Er can evaluate the patient and recommend

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er can evaluate the patient and recommend supplemental care that can provide furtherbenefit and validates medical necessity when it is overlooked by the initial physician. This strategy would provide further quality care
21FINAL PROJECTwhere the patient would be better off long-term and reimbursement would include incentivesfor physicians that focus on future health implications.Operational Performance MeasuresPerformance measures that take place within the organization have a correlation with the purpose of maximizing reimbursement. VTo assist with having the most optimal reimbursement rates, the focus towards value-based care as opposed to fee-for-service models result intranslates tophysicians avoiding unnecessary procedures for the purpose of obtainingthemaximum reimbursement and focusing more on treatments that would providebenefits for the patient’s conditionpatient health statusand become an integral part of the long-term care plan [ CITATION Cle14 \l 1033 ]. Any nonessential treatments that are proven to not have a legitimatemedicalpurposefor the benefit of the patientwould not be reimbursed whichthencould become costlier than previously plannedanticipatedwhichcoulddevelopsinto a reimbursement deficit per patientdue to providing more healthcare than requiredwherethe organization would have to incur the difference in costs.From a public health perspective, protecting the patientfrom coming into contact with any communicable diseases by Pproperly sterilizing the facility and having all medical professionals takingenecessary sanitary precautions to keep from contracting or spreading any negative health conditions and reducescommunicable diseasetransmission ratesbetween individualsand protects patients. Should disregard of necessary precautions take place or should there be an update in the volume of patients due to one specific condition, not only would there can be significant health violations punishable by considerable penalties but also percentage reductions in reimbursement due to the highpatientfrequency of patients with
22FINAL PROJECTsimilar conditions obtained whileremainingas an inpatientat the given facility[ CITATION Cle14 \l 1033 ].Following the continuum of care, patients and their families must follow the post-visit procedures and recommendations set forth by the medical providers following the appointment or discharge and promoting that understanding provides mutual benefit for the health of the patientpatient healthand prevention of repercussionsrepercussion preventionfor the organization.ProperAadherence to the guided treatment plan including seeking out additional care should the condition not improve can limitandor reduce the frequency of readmissions for the samemedicalcondition and s well as the reducestionof the number of claims that are submittedthat are not reimbursed[ CITATION Cle14 \l 1033 ]. Policies and regulations have been enacted in order to combat high readmission rates where such rates are amongst many to hat

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