As the largest third-party payer in the United States, CMS (Centers for Medicare and Medicaid Services) has a broad, often unspoken influence over many aspects of a health care organization’s decisions and daily activities. In addition, there are external forces that affect the operations of health care organizations such as accreditors, managed care organizations, and so on.
Using the library to support your thoughts, write a memo of 400–600 words to the organization’s leaders explaining CMS’s influence on the organization.
Give examples. Examples should include how a decision to pick an electronic medical record (EMR) for use in the facility and how much to charge for a service might be influenced by CMS.
Identify at least 1 external force and how you believe it influences decisions at health care facilities.
How do the government agencies and external forces affect the financial operations of the organization?
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