Healthcare ReimbursementResearch and analyze payment methodologies and put into a chart. Then, two scenarios with power points using APA reference stye
This assignment has two steps: Step 1 with a preview & final review must be completed prior to performing Step 2. Step 2 has two scenarios. Use a minimum of 5 resources on this assignment.
STEP 1: Research and analyze the following payment methodologies:
• Prospective Payment Systems (Identify at least 5 types)
Create a visual tool (like a chart, matrix, grid) using a software program to help you understand and identify the following:
• Define every payment methodology
• History of each
• Which payers use it which methods
• What governing body or organization may be involved in managing it
• Which type(s) of healthcare setting it is utilized
(Visual tools may be: Tables, Charts, Diagrams, Mind Maps, etc.) The visual tool is to be clearly defined, readable, professional appearing and fit on 1-2 pages. **This will be an excellent reference to assist you in studying for the CCA or RHIT Exam or preparing for a job interview!
Submit Step 1 to instructor for review prior to working on Step 2. (End of Module 3)
Step 1 is worth 25 points, based on feedback from the instructor, corrections are to be made and resubmitted for final review prior to Step 2.
Final Review is due at the end of Module 4.
NEXT IS STEP 2……
STEP 2: Perform presentations on scenarios A & B.
Scenario A: Physician Group
The independent physician group you work for are starting to renegotiate their insurance contracts with various commercial plans and want to understand the various payment methodologies: Capitation, RBRVS and a prospective payment system that would benefit an independent physician group.
Create a PowerPoint presentation for the physicians that includes the following:
o Definition of each payment method
o Compare and contrast the pro’s and con’s of each
o Provide examples of how they may be paid for the following items:
? Office Visits/Procedures (Provide 2-3 E&M CPT codes)
? Lab tests (Provide 2-3 CPT codes)
? Injections – ie: vaccine or injectable medications (Provide 2-3 CPT / HCPCS codes)
In the PowerPoint you must include:
o what your clinic charge is for the examples provided above
o what the reimbursement may be based on the payment methodology chosen
o Proposal of what methodology they should use for reimbursement of the above examples and why
Scenario B: Nursing Home
The nursing home you are recently hired at has a new nursing home administrator. The administrator would you like you to explain the components of the Resident Instruction Tool (RAI); and how it affects the RUG reimbursement the facility receives.
In a separate PowerPoint geared toward the NH Administrator and staff, explain what encompasses a RUG and how often it is reported to CMS. Formulate a step-by-step plan for the staff to report the RUG’s on the required dates of the patient stay.
Resources: Research should be based on reputable sources, not Wikipedia. Resources include government agencies, Wisconsin Part B insurance provider, commercial payers, professional agencies such as AMA, AHIMA, etc. You may also use the FVTC HIT program library links provided online.
The PowerPoints should have sources noted in APA Reference Style on the final page.
Step 2 (two Powerpoints) is worth 25 points. Step 2 is due at the end of Module 6.
We value our customers, and so ensure that our papers are 100 percent original. Our Team of professionals does not miss the mark; they ensure that step by step each paper is written uniquely. We never duplicate or work as we compare papers rest assured. We deliver our work a day before time to ensure that you don’t miss your deadlines. It is not only doing the work but delivering it at the right time. We capture the consequences of late remittances. .
We value customer satisfaction here at popularessaywriters.com and make sure that you get the best value for your Money. It happens that sometimes you can pay twice for your order or may want to cancel it, or you feel that it doesn’t meet your requirements; our money back guarantee will give you the opportunity to get back your money. We will also refund 100% of money paid double. In case your paper does not satisfy your requirements , we request that you notify us via writing within 2 days otherwise on the third day we will assume that you have been satisfied. Do all your correspondences through our email address email@example.com.Read more
At popularessaywriters.com, our professional writers know the consequence plagiarism does for our clients. We have updated software’s such as article checker and copyscape to check for originality of the custom papers before submission of the final paper to the you. Our guarantee to the customer is that we will write 100% original papers for them that are quality, timely and of low cost. We have experienced professional and competent PhD writers who will write quality custom papers for you..Read more
. At popularessaywriters.com, we are proud to provide top-quality Essay writing service to our esteemed customers. We are ready to take up that challenging academic assignment that is giving you sleepless nights and simplify it for you according to your desired requirements. We are willing to revise your paper if it does not meet your requirements. At popularessaywriters.com, we do not compromise with quality; thus, we offer unlimited free revisions until the customer is satisfied with their custom paper. Our unlimited free revision services are provided under the following terms:.. .Read more
Popularessawriters.com knows that client’s information is an essential tool for our company. It means that whatever the client requests from our service is kept strictly confidential. It means that whoever writes for this company understands the terms and conditions hence you should not be worried because you will never see your work somewhere else...Read more
Rest assured that we will always be attentive to your needs and requirements. We belief in the phrase treat your neighbour as you would want them to treat you. We leave nothing to chance and always look forward to a good interaction with each other.. .Read more