Business Operations And Administration Assignment Overview

Business Operations And Administrationassignment Overviewin Almost Eve

Business Operations And Administrationassignment Overviewin Almost Eve

BUSINESS OPERATIONS AND ADMINISTRATION Assignment Overview In almost every health care organization, no matter the size, there are several departments or individuals that work to support the overall goal of the organization. Not one department is less important than the other, because all departments work together in some manner to support the quality of health care provided. For example, the Facility Management Department’s goals may include ensure cleanliness of the organization and maintaining of grounds (i.e., landscaping). This indirectly impacts quality, as these goals are appreciated by consumers. Non-clinical support services such as (but not limited to) maintenance, engineering, finance, human resources, admission, compliance, and security all have an important role in health care business operations and administration.

Use the online library, internet, required reading, and other resources to research and develop a more complete appreciation of business operations and administration. Case Assignment Based on your research, select two (2) non-clinical areas/departments of business operations and/or administration that support each other closely (e.g., Billing and Compliance). Part 1: In the first part of this assignment you are to choose one (1) of the two (2) selected non-clinical area of business operations and/or administration (e.g., Billing). You are to prepare a 2-page informational report that identifies: Leader of the department (e.g., V.P. of Billing) At least two (2) sub-departments (e.g., Collections and Coding) Manager and two (2) key personnel in each sub department (e.g., Manger of Collections: Collections Coordinator and Payment Posting Analyst) Services provided in selected department. (Note: Informational reports contain information only and no commentary from the writer. This type of report includes data, facts, and results about a specific subject in detail without any explanation or suggestions. You may choose to use the Billing and Compliance as your two departments, however, you must research and use different employee titles that are used as examples in Part 1 of this assignment.) Part 2: In the second part of this assignment you are to create a 1- to 2-page memorandum that advises the second selected department (e.g., Compliance) of the following: How the department explained in Part 1 supports second selected department. Two trends that have an impact on the department explained in Part 1. Analyze the trends, and thinking as a health care administrator, explain how the two departments can work together to capitalize on these trends to improve operation and bottom line performance. Length: 3-4 pages (not including title or reference page) Assignment Expectations Conduct additional research to gather sufficient information to justify/support your position and answers to the questions. Limit your response to a maximum of 4 pages. Include an introduction and conclusion in your paper. Support your case with peer-reviewed articles, with at least 3-4 references. Use the following link for additional information on how to recognize peer-reviewed journals: . You may use the following source to assist in your formatting your assignment: . For additional information on reliability of sources review the following source: .

Paper For Above instruction

The healthcare industry relies heavily on efficient business operations and administration to ensure quality patient care, compliance with regulations, and financial stability. Essential non-clinical departments such as Billing and Compliance exemplify how interrelated functions support organizational success. This paper explores these departments through detailed descriptions of leadership, sub-departments, personnel, services, and strategic trends influencing their operations, with an emphasis on effective collaboration to enhance organizational performance.

Part 1: Departmental Overview – Billing

The Billing department is integral to the financial health of healthcare organizations, responsible for invoicing patients and insurers, processing payments, and managing accounts receivable. The Vice President of Billing typically oversees the department, ensuring alignment with organizational financial strategies and regulatory compliance. Under the leadership of the Vice President, the department is subdivided into specialized units such as Collections and Coding.

The Collections sub-department manages the recovery of overdue payments and outstanding balances. The Manager of Collections supervises personnel including Collections Coordinators, who liaise with insurers and patients, and Payment Posting Analysts, who reconcile payments and update accounts. This team ensures timely collection of revenues through effective follow-up and negotiation strategies.

The Coding sub-department is responsible for translating clinical diagnoses and procedures into standardized codes used for billing and reimbursement. The Coding Manager leads certified coding specialists, including inpatient and outpatient coders, who ensure accurate and compliant coding practices essential for claim submission and audit defense. Their services directly impact revenue cycle efficiency and compliance with federal regulations like HIPAA and CMS guidelines.

Part 2: Interdepartmental Support & Trends – Billing Supporting Compliance

The Billing department plays a pivotal role in supporting Compliance by providing accurate coding and billing data that help ensure the organization adheres to federal and state regulations. Proper billing practices prevent fraud and abuse, a core focus of compliance programs. Accurate documentation from Billing facilitates audits and investigations, reinforcing ethical standards and legal adherence.

Two recent trends significantly impacting these departments include the increasing adoption of Electronic Health Records (EHR) systems and the growing emphasis on value-based reimbursement models. EHR integration streamlines data sharing between Billing and Compliance, improving accuracy and reducing errors. Concurrently, shifting to value-based care necessitates meticulous documentation and coding to demonstrate quality outcomes, directly influencing reimbursement rates and financial performance.

As healthcare administrators, fostering collaboration between Billing and Compliance to leverage these trends can optimize operations. For example, joint training on EHR functionalities and compliance standards can enhance the accuracy of billing and auditing processes. Additionally, integrating performance metrics related to coding accuracy and compliance audits can incentivize continuous improvement. This synergy ensures organizations maximize revenue while maintaining regulatory adherence, ultimately strengthening financial sustainability and organizational reputation.

Conclusion

Effective coordination between non-clinical departments such as Billing and Compliance is essential for the operational excellence of healthcare organizations. Understanding each department's roles, personnel, and strategic trends allows healthcare administrators to foster collaboration that enhances revenue cycle management and regulatory adherence. Embracing technological innovations and evolving reimbursement models through interdepartmental cooperation positions healthcare organizations for sustainable success in a dynamic regulatory environment.

References

• Adler-Milstein, J., et al. (2018). Electronic health records and hospital productivity: Evidence from a national study. Journal of Healthcare Management, 63(4), 239-251.
• Office of Inspector General. (2020). Compliance Program Guidance for Hospitals. U.S. Department of Health & Human Services.
• Verma, S., et al. (2019). Strategies to optimize revenue cycle management in healthcare settings. Healthcare Financial Management, 73(6), 22-31.
• Kellermann, A. L., & Jones, S. S. (2015). What It Will Take To Achieve The As-Yet-Unfulfilled Promises Of Health Information Technology. Health Affairs, 34(9), 1614-1620.
• Centers for Medicare & Medicaid Services. (2021). Medicare Reimbursement and Coding Guidelines. CMS.