How can you prevent abuses and inefficiencies in third party payments?

Describe the qualifications to receive Medicare and/or Medicaid.
April 20, 2020
Explain how you can ensure appropriate implementation of supporting policies and procedures in order to ensure ethical integrity.
April 20, 2020

How can you prevent abuses and inefficiencies in third party payments?

How can you prevent abuses and inefficiencies in third party payments?

 

Assignment:

Explain the flow of funds within an organization including private pay and third-party reimbursement.

Assignment Description: This assignment will be at least 1000 – 1250 words or more

This week you will reflect upon accountability in healthcare to answer the following questions:

·         How can you prevent abuses and inefficiencies in third party payments?

·         Briefly define the flow of funds in the Care Organization.

·         What challenges do consumers face who are enrolled in private insurance?

·         What methods can you use to empower the consumer?

References:

Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

Nickitas, D. M., Middaugh, D. J., & Aries, N. (2016). Policy and politics for nurses and other health professions (2nd ed.): Advocacy and action. Sudbury, MA: Jones and Bartlett Publishers. Chapters 12 & 13 (43 pages)

Katz, M. (2014).  As needed for research.