HIMA 240: Principles of Health Care Reimbursement Methodologies

profileKrisSyh90

Prepare a revenue cycle plan for a community hospital.  Include the following information in your plan:

  • Introduction
  • Evaluation of clinical data required for payment and reimbursement systems (PPS, DRG, RBRVS, RUGs, VBP, Billing/insurance plans).
  • Explanation of chargemaster and claims management applications and processes.
  • Assess effect on healthcare finance of revenue management (cost reporting, budget variances).
  • Summarize revenue cycle management and reporting processes (CCI, X12N).
  • Evaluation of severity of illness and how it impacts the healthcare payment systems.

The format of this plan is like a policy and procedure but is a longer document. Compile your document based on the findings and collection of information for each of the requirements. 

  • a year ago
  • 25
Answer(1)

Purchase the answer to view it

blurred-text
NOT RATED
  • attachment
    order_137589_361851.doc