Deliverable 5 - Revenue Cycle Management and Reimbursement Models

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HSA5400_Del5_Dr_Ides_Notes.docx

HSA5400 – Deliverable #5

What am I creating? PPT Presentation

What needs to be included? Speaker notes OR Voiceover OR both – (Take NOTE: using speaker notes for each slide)

What content are we adding?

1. Outlining the RCM (Revenue Cycle Management) process

a. Include: Value-Based Care Models Definition per CMS

i. Include in the VBC discussion: ACO’s and Medicare Shared Savings Program

2. Conclude with a Recommendation that offers a STRATEGY to strengthen financial operations as we switch from FFS (fee-for-service) to VBC

Criteria #1: Clear and thorough discussion of value-based care models as introduced by the Centers for Medicare and Medicaid Services (CMS). Includes multiple examples or supporting details per topic.

Criteria #2: Comprehensive recommendation for a possible strategy to strengthen the organization’s financial operations in preparation for the transition to value-based care. Includes multiple examples or supporting details .

Criteria #3: Presentation included comprehensive speaker notes ((Take NOTE: using speaker notes for each slide) or narration.

Additional Resources:

RCM:

AAPC - What Is Revenue Cycle Management (RCM)?

TechTarget - revenue cycle management (RCM)

Revenue Cloud

VBC Models:

Value-Based Care

What are the value-based programs?

Value-Based Care Spotlight

Basics of Value-Based Care

ACO’s

Accountable Care and Accountable Care Organizations (CMS)

Medicare Shared Savings Program

Shared Savings Program

Shared Savings Program (About the program) CMS

Strategy for implementing VBC

Five Strategies for Success When Implementing Value-Based Care

Preparing the Healthcare Revenue Cycle for Value-Based Care

Defining and Implementing Value-Based Health Care: A Strategic Framework

Value-based care: 4 tips to manage the switch