Assignment 9

Skill:



Work with the Revenue Cycle process

Roles in HIM incorporating the skill:



Billing/Collection Specialist



Billing/Collection Supervisor

Delivery areas (Practice settings):



Hospitals/Ambulatory Care Settings



Physician practices



Insurance Companies



Any alternate healthcare setting such as SNF or Rehab

Presentations/ Instructions:



https://www.youtube.com/watch?v=tY_LWOF60uM



https://www.youtube.com/watch?v=nx14qi8kxMI



https://www.youtube.com/watch?v=Ed6a0wNrrgo



https://www.youtube.com/watch?v=PHZjmdMSoe0



Review the OIG website



Web search for state insurance plans and how they work





Review of the Affordable Care Act and how it impacts the public

Critical Thinking exercise (PPE project):



Develop a revenue cycle compliance plan



Helpful website:

https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Complianceand-Audits/ComplianceProgramPolicyandGuidance.html

https://revcycleintelligence.com/news/3-ways-to-build-an-effective-hospital-complianceprogram

https://revcycleintelligence.com/news/5-key-ways-to-ensure-hospital-complianceprogram-consistency

https://streamlinehealth.net/HIM-blog/revenue-integrity-can-organization-best-achieve/ https://www.youtube.com/watch?v=96buN4MFieI&feature=youtu.be