Explain some of the common medical billing and coding challenges/issues.
Introduction:
Claims management is the art of consolidating, billing, filing, revising, and managing medical claims, an imperative aspect of the healthcare industry. Medical facilities cannot receive due funds if patients are unaware of how much they need to pay. Ensuring provider organizations understand the fundamentals of medical billing and coding can help providers and other staff operate a smooth revenue cycle.
Tasks:
- Explain some of the common medical billing and coding challenges/issues.
- Explain the impact of improper claims management.
- Describe how technology can be helpful when it comes to medical billing and what tools are available.
Identify and describe five or more compliance issues related to the use of the RFID bands to make and track mobile purchases.
Write
Write a five to seven (5-7) page report using your research. At a minimum, your report must include the following:
1. An introduction or overview of event management systems and the potential security and privacy concerns which could arise when implementing this technology. This introduction should be suitable for an executive audience. Provide a brief explanation as to why three major operating units believe the company needs this capability.
2. An analysis section in which you address the following:
a. Identify and describe your chosen Use Case
b. Identify and describe five or more types of personal / private information or data that will be collected, stored, processed, and transmitted in conjunction with the use case.
c. Identify and describe five or more compliance issues related to the use of the RFID bands to make and track mobile purchases.
d. Analyze and discuss five or more privacy and security issues related to the use case.
e. Identify and discuss 3 or more relevant laws, regulations, or standards which could impact the planned implementation of the event management system with RFID wrist bands.
3. A recommendations section in which you identify and discuss five or more best practices for security and privacy that should be implemented before the technology is put into use by the company. Include at least one recommendation in each of the following categories: people, processes, policies, and technologies.
4. A closing section (summary) in which you summarize the issues related to your chosen use case and the event management platform overall. Include a summary of your recommendations to the IT Governance Board.
Submit for Grading
Submit your research paper in MS Word format (.docx or .doc file) using the Research Report #2 Assignment in your assignment folder. (Attach your file to the assignment entry.)
Additional Information
1. To save you time, a set of appropriate resources / reference materials has been included as part of this assignment. You must incorporate at least five of these resources into your final deliverable. You must also include one resource that you found on your own.
2. Your research report should use standard terms and definitions for cybersecurity.
3. Your research report should be professional in appearance with consistent use of fonts, font sizes, margins, etc. You should use headings to organize your paper. The CSIA program recommends that you follow standard APA formatting since this will give you a document that meets the “professional appearance” requirements. APA formatting guidelines and examples are found under Course Resources > APA Resources. An APA template file (MS Word format) has also been provided for your use.
4. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a) using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and correctly structured sentences and paragraphs.
5. You are expected to credit your sources using in-text citations and reference list entries. Both your citations and your reference list entries must follow a consistent citation style (APA, MLA, etc.).
identify 5 best practices that you can recommend to Padgett-Beale’s leadership team to reduce and/or manage risks associated with the security and privacy of data associated with the event management platform.
Scenario
The Entertainment Team (ET — part of Resort Operations at Padgett-Beale, Inc.) is excited about a new event management platform and is ready to go to contract with the vendor. This platform is a cloud-based service that provides end-to-end management for events (conferences, concerts, festivals). The head of Marketing & Media (M&M) is on board and strongly supports the use of this system. M&M believes that the data collection and analysis capabilities of the system will prove extremely valuable for its efforts. Resort Operations (RO) also believes that the technology could be leveraged to provide additional capabilities for managing participation in hotel sponsored “kids programs” and related children-only events.
For an additional fee, the event management platform’s vendor will provide customized RFID bands to be worn by attendees.
The RFID bands and RFID readers use near-field communications to identify the wearer and complete the desired transactions (e.g. record a booth visit, make a purchase, vote for a favorite activity or performer, etc.).
The RFID bands have unique identifiers embedded in the band that allow tracking of attendees (admittance, where they go within the venue, what they “like,” how long they stay in a given location, etc.).
The RFID bands can also be connected to an attendee’s credit card or debit card account and then used by the attendee to make purchases for food, beverages, and souvenirs.
For children, the RFID bands can be paired with a parent’s band, loaded with allergy information, and have a parent specified spending limit or spending preauthorization tied to the parent’s credit card account.
The head of Corporate IT has tentatively given approval for this outsourcing because it leverages cloud-computing capabilities. IT’s approval is very important to supporters of this the acquisition because of the company’s ban on “Shadow IT.” (Only Corporate IT is allowed to issue contracts for information technology related purchases, acquisitions, and outsourcing contracts.) Corporate IT also supports a cloud-based platform since this reduces the amount of infrastructure which IT must support and manage directly.
The project has come to a screeching halt, however, due to an objection by the Chief Financial Officer. The CFO has asked that the IT Governance Board investigate this project and obtain more information about the benefits and risks of using RFID bands linked to an external system which processes transactions and authorizations of mobile / cashless payments for goods and services. The CFO is concerned that the company’s PCI Compliance status may be adversely affected.
The Chief Privacy Officer has also expressed an objection about this project. The CPO is concerned about the privacy implications of tracking both movement of individuals and the tracking of their purchasing behaviors.
The IT Governance Board agreed that the concerns expressed by two of its members (the CFO and CPO) have merit. The board has requested an unbiased analysis of the proposed use cases and the security and privacy issues which could be reasonably expected to arise.
The IT Governance Board has also agreed to a request from the Chief of Staff that the management interns be allowed to participate in this analysis as their final project. Per the agreement, their involvement will be limited to providing background research into the defined use cases for cashless purchases. These use cases are:
1. Purchases for craft materials and snacks by children (under the age of 13) attending a hotel sponsored “kids club” program.
2. Purchases by Individuals attending a music festival or other event where IDs must be checked to establish proof of age (legal requirement for local alcoholic beverage consumption).
3. Purchases by attendees at trade shows (attendees are “adults”).
Your Task
Pick one of the three use cases listed above. Then, follow the directions below to complete the required research and write your final report.
Research
1. Read / Review the readings in the LEO classroom.
2. Read this introductions to RFID technologies: https://www.gettoken.com/beginners-guide-rfid-technology-events/
3. Research one or more of the Use Cases
a. Children: 8 Benefits of Using RFID Wristbands for Resorts & Attractions (see section 4: Family Freedom) https://www.idcband.com/en-us/blog-us/8-benefits-of-using-rfid-wristbands-resorts-attractions/ and https://tappit.com/resources/blog/rfid-wristband-safety
b. Managing Adult Attendees at Music Festivals (includes RFID bands linked to twitter, Facebook, and credit/debit card) http://www.techradar.com/news/world-of-tech/rfid-wristbands-vs-nfc-smartphones-what-s-winning-the-contactless-battle-1167135
c. Tracking Adults at Trade Shows https://blog.printsome.com/rfid-wristbands-good-bad/
4. Choose one of the Use Cases then find and review at least one additional resource on your own that provides information about privacy and security related laws that could limit or impose additional responsibilities upon Padgett-Beale’s collection, storage, transmission, and use of data about guests. (Note: laws may differ with respect to collecting data from or about children.) You should also investigate laws, regulations, or standards which impact the use of the RFID bands for mobile purchases.
5. Using all of your readings, identify and research at least 5 security and privacy issues which the IT Governance Board needs to consider and address as it considers the implications of your chosen use case upon the adoption or rejection of the proposed IT project (Event Management Platform & RFID bands).
6. Then, identify 5 best practices that you can recommend to Padgett-Beale’s leadership team to reduce and/or manage risks associated with the security and privacy of data associated with the event management platform.
What 2 challenges does the individual or the group present to law enforcement agencies?
This assignment will help you to explain the concept of terrorism, the formation of terrorist organization, their ideological drive, and to explain the challenges terrorists present to law enforcement.
Because of September 11th 2001 terrorist attacks, some people mistakenly assume that “terrorism” is an attack directed at Americans by some foreign groups. This is partially true. In this assignment, you will be studying “home-grown” terrorists (which could be an individual or groups).
- What is domestic terrorism?
- Do some library research. Drawing empirical supporting data or evidence, identify a named domestic/homegrown terrorist group. Explain their ideological drive and/or what they want?
- Identify and explain the characteristics of the group (age, race/ethnicity, social class, educational attainment, location/origin)
- What are 2 strategies used by the group in recruiting members?
- What 2 challenges does the individual or the group present to law enforcement agencies?
- Summarize your post utilizing one theory and 2 related concepts and definitions
Is criminality necessary under a sovereign economy of power? Why?
Write a two-page (double spaced, Times New Roman Size 12) response to one of the following questions. Feel free to simply save this document and write your response below the question you choose to answer. The header and directions will not count against your two-page limit. Cite the week’s readings at least twice in your answer.
Questions:
- Foucault makes the case that the disciplinary economy of power focuses more on the soul/mind than the body. Give an example of a disciplinary method that demonstrates this focus.
- Is criminality necessary under a sovereign economy of power? Why?
- What is a panopticon? Give an example from your daily life and explain how it conditions your behavior.
reference books
Discipline & Punish
Michel FoucaultVintage Books (April 25, 1995)ISBN-10 0679752552ISBN-13 978-0679752554
The Human Condition
Hannah, ArendtThe University of Chicago Press; 2nd edition (December 1, 1998)ISBN-10 0226025985ISBN-13 9780226025988
Political Liberalism
John RawlsColumbia University Press; Expanded edition (March 24, 2005)ISBN-10 0231130899ISBN-13 9780231130899
Bodies That Matter
Judith ButlerRoutledge; 1st edition (May 13, 2011)ISBN-10 041561015XISBN-13 978-0415610155
Discuss the factors that affect HRM in global markets.
1200 words MINIMUM ———–> (not including cover/reference pages, or questions)
Requirement is at least three scholarly articles, ONE maybe the course textbook BELOW
Textbook(s)
Gerhart, B., Wright, P. M., Noe, R. A., & Hollenbeck, J. R. (2021). Human Resource Management Gaining A Competitive Advantage 12e. New York: McGraw-Hill Education.
UNIT5 Complete
- Discuss the six important functional areas of human resource management.
- Discuss how managing cultural diversity can provide a competitive advantage to a firm.
- What are some of the important steps that an organization can follow to ensure a workplace free from sexual harassment?
- Describe what occurs at the goal setting and strategic planning step of the human resource planning process.
- Discuss the factors that affect HRM in global markets.
- Discuss the four competencies that HR professionals require to become partners in the strategic management process.
What areas related to test-taking do you feel need improvement?
What areas related to test-taking do you feel need improvement? What strategies could you utilize to improve your own test-taking skills? List a minimum of five strategies you have identified that will assist in your successful outcome.
Identify the primary functions of the left and right hemispheres.
Biological Basis of Behavior
- Identify the primary functions of the left and right hemispheres.
- Contrast Broca’s aphasia with Wernicke’s aphasia.
List three costs and benefits of an information system.
Please answer the following 4 Questions. You may submit them in a word document.
1. What is a knowledge management system and what is it used for?
2. How do information systems help business managers make decisions?
3. Why is it important to understand how a business process works before developing a new information system?
4. List three costs and benefits of an information system.
Explain why you think this is an important trait.
For this assignment Select 3 traits from the source list under any category. Explain why you think this is an important trait. Support your selection with an additional source.
(2 pages APA format)
