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HAS-6197 Health Information System and Electronic Health Record: Assignment Week 5

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HAS-6197 Health Information System and Electronic Health Record: Assignment Week 5

Florida National University

HAS-6197 Health Information System and Electronic Health Record: Assignment Week 5

Administrative and Structural Analysis of an Electronic Health Claim Management: Chapters 9 &10

Objective: In this assignment you are request to you will describe, analyze and apply process of creating claims, locating specific claim, methods used to submit electronic claims, and the claim determination process used by health plans.

ASSIGNMENT GUIDELINES (10%):

Students will judgmentally evaluate the readings from Chapter 9 and 10 on your textbook and from the article assigned for week 5. The Purpose of this Administrative and Structural Analysis of an Electronic Health Claim Management is to describes the potential benefits of EHRs that include clinical outcomes (eg, improved quality, reduced medical errors), organizational outcomes (eg, financial and operational benefits), and societal outcomes (eg, improved ability to conduct research, improved population health, reduced costs). Despite these benefits, studies in the literature highlight drawbacks associated with EHRs, which include the high upfront acquisition costs, ongoing maintenance costs, and disruptions to workflows that contribute to temporary losses in productivity that are the result of learning a new system. Moreover, EHRs are associated with potential perceived privacy concerns among patients, which are further addressed legislatively in the HITECH Act. Overall, experts and policymakers believe that significant benefits to patients and society can be realized when EHRs are widely adopted and used in a “meaningful” way.

You need to develop a 4-5-page paper long including title page and references page reproducing your understanding and capability to relate the readings to claim management. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th format when referring to the selected articles and include a reference page.

EACH PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words.

2. Your Strategies (50%)

 a. Briefly compare the CMS-1500 paper claim and the 837 electronic.

b. Discussion the information contained in the claim management dialog box

c. Analyze the method used to submit electronic claims.

d. Discuss the use of the PM/HER to monitor claims.

3. Conclusion (15%)

 Briefly summarize your thoughts & conclusion to this assignment and your appraisal of the Chapter you read.  How did these articles and Chapters impact your thoughts about Claim Management? How this Administrative Analysis help you in relation to Claim management in Medisoft.

 Evaluation will be based on how clearly you respond to the above, in particular:

a) The clarity with which you present and analyzed the strategies;

b) The depth, scope, and organization of your Administrative Analysis paper; and,

c) Your conclusions, including a description of the impact of these articles and Chapters on any Healthcare Organization.

ASSIGNMENT RUBRICS

Assignments Guidelines1 Points10%
Introduction2.5 Points25%
Your Strategies5 Points50%
Conclusion1.5 Points15%
Total10 points100%

ASSIGNMENT GRADING SYSTEM

A90% – 100%
B+85% – 89%
B80% – 84%
C+75% – 79%
C70%  – 74%
D60% – 69%
F50% – 59% Or less.

Dr. Gisela LLamas     

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APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐  The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

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