the company must do an intensive search for an individual suited not only to their industry with the right expertise and education, but the right personality to lead the company into a new era.

This company has a culture that has remained the same from its inception with a reputation for reliability within the industry. Most employees pass their jobs on to someone else residing in the local community by referring them for the job; so all employees really feel like one extended family. They expect little change now. Although their market has been predominantly in the United States (U.S.), with little or no diversity in the workforce, they are increasingly getting inquiries from Asian countries since competitors’ prices have increased substantially. Currently there are 300 employees in this small Western U.S. city though the salaries and benefits have always been on par with the industry salaries elsewhere in the country. Their belief in the customer first, taking the time to get things done in a precise manner, and honesty have been hallmarks of this family business.

In light of the possible future demands and needs of this company, and as this company’s hired consultant to do the executive search, address the checklist items.

Checklist:

  • Identify the industry and name of the company (your choice) based on your choice of either a cookware or camping equipment company, and identify the products the company provides.
  • Summarize the problem, and the company’s culture as presented in the scenario. Describe any changes that might be necessary and that will pertain to the type of personality the new president will need to have.
  • Explain the traits and personality factors that should be considered when selecting the next president using the Reading from Chapter 5. Include the Big Five personality traits, Holland’s typology, and at least one other personality theory in your response (you may use the Internet but provide the source URL).
  • Explain how the personality you described previously of the new president would benefit the employees and the success of the company going forward.

● Submit your 8–10 slide PowerPoint® presentation with no more than five bulleted items per slide, in 24-point font, with speaker notes below each slide with additional title and reference slides. The title of your presentation will be: Finding a New Leader for (your choice) Company.

 

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