Healthcare Reimbursement: Create a white paper.

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Submit your entire white paper. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course.
The final project for this course is the creation of a white paper.  

Guidelines for Submission: This white paper should include a table of contents and sections that can be easily separated for each department area. It should be a minimum of eight pages (in addition to the title page and references). The document should use 12-point Times New Roman font, double spacing, and one-inch margins. Citations should be formatted according to APA style.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.  
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge. 
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.

In this assignment, you will demonstrate your mastery of the following course outcomes:  
 Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle   Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements 

 Analyze organizational strategies for negotiating healthcare contracts with managed care organizations   Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations 

 Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on pay for performance incentives

  • 10 years ago
  • 40
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