Evaluation and Management Services

In: Business and Management

Submitted By jetfenn
Words 693
Pages 3
Evaluation and management services or E/M is a service used by private health insurance companies, Medicare and Medicaid for the purpose of reimbursement to providers for patient encounters within the United States. E/M is used in determining the type and extent of the condition of a patient. Current Procedural Terminology (CPT) Codes are used in conjunction with E/M codes to document and bill for reimbursement of specific services.

Evaluation and Management Services
To determine the level of evaluation and management services that are provided to a patient, the key components and contributing factors need to be assessed. The procedure would be to identify if the patient is a new or established patient, where the patient is being seen, is this a consultation, is the patient being seen for an illness or preventive care, determine the level of history, the level of examination, the level of medical decision making (MDM), then assign the proper code (Abraham, 2011).
Evaluation and management service levels are based on any and all documentation found in a patient’s medical record. There are different levels of service for which key components are based on; history, examination and medical decision making. These three components are a reflection of what occurred and is recorded by the doctor in the patient’s medical record. You will find these key components in every patients case with the exception of counseling encounters. By using these key components, you are able to decide what level of service to use (Abraham, 2011).
History is what the patient tells the doctor, There are four elements of a history; Chief Complaint (CC), History of Present Illness (HPI), Review of Systems (ROS), and Past, Family, and/or Social History (PFSH). By reading notes the doctor has written in the medical record, a coder would be able to identify the elements…...

Similar Documents

Measurement and Evaluation in Performance Management

...Measurement and Evaluation in Performance Management Within the Patient Centered Medical Home (PCMH) Sharon R. Jones Grantham University Dr. Jacqueline Carrau- Instructor HPI 632 Evaluating Results and Benefits 23 July 2013 Health-care providers each share one common goal, which is to provide high quality care to their patients. A very effective tool to use in accomplishing this task would be to measure the performance of the organization. Measuring performance will help them to determine how well the organization is accomplishing the established goals. It will allow for an analysis of where and what changes are needed to be made in order to improve performance and to improve the quality of the care provided. If the organization measured the performance, they would be able to understand what is working well in the organization and then they would be able to share what they have learned with other like organization in order for them to learn from their successes or failures. In my research, I found that there are several reasons for measuring performance within the healthcare field. The first reason is Quality Improvement, measuring performance will tell you what you are doing well in and will show you the areas where adjustments are needed. Measuring performance in the healthcare field tells you whether or not the organization is achieving the ultimate goal of improving patient care. Transparency is another reason I found for measuring performance...

Words: 1709 - Pages: 7

Services Management

...SUMMARY Services marketing is a sub field of marketing and refers to both business to consumer (B2C) and business to business (B2B) services, and includes marketing of services like telecommunications services, financial services, all types of hospitality services, car rental services, air travel, health care services and professional services. The problem in service marketing is always found in the people, because it is the people who peraform any service. The thing that matters in service marketing is you always create value for your customers, if you try to capture the customers profit, it might be possible that customers may not buy your product. What matters is that one should create value from the cost he is incurring. In times of bad situation focus on value rather than on cost. There are four sources of value: 1) Product 2) Facility 3) Organization and expertise 4) Reputation and image It is very important to know your customers in order to know on what basis to differentiate otherwise you will end up differentiating on price only which can be disastrous for a manufacturer of product or service. What is a strategy: It means defining the customer in order to make a difference to them and vice a versa. Service Scope: It is the circumstances that are prevailing when the services are delivered. It can help hindering the value of the service. The more intangible the service is the more the value of service scope is. Customer satisfaction is the sum total......

Words: 357 - Pages: 2

Management Evaluation

...shopping needs Aims and Objectives 1. To build a thriving business amidst the recent economy crisis 2. Become an active competitor against Smyths 3. Increase turnover within the months leading up to Christmas to avoid risk of collapse 4. Become a leading member of the TOYMASTER family 5. Ability to expand store and create other branches 6. Continue providing quality products at great competitive prices 7. Continue providing quality customer care and service 8. To provide pleasant and friendly atmosphere for customers 9. Continuous care and welfare of employees SWOT ANALYSIS OF TOYS4YOU Strengths: * Location: Located on main road with lots of passing trade and footfall. Store is close to a school which gives the store more potential customers. Location also has good parking space. * Brands: Store stocks recognisable and highly demanded brands like LEGO, Vtech, Sylvanian Families, Playmobil, etc. * Customer Service: Store personnel have excellent customer service skills, always eager to help customers who need advice on toys to purchase. * E-business: Store has an online store where customers who cannot get to the store can purchase goods online. With online store being one of the preferred means of shopping, the online store is a huge plus for the business. Weaknesses * Advertising: Business have limited budget which limits their ability to advertise their business. * Employee Description: Store employees......

Words: 2285 - Pages: 10

Service Management

...In modern business, it is more important than ever for companies to provide quality customer service if they wish to remain competitive. Instilling a culture of service through a mission statement to guide the business is one of the most effective ways to accomplish this. This essay will present and analyse a scenario where customers experience poor service to demonstrate the quality gaps that result from a company that lacks a service culture. In addition, it will draw from a variety of sources to affirm the need for companies to create a service culture. Finally it will recommend changes that a company may implement to improve their own service culture. The following scenario takes place in a restaurant, one of the most customer-service orientated businesses in all industries: The customer experienced pangs of hunger indicating to her a desire for lunch, as she and her companion strolled past Chantilly’s Coffee Lounge, they were attracted to the warm and refined atmosphere that it exuded. Undoubtedly this was due to the excellent décor that combined dark wood, cream walls and cheerful lighting of a warm yellow. However as they entered they waited 10 minutes to be seated which was disappointing as the café was not at full capacity. As they were seated, they found there was only one menu on the table for two, and they expected the waitress to bring them another menu. Unfortunately this did not occur and eventually requested another menu. As they perused the menu they......

Words: 1790 - Pages: 8

Analysis and Evaluation of Crisis Management

...Running head: Analysis and Evaluation of Crisis Management Student’s name Institution Course Professor Date Introduction Public relations shortened as PR is all about the practice of management especially concerning spread of information between an organization or an individual and the public in general (Jim, 2010). In most cases, public relations consist of an individual or an organization achieving exposure to their spectators using topics that are of public interest and also news items that in many cases do not require direct payment (Macnamara, 2012). The main objective of public relations by an organization habitually is to convince the public, employees, partners,investors and other company stake holders to uphold a given point of view about the organization, its products, and leadership or of political decisions (L’Etang & Jacquie,2008). The main common activities consist of winning industry awards, speaking at conferences, proper employee communication and working with the press. Qantas is an Australian airline company established in 1920’s and it is the eleventh world largest airline and the 2nd oldest airline company in the world (Marianna, 2012). It is a company that was founded in the Queensland outback as the Queensland and the northern territory aerial services. This airline company was previous a government owned company; it did not view efficiency or profits as its major objective (Lynam,......

Words: 1792 - Pages: 8

It Service Management

...IT Service Specification For EuroNetBank IT Service Specification (Version) 1.0 Prepared by #MY NAME# ENB IT Division #HAND IN DATE# Revision History Name | Date | Reason For Changes | Version Number | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Contents 1. Introduction 4 Purpose 4 Document Conventions 4 Stakeholders 4 Project Scope 4 References 4 2. Overall Description 5 IT Service Specification 5 Product Features 5 Use Case Diagram 5 Bank Account Management System 6 Use Case: Create new Bank Account 6 Use Case: Transaction 7 Use Case: Generate monthly statement: 7 Credit Card Management System 8 Use Case: Make an application: 8 Use Case: Activate credit card: 8 Use Case: Generate monthly statement: 9 Use Case: Maintain customer personal information: 9 Use Case: Check transaction and statement information: 10 Operating Environment 10 Design and Implementation Constraints 10 User Documentation 10 Assumptions and Dependencies 11 3. System Features 12 4. External Interface Requirements 16 User Interfaces 16 Hardware Interfaces 16 Software......

Words: 4114 - Pages: 17

Service Management

...empowered to deliver service excellene embodied in the product. With those employees, we have to make idea generatiion and concept developmeent testing. After that, systems for NSD should be established to do business analysis. At this point, we should consider that social norms need to be considered. Next, we have to gain significant competitive advantage based on innovative technology. Then, we can test our product and marketing with those enablers. Lets make an exmaple 1. Sk has to hire the technician and engineer for developing network(idea) 2. Sk has to analyze whether this idea is economically, technologically and socially acceptable. 3. Sk has to test the service if it works or not based on the technology given. Lastly, if it works, Sk can launch this service product. 2. In Strategic position, there are 2 types of structural alternatives, which are lower complexity and higher complexity. Int his process, complexity means that if degree of complexicity is high, then more personalized and customized products are available. on the other hand, if degree of complexity is low, then it leads to more standard service. Let s assume we are running a clothing store. We currently have lauched 4 basic color t shirs. in order to make more profits, we have launched more types of t shirt, and finally it brings more revenues. on the other hand, we can reduce the number of T shirts design to be unique or very high qualtiy. 3. There are 4 types of approach to service......

Words: 476 - Pages: 2

Service Level Agreement and Service Management

...1 SERVICE LEVEL AGREEMENT(SLA) AND SERVICE MANAGEMENT 1.1 DEFINITION A service is a ready-to-use deliverable that is of value to the customer. Services allow customers to do business without worrying about underlying technology or IT infrastructure. Service management is a business strategy that aims to upgrade the services that a company provides, by synchronizing service parts and resources forecasting, service partners, workforce technicians, and service pricing. In order for a service to continous meet customers needs it must be managed this is because technology is always changing so as business environment due to this fact customers need will always vary time to time. The service level agreement can be defined as the contract between the service provider and customer that specifies number of measurable terms describing the quality, perfomance, Availability of the service, priorities,obligation of invloved parties,type of the service provided and mode of provision, The schedule for notification in advance of network changes that may affect users. Most common companies uses Service Level Agreement are in :-  Telecommunication companies  IT service providers  Internet Service Providers (ISP)  outsourcing. Most recently,Information System departments in organization has adopted the idea of writing a service level agreement so that services for their customers (users in other departments within the organization) can be measured and justified. The service level......

Words: 1643 - Pages: 7

Service Management

...National Air is a competitive air-express firm with offices around the country. Frank Smith, the Chattanooga, Tennessee, station manager, is preparing his quarterly budget report, which will be presented at the Southeast regional meeting next week. He is very concerned about adding capital expense to the operation when business has not increased appreciably. This has been the worst first quarter he can remember: snowstorms, earthquakes, and hitter cold. He has asked Martha Lewis, field services supervisor, to help him review the available data and offer possible solutions. Service Methods National Air offers door-to-door overnight air-express delivery within the U.S. Smith and Lewis manager a fleet of 24 trucks to handle freight in the Chattdisanooga area. Routes are assigned by area, usually delineated by zip code boundaries, major streets, or key geographical features, such as the Tennessee River. Pickups are generally handled between 3:00 p.m. and 6:00 p.m. Monday through Friday. Driver routes are a combination of regularly scheduled daily stops and pickups that the customer calls in as needed. These call-in pickups are dispatched by radio to the driver. Most call-in customers want as late a pickup as possible, just before closing (usually at 5:00 p.m.). When the driver arrives at each pickup location, he or she provides supplies as necessary (an envelope or box if requested) and must receive a completed air waybill for each package. Because the industry is......

Words: 666 - Pages: 3

Service Management

...installing computer networks. Glandon, Smaltz and Slovensky (2010) stated that integrated healthcare systems helped create the impetus for installing computer networks because information housed in one system may be “ incompatible with the data format” of information stored in another system. Information technology has an important and expanding role in the delivery of high quality healthcare services. Until recently health informatics systems have generally been developed as independent centralized databases. With computing communications technologies now being introduced into major hospitals, many new information services can now be provided to enhance the patient-care provider interaction. The main applications are the office suit and web-browsers. Most companies are moving toward web interface applications and internet explorer is the front runner for testing purposes. References Egan, G. (2005). Computers and networks in medical and healthcare systems. Glandon, G.L., Smaltz, D.H., & Slovensky, D.J. (2008). Austin and boxerman's Information systems for healthcare management (7th ed.). Chicago. Illinois: Health Administration Press. Suggest how the use of a patient ID bracelet containing a bar-code representation of the patient’s ID and a bar-code scanner can lead to improved quality of care in a hospital. new technology, such as patient ID and a bar-code scanner, allows the hospital to increase the quality level of the care provided. They could ensure......

Words: 2311 - Pages: 10

Management Service

...Campground Management Services Campground Management Services (CMS) is a private company that operates campgrounds under concession agreements with federal and state governments. CMS’s strategy is to provide campers with a pleasant camping experience for a reasonable price. They want their sites to be accessible to all. They want to offer great service for planned vacations and campers spontaneously deciding to come by. CMS is responsible for collecting fees, providing maintenance services, and remitting 20% of all revenue collected to the sponsoring agency. The company has headquarters in California. The corporate headquarters consists of ten positions: president, chief financial officer, chief operating officer, human resources director, secretary/treasurer, controller, and four staff accountants. The company also employs seasonal workers in 15 states. Seasonal workers include 50 regional managers and 500 campground attendants. Regional Managers The responsibilities of a regional manager include interacting with government contacts, supervising and training campground attendants, processing fees collected by attendants, and submitting reports to the corporate headquarters. Each geographic region is within a 100 miles radius. Each regional manager is responsible for managing ten campground attendants. Each campground has between 40 and 80 campsites. The qualifications of a regional manager include excellent administrative and supervisory skills, and......

Words: 1179 - Pages: 5

Service Management

...Framework 3 4.0 Research Methodology 3 4.1 Research Design 3 4.2 Sources of data 3 4.3 Sampling and Data Collection Technique 3 4.4 Variable Measurement 3 5.0 Time frame 3 6.0 Conclusion 3 7.0 References 3 1.0 Abstract Internet has become a crucial medium for the purchase of products and services in virtual or online market and it able to link all businesses from different countries. This study aims to examine the factors influencing consumer’s intention to purchase through online from Malaysian perspective. Online trust, Information quality, online purchase experience, price and convenience were evaluated to determine whether these factors are related to online purchase intention. A stratified sampling method was used and the sample comprised of 180 students who are undergraduate and post-graduate study in University of Malaya. Data were collected via self-administrated questionnaire that using five point Likert scale. 2.0 Introduction With the advancement of internet, the electronic commerce (e-commerce) has grown rapidly as internet diminished the boundaries to the world. The internet permits the 24/7 and 365 days availability of goods and services with little or no cost. Surplus seeking consumers and retailers are always searching for markets that are more economically efficient hence, online purchasing (Jiradilok et al., 2014). The low cost of e-commerce gives both businesses and consumers a new and powerful channel for information and......

Words: 4580 - Pages: 19

Comparative Evaluation of Service Operations

...Comparative Evaluation of Retail Service Operations Chris O’Dowd Carlos Rodriguez Doug Sefcik Thao Nguyen Joshua Shibler Sam Lalgee The University of Texas at San Antonio Feasibility Report September 24, 2015       Included below is a feasibility report for the retail operations of five different retail companies. The purpose of this report is to compare these service operations across six major categories:   I. II. III. IV. V. VI. Nature of Services and Classification Competitive Factors Tools and Service Strategies Service Operating Systems Service Quality and Benchmarking Facility Location and Site Selection Each section will be followed by a comparison and evaluation of the service operation systems within that section. The five service organizations that we will be examining in this report are: Best Buy, Wal-Mart, Sak’s Fifth Avenue, Amazon and the specialty kiosk I Play N Talk.     Service Organizations Best-Buy Best Buy was founded by Richard M. Schulze in 1966 and has become a powerhouse in the consumer electronics industry. Their headquarters are in Richfield, Minnesota and they operate in the US, Mexico, and Canada. BestBuy has grown into a huge retail chain spanning over 1,400 stores. They started by the name “Sound of Music” in 1966 until 1983 where it was renamed to what we know it now as Best-Buy. Best-Buy employs around 125,000 people and they generate $40 billion annually. Amazon Amazon is not like most businesses. Although its......

Words: 13435 - Pages: 54

Service Management

...Gaining a Competitive Advantage through Agile Service Management and Operations Changing Business Models The Communication Service Provider (CSP) market is characterized by vertically integrated players with end-to-end ownership of network, operations and consumer businesses. In the near future, the communications industry landscape is expected to change and become a mosaic of specialized service providers pursing varying business models. This is the result of stagnating voice/data revenues, explosive growth in consumer content, rising demand for XaaS (Anything as a Service) among Small and Medium Businesses, and the emergence of new OTT (over the top) players. CSPs have been weighing changes in their business models for the past decade, and have been evaluating options for expanding their reach up the value chain by providing select content services (walled garden model), leveraging their network and data centers to deliver a user experience superior to content service providers (open garden model), or remain focused on being a bandwidth and capacity provider (utility model). While Tier 1 CSPs such as AT&T and Verizon will likely end up experimenting with all of these business models (depending on their lines of services), the tier 2 and tier 3 CSPs will likely have to make choices between the open garden and the utility model, and implement their strategies to remain competitive. A recent survey conducted by the TM forum in May 2011 indicates that 52% of CSPs would......

Words: 1736 - Pages: 7

Service Evaluation of Google Search

...Service operations Case Study: Google Search Table of Contents Executive Summary 3 1. Introduction 4 2. Overview 6 3. Service Analysis 7 Four V’s Analysis 7 Service Transaction Analysis 9 Process Design and Outcome from customer point of view 11 Customer Role in Google Search 11 IP Matrix: 12 Perceived User Value 13 Conclusion 14 4. Issues and Recommendations 15 Service Inventory in Google Search 15 Privacy 17 Google versus the rest of the tech world 19 Dominance of Regional search Engines over Google 20 Conclusion 21 5. Conclusion 22 Bibliography 23 Appendix 25 List of Tables Table 1: Service Transaction Analysis of Google Search 10 Table 2: Outcome of Google Search from customer point of view 11 Table 3: Process of Google Search from customer point of view 11 Table 4: Customer Role analysis in Google Search service 12 List of Figures Figure 1: Methodology of the report 5 Figure 2: Process Map for Google search operation 6 Figure 3: Transformation of input to output in Google Search 7 Figure 4: Four V Analysis of Google Search service 8 Figure 5: Classification of processes according to volume and variety 9 Figure 6: Importance Performance Matrix for Google Search service 13 Figure 7: Perceived User Value Graph of Google and competitor search services 14 Figure 8: Service Inventory produced during the Google Search process 16 Figure 9: Graph comparing visitors to Google and Facebook......

Words: 5895 - Pages: 24

ELA G9: Metaphor and Art - UnboundEd | Queen - Bohemian Rhapsody - The Original Soundtrack - (2018)[FLAC]-[TFM] | 1x01 The Kids Are Alright