InstructionsAssignment objectiveCreate draft paper of final projectAssignment purposeOrganize and format final paper The Final Draft has to include the merging of the two documents included. The Issu
Running Head: NORTH CENTRAL HEALTHCARE PROPOSAL 0
Project Proposal
Juanita M Jewett RHIT CCS
North Central Health Care
1100 Lake View Drive, Wausau, WI 54403-6785
Dr. Phyllis Miller
718-848-4473
PhD, MSA, RHIA, RHIT, CHPS, AHIMA ICD 10 Trainer, CTR, Lean Six Sigma Green Belt, Medicare/RAC Certification
Term: Spring 2019 Semester
Organizational History, Mission, Vision, and Structure
The mission, vision and core values of North Center Healthcare is defined by the value they find in the North Central Community. The Philosophy is based on the simple idea that they are defined by how they interact with people and the understanding that they make a difference in the life of individuals in the Community.
The Mission: Langlande, Lincoln and Marathon Counties partnering together to provide compassionate and specialized care for people with complex behavioral and skilled nursing needs.
The Vision: Lives Enriched and Fulfilled
Core Values:
Dignity: Dedication to providing excellent service with acceptance and respect to every individual, every day
Integrity: Keeping promises and act in a way where doing the right things for the right reasons is standard
Accountability: Committing to positive outcomes and each other
Partnership: Success by building positive relationships when working across the organization as a trusted County partner
Continuous Improvement: Embracing change, valuing feedback, creativity, and the advancement of excellence
Background and Analysis
BACKGROUND:
To understand the project, we must understand the Background of the Organization. North Central Health Care Consist of 5 Locations the names of the Locations are Wausau Campus, Mount View Care Center, Antigo Center, Merrill Center, and Tomahawk Office. All Located in the State of Wisconsin. These 5 facilities offer Post- Acute Care, Long term care and Dementia Care, Mental Health and Substance Abuse Services, Inpatient Psychiatric Hospital Care, Outpatient and Community Treatment, these are just to Name a few. This Organization is geared toward servicing the needs of the elderly the mentally challenged and those who need the services involving Mental Health Treatment and Care.
Proposed Goal/Objective of Project
There have already been two meetings to discuss the needs of the facility and where I maybe best utilized for the stent of my externship. The Participants of the Meeting consisted of Myself, Dr. Phyllis Miller (Title), and Sheila Zblewski (Title). The meetings have been very successful in determining the need of the facility and where I am needed most. We have determined there are three areas with the highest concern. These three areas fall in the line of the CAHIM Learning Domain I Health Data Management Subdomain I.D: Reimbursement Methodologies
Domain II: Health Statistics, Biomedical Research, and Quality Management Subdomain: B: Quality Management and Performance Improvement
Domain V: Organization and Management Subdomain V.B: Strategic Planning and Organizational Development
DUTIES:
My duties would be as follows: To assist in the creation and the potential implementation of a compliance protocol for Coding and Billing Reimbursement involving 6 of the providers and Licensed Clinical Social Workers. This would be established by randomized retro audits within the last 90 days to assess accuracy of the billing practices as well as to evaluate and assess trends in denials and to potentially create a protocol to prevent the same trend from reoccurring , To also Evaluate errors in missed revenue in order to potentially provide a corrective action in those trends to increase the revenue while also developing a policy and procedure for future billing to prevent reoccurrence.
Audit Standard has been established as 10 accounts per provider per month. This would at the end the 90-hour project would equate to 180 audited accounts, along with the newly established Protocols and Policies and Procedures that will be created based on the results of the audits. The audits will also establish an unforeseen issue with addresses because there has been a county wide change in addresses and this could potentially hinder reimbursement due to the insurance carriers being unaware of such a significant change there may be a need to do a mass awareness campaign to circumvent potential issues due to the address change which may result in a increase in denials because of this change. This Project is geared toward creating a greater sense of Compliance, Reimbursement strategies, and Error Reductions due to passive errors and Coding errors as well. It will be my duty to assess, establish and manage these factors to increase the bottom line for the facilities.
I look forward to servicing this organization with the current skill set as well as the enhanced skills that I have gained as a student of Herzing University. I know that I am equipped with the tools necessary to provide a positive and satisfactory, outcome for the Project Manager, Staff, and the Shareholders of North Central Health care.
LOCATION: This organization is located in Wausau, WI, The main Campus. I am in the position to be available during business hours for the facilities needs via remote access for the duration of the 90hrs. I will make myself available for any meetings, and to answer any questions as needed by the members of this organization.
REQUIREMENTS:
In order to comply with The Facilities Requirements, I am available to perform any pre-externship requirements as instructed.
For the purposes of the Externship I can be contacted at [email protected]
Juanita M. Jewett, RHIT, CCS
CEO OF MEDEXUS MEDICAL SERVICES
O: 410-449-6334
C: 202-840-1388
F: 410-449-6336
