Another weakness is different payer requirements for certain procedures and treatment. There are various items that can prevent the clinic from obtaining revenue for its services such as not having a prior authorization, the payer deems the treatment wasn’t necessary or the payer implemented a new requirement for this treatment that was not met. These are constantly changing and it is difficult for healthcare organizations to keep up with these ever-changing policies. B3. Evaluate at least two opportunities of the organization HG Clinic is a multi-specialty clinic and continues to build on these specialties as they come out and as the healthcare industry grows and changes. This is an opportunity now and in the future that HG Clinic …show more content…
Many healthcare organizations had to implement an electronic health records system (EHR) to meet certain guidelines set forth by the government. This was a technology that the clinic implemented years ago to meet the needs of the patient, the requirements of the insurance companies, lean processes, and government regulations. This software helped also look for opportunities to treat our patients better and track data for population health. HG Clinic is investing in a new billing system that will allow them to track patient data better and improved billing process. These are just examples of opportunities that the clinic implemented and are continuously evaluating their current software and equipment and looking for opportunities for …show more content…
These goals are set every year by the organization and then there are other goals set for each department that role up to the overall organization. One strength is that if you have all goals pointed in the same direction many times you can accomplish them such as lowering accounts receivable for the entire company. In 2016 the AR goal was 46 and HG Clinic met that goal by having all departments have that as a goal for the overall clinic. An example that was used is front end offices were to collect relevant demographic and insurance information to be able to file these charges right away so HG Clinic could collect on these services. This was done all front line