module 6 prep
6/1/23, 10:39 AM Module Six Project Preparation Guidelines and Rubric - IHP-630-Q4555 Healthcare Fin & Reimbursement 23TW4
https://learn.snhu.edu/d2l/le/content/1294006/viewContent/23784935/View 1/2
Overview
In this module, you learned about the internal and external revenue-cycle workflows, and how these are impacted by insurance plan requirements and regula�ons. You also read about
the opera�onal workflows within a healthcare revenue cycle.
This assignment will allow you to assess the impact of internal and external revenue-cycle workflows on strategic planning and financial management and iden�fy front-end, middle,
and back-end revenue-cycle processes within opera�onal workflows.
The assignment will help you prepare for sec�ons 3 (Healthcare Reimbursement), 4 (Revenue Cycle Process), and 5C (Technology and System Impacts) in the course project.
Direc�ons
Create an analysis report to assess an organiza�on’s internal workflows from the context of improving cash flow and financial strength. If you need wri�ng support, access the Online
Wri�ng Center through the Academic Support module of your course.
Specifically, you must address the following rubric criteria:
1. Pa�ent Registra�on: Analyze the significance of the steps in the opera�onal workflow for registering a pa�ent prior to a diagnos�c procedure. Consider the following ques�ons
to guide your response:
What is the significance of the pa�ent financial responsibility agreement?
When should the provider present an advance beneficiary no�fica�on of noncoverage to the beneficiary?
2. Errors Impac�ng Cash Flow: Analyze the revenue-cycle errors that may occur in internal and external workflows that can impact a healthcare organiza�on’s cash flow and
financial strength. Consider the following ques�ons to guide your response:
What errors can occur that will impact revenue integrity?
How do these errors affect the organiza�on’s cash flow?
3. Preven�on of Errors: Explain how the errors you described can be prevented. Consider the following ques�ons to guide your response:
What changes in the process will help prevent these errors?
What tools or systems can you use to prevent these errors?
4. Workflow Improvements: Recommend at least two workflow process improvements across the front-end, middle, and back-end revenue-cycle processes. These workflow
improvements must not be directly related to the error-preven�on recommenda�ons you provided. Consider the following ques�ons to guide your response:
What improvements can you recommend for internal processes?
What improvements can you recommend for external processes?
All the claims in your deliverable should be evidence based. Your cita�ons should be from your independent search for evidence (not from the textbook or module resources) of credible
sources and be current within the last five years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to the IHP
630 Library Guide located in the Start Here sec�on of the course for addi�onal support.
What to Submit
6/1/23, 10:39 AM Module Six Project Preparation Guidelines and Rubric - IHP-630-Q4555 Healthcare Fin & Reimbursement 23TW4
https://learn.snhu.edu/d2l/le/content/1294006/viewContent/23784935/View 2/2
Submit your analysis report as a 4- to 5-page Microso� Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Also include a �tle page. Sources
should be cited according to APA style.
Module Six Project Prepara�on Rubric
Criteria Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value
Pa�ent Registra�on Exceeds proficiency in an excep�onally clear and insigh�ul manner, using industry-specific language
Analyzes the significance of the steps for registering a pa�ent prior to a diagnos�c procedure
Shows progress toward proficiency, but with errors or omissions
Does not a�empt criterion 20
Errors Impac�ng Cash Flow Exceeds proficiency in an excep�onally clear and insigh�ul manner, using industry-specific language
Analyzes the revenue cycle errors that may occur in internal and external workflows that can impact a healthcare organiza�on’s cash flow and financial strength
Shows progress toward proficiency, but with errors or omissions
Does not a�empt criterion 20
Preven�on of Errors Exceeds proficiency in an excep�onally clear and insigh�ul manner, using industry-specific language
Explains how the described errors can be prevented
Shows progress toward proficiency, but with errors or omissions
Does not a�empt criterion 20
Workflow Improvements Exceeds proficiency in an excep�onally clear and insigh�ul manner, using industry-specific language
Recommends at least two workflow process improvements
Shows progress toward proficiency, but with errors or omissions
Does not a�empt criterion 15
Ar�cula�on of Response Exceeds proficiency in an excep�onally clear and insigh�ul manner
Clearly conveys meaning with correct grammar, sentence structure, and spelling, demonstra�ng an understanding of audience and purpose
Shows progress toward proficiency, but with errors in grammar, sentence structure, and spelling, nega�vely impac�ng readability
Submission has cri�cal errors in grammar, sentence structure, and spelling, preven�ng understanding of ideas
10
Scholarly and Professional Sources
Incorporates more than two scholarly, current (within the last five years) sources, or use of sources is excep�onally insigh�ul
Incorporates two scholarly, current (within the last five years) sources that support claims
Incorporates fewer than two scholarly, current (within the last five years) sources, or not all sources support claims
Does not incorporate sources
10
APA Style Formats in-text cita�ons and reference list according to APA style with no errors
Formats in-text cita�ons and reference list according to APA style with fewer than five errors
Formats in-text cita�ons and reference list according to APA style with five or more errors
Does not format in-text cita�ons and reference list according to APA style
5
Total: 100%