Examine the reimbursement processes of different health insurance plans.
Course outcome assessed/addressed in this Assignment:
HI215-2: Examine the reimbursement processes of different health insurance plans.
Instructions: Comparison Table for PPS’s in Post-Acute Care (PAC)
You have examined numerous payment models thus far for Medicare-Medicaid PPS systems for both inpatient and non-inpatient services.
- Choose five of the services addressed in Chapters 6 and 7 (Inpatient, Physicians, HOPPS, ACS, ESRD, Safety Net, or Hospice) and prepare a comparison table of the five settings to include the following:
- Name of Setting
- Structure of PPS Payment System
- Potential Adjustments
- Example payment for service
- Special Circumstance
- An example table is illustrated here. Your table may be developed in Excel, PowerPoint, or a Word document.
Provide a narrative to accompany your table explaining the five services you have outlined and their payment structure.
Requirements
If table is developed in Excel or PowerPoint, copy and paste into your Word document. Submit the completed table and narrative to the Unit 6 Dropbox.
Please be sure to download the file “Writing Center Resources” from Doc Sharing to assist you with meeting APA expectations for written Assignments.
Submitting Your Work
Put your responses in a Microsoft Word document. Save it in a location and with the proper naming convention: username-CourseName-section-Unit 6_Assignment.doc (username is your Kaplan username, section is your course section, 6 is your Unit number). When you are ready to submit it, go to the Dropbox and complete the steps below:
- Click the link that says “Submit an Assignment.”
- In the “Submit to Basket” menu, select Unit 6: Assignment.
- In the “Comments” field, make sure to add at least the title of your paper.
- Click the “Add Attachments” button.
- Follow the steps listed to attach your Word document.
To view your graded work, come back to the Dropbox or go to the Gradebook after your instructor has evaluated it. Make sure that you save a copy of your submitted project.
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