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Identify the different components of TRICARE billing and different types of benefits available to active duty members, veterans, and their family members.

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Identify the different components of TRICARE billing and different types of benefits available to active duty members, veterans, and their family members.

Please use correct English grammar, spelling and punctuation. EACH part should be between 2-4 pages not including title page and reference page. Overall response needs be formatted according to APA style.

Please explain why the following are important for medical billers and coder to understand:

Part 1

1. history and impact of health insurance on health care reimbursement process and recognize various types of health insurance coverage.

2. Being able to identify the key elements of a managed care contract and identify the role HIPAA plays in the health care industry.

3. Recognizing and being able to explain the different components of physician and hospital billing and differentiate between the two types of services.

Part 2

5. Identify the different components of TRICARE billing and different types of benefits available to active duty members, veterans, and their family members.

6. Understand the history of workers’ compensation and distinguish between federal workers’ compensation and state workers’ compensation.

7. Explain the importance of the Explanation of Benefits and Electronic Remittance Advice forms.

8. Understand the reimbursement follow-up, explain the appeals process for reimbursement, and identify refund guidelines.

Please include at least 3 scholarly articles within your response.

explain your professional objectives, professional interests, and strengths as an applicant

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explain your professional objectives, professional interests, and strengths as an applicant

Write an introductory cover letter of no more than 500 words in which you explain your professional objectives, professional interests, and strengths as an applicant

. Both the cover letter and resume should be formally written using a professionally accepted format. Review “Resume Resources,” located at for http://www.resume-resource.com/examples-medical.html for examples of approved formats; however, other professional templates may be used.

Share your resume with a colleague and elicit their feedback. Revise your resume if needed and submit the resume in the assignment section of the course.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin

  • attachment

    ProfessionalCoverLetterweek1.docx

Determine the barriers to implementation of the solution.

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Determine the barriers to implementation of the solution.

Please make sure that your writers are properly writing the final references of the journals correctly. The last paper the writer did not write the journal reference in the right format. Example, what he/she did was
Markinsin, J. The effects of health on others. Retrieved from http://journal of health management.
THIS IS INCORRECT FORMAT!!!!!!!!!!!!!!!!!!!!!!!!!!
All journals should be written as such:
Markinson, J. (2014). The effects of health on others. The Journal of Health Management, 6(3), p. 101-120.
The writers should know this. Please let me know if anything else is needed. This upcoming assignment is straightforward paper. Let the writers know that at least TWO scholarly nursing journals should be used.
 
ASSIGNMENT DETAILS:
As of 2014 health care expenditures in the United States are near 17% of our gross domestic product (GDP), with a major portion of Medicare funding goes towards chronic illness and care at the last 6 months of life. The Patient Protection and Affordable Care Act has made some initial legislative changes in our health system, but not sufficient to address our growing expenditures and caring for our large aging population. In this assignment, learners will synthesize issues in aging with health policy solutions by writing a paper on one health issue for older individuals addressed in the topic and offering a policy solution. Example of issue: In 2014, over 50% of the costs of institutional long-term care for older persons are paid for with public funds from Medicaid.
Directions:
Write a 12000-1500 word paper that addresses a health issue for older individuals. Include the following:
1.Evaluate what the literature suggests as a resolution to your chosen issue.
2.Discuss any attempts to incorporate the solution into public policy.
3.Determine the barriers to implementation of the solution.
4.Analyze the options being discussed for public and/or private funding.
5.Propose your own recommendation.

Evaluate the theory using the CTE steps

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Evaluate the theory using the CTE steps

Please pay attention to the questions, Proper in-text citation, references, use of English and the use of subheadings.

Directions:

Write a 1,000-1,250 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing. Translate and apply the selected theory to nursing practice using actual examples. Evaluate the theory using the CTE steps below:

1. Evaluation of the conceptual-theoretical-empirical linkages.

2. Evaluation of the selected theory.

3. Evaluation of the empirical indicators.

4. Evaluation of research findings.

5. Evaluation of the utility and soundness of the practice theory.