Question

1) In healthcare, what can be done to improve outcomes without raising costs? Or, are the two issue too interrelated to not impact both?

2) As a healthcare professional, how would you standardize medical necessity when it comes to billing? Is there a way to avoid fraud and abuse and assure quality care for the patients?

Answer 1

1)To improve the health care outcome without increasing the cost the following can be done

• Health educating the patient and relatives
• Continuing nursing and medical education program to this health care professionals
• Creating awareness through social media if there is a outbreak if any epidemic disease
• Telemedicine can reduce the cost for patient

2) Medical necessity are the documentation given to the patient party to claim insurance for it .It explains completely about the bill and medical codes.So that the client can use only those ccodes which is his treatment done by health care professionals.

The frauds can be avoided by maintaining everything in a computerized storage method.It has to be cyber secured to avoid hacking by strangers. Access should be provided only to the patient and health care professionals like Electronic health records and personal health records