Directions: Answer Each Of The Following Questions Your Resp

Directions Answer Each Of The Following Questions Your Responses Sh

Answer each of the following questions. Your responses should be 3-5 sentences in length for each question.

1. What are the primary functions and competencies of a hospital patient service representative?

2. What is the diagnosis-related groups (DRGs) system?

3. What should you write on an employment application if the question does not apply to you or cannot be answered?

4. Which items should be included on a complete résumé?

Part II: CRITICAL THINKING

1. Mr. Green’s elderly grandmother has been a patient at your hospital. He comes to your office demanding a copy of his grandmother’s financial records because he is concerned about the charges in her bill. What do you tell him?

2. As a medical office assistant in a physician’s office, you are asked to consider the role of the diagnosis-related group when you are communicating a patient’s admitting diagnosis to the hospital. Why should you do this, and what should you remember to do?

3. During your interview, the interviewer begins asking questions about your personal life, such as your marital status, plans for a family, ethnic background, and physical and psychiatric problems. You realize these questions are illegal and do not have to be answered. How do you respond to them?

Paper For Above instruction

Hospital patient service representatives (PSRs) play a crucial role in healthcare management by acting as the primary point of contact between patients and the hospital. Their primary functions include assisting patients with registration, verifying insurance information, coordinating patient services, and providing general customer service. Competencies essential for PSRs encompass strong communication skills, attention to detail, empathy, professionalism, and a thorough understanding of hospital policies and billing procedures. They must be adept at managing sensitive information and navigating complex administrative systems to ensure a smooth patient experience while maintaining compliance with healthcare regulations (American Hospital Association, 2020).

The diagnosis-related groups (DRGs) system is a classification method used to group hospital cases into categories that are expected to have similar hospital resource use and clinical characteristics. Developed for Medicare purposes, DRGs are utilized by healthcare providers and payers to determine reimbursement rates. This system encourages efficiency by incentivizing hospitals to optimize resource utilization and improve care pathways. Understanding DRGs helps healthcare professionals communicate effectively with insurance companies and ensure proper billing and coding practices (Fetter et al., 1980).

When filling out an employment application and a question is not applicable or cannot be answered, it is appropriate to write “N/A,” which stands for “not applicable.” This indicates that the question does not pertain to your situation without leaving it blank or providing false information. If the question cannot be answered due to confidentiality or legal concerns, you may also write “Prefer not to answer,” depending on the context and company policies. Providing clear and honest responses helps prevent misunderstandings and maintains professionalism (Society for Human Resource Management, 2021).

A complete résumé should include essential items such as your contact information (name, phone number, email address, and mailing address), a professional summary or objective statement, educational background, work experience with job titles and responsibilities, relevant skills, certifications, and references. Additionally, including a section for awards, volunteer work, or professional affiliations can enhance your profile. Ensuring that the résumé is well-organized, free of errors, and tailored to the specific job application increases your chances of making a positive impression (Boushey & Burk, 2010).

Part II: CRITICAL THINKING

In the scenario involving Mr. Green, it is important to adhere to legal and ethical standards by explaining to him that medical and financial records are protected by privacy laws such as the Health Insurance Portability and Accountability Act (HIPAA). You should inform him that access to his grandmother’s records requires proper authorization or legal documentation, such as a power of attorney or consent from the patient if they are capable. Offering to assist him in understanding the process or directing him to the appropriate department maintains transparency while respecting patient confidentiality (U.S. Department of Health & Human Services, 2013).

Considering the role of diagnosis-related groups (DRGs) is essential when communicating a patient's admitting diagnosis to the hospital, as it affects billing, reimbursement, and care planning. The medical office assistant should remember to provide accurate and concise information, ensuring that the admitting diagnosis aligns with the clinical documentation. Awareness of DRGs helps facilitate effective communication with hospital staff and billing departments, promoting efficient administrative processes and appropriate resource allocation (Fetter et al., 1980).

If an interviewer asks illegal or intrusive questions about personal matters such as marital status, family plans, ethnicity, or health issues, the appropriate response is to politely decline to answer, citing privacy rights and legal protections. For example, you could say, “I prefer not to discuss that,” or “That question is not relevant to my qualifications for this position.” Maintaining professionalism and redirecting the conversation back to your skills and experience is advisable to avoid violating employment laws (U.S. Equal Employment Opportunity Commission, 2018).

References

• American Hospital Association. (2020). The role of hospital patient service representatives. Hospitals & Health Networks.
• Fetter, R. B., Kane, R. L., McGlynn, E. A., & Asch, S. M. (1980). Diagnosing hospital efficiency—A comparison of methods. Medical Care, 18(11), 1021-1032.
• Boushey, H., & Burk, S. (2010). The guilt-free résumé: How to write a résumé with confidence. JIST Works.
• Society for Human Resource Management. (2021). Best practices for employment applications. HR Magazine.
• U.S. Department of Health & Human Services. (2013). Summary of the HIPAA Privacy Rule. HIPAA Privacy Rule & Security Rule.
• U.S. Equal Employment Opportunity Commission. (2018). Employment discrimination: Prohibited job questions. EEOC Statutes and Regulations.