Module 4 project prep

Revenue Cycle Process

Reference One

Matson, E. (2018). Give Your Revenue Cycle a Clean Bill of Health. Healthcare Financial Management, 72(9), 20-21.

Relevance: The article is relevant to the subject since it focuses on issues impacting revenue cycles processes

Credibility: It is credible because it is a peer-reviewed journal published in a reliable journal

Gap Assessment: The article does not provide conclusive recommendations on how the findings can be applied widely

Reference Two

Mackey, T. K., Kuo, T. T., Gummadi, B., Clauson, K. A., Church, G., Grishin, D., & Palombini, M. (2019). ‘Fit-for-purpose?’–challenges and opportunities for applications of blockchain technology in the future of healthcare. BMC Medicine, 17(1), 1-17.

Relevance: The article focuses on the challenges and opportunities for revenue cycle improvement

Credibility: Its findings are based on empirical findings and published in the reliable journal

Gap Assessment: While the source explains the challenges and opportunities, it does not base its findings on primary data.

Healthcare Reimbursement

Resource One

Britton, J. R. (2015). Healthcare reimbursement and quality improvement: Integration using the electronic medical record: Comment on" fee-for-service payment- an evil practice that must be stamped out?". International Journal of health policy and Management, 4(8), 549.

Relevance: Healthcare experts who understand healthcare dynamics did the study. Therefore, the findings are relevant to the subject.

Credibility: Its findings are founded on empirical findings and published in the reliable journal

Gap Assessment: The article author only used secondary data to synthesize study findings.

Resource Two

Casto, A. B., & Forrestal, E. (2013). Principles of healthcare reimbursement (p. 371). American Health Information Management Association.

Relevance: The source explains the law and regulations that guide the work of people involved in reimbursement

Credibility: The book was published by a group of professionals from a healthcare association

Gap Assessment: Since a group of professionals did the study from one discipline, the findings may not reflect the dynamics in the entire healthcare.

Strategic Planning

Resource One

Ehrlich, H., McKenney, M., & Elkbuli, A. (2020). Strategic planning and recommendations for healthcare workers during the COVID-19 pandemic. The American Journal of emergency medicine, 38(7), 1446.

Relevance: Provide health professionals and administrators with recommendations on strategic planning.

Credibility: Its findings are based on empirical findings and published in the reliable journal

Gap Assessment: The study's findings cannot be generalized because they provide a restricted working environment.

Resource Two

Hans, E. W., Van Houdenhoven, M., & Hulshof, P. J. (2011). A framework for healthcare planning and control. In Handbook of healthcare system scheduling (pp. 303-320). Boston, MA: Springer US.

Relevance: The article focuses on the challenges and opportunities for revenue cycle improvement

Credibility: Healthcare experts who understand healthcare dynamics did the study. Therefore, the findings are relevant to the subject.

Gap Assessment: While the resource provides an important planning framework, the authors do not explain how the framework can benefit the organization.

Reimbursement Compliance

Resource One

Degelsegger-Márquez, A., & Panteli, D. (2020). Towards reimbursement of mobile digital health applications? An international comparison of practices. European Journal of Public Health, 30(Supplement_5), ckaa165-1327.

Relevance: The resource explains how people dealing with reimbursement can utilize technology to maintain best practices.

Credibility: Its findings are based on empirical findings and published in the reliable journal

Gap Assessment: Since a group of professionals did the study from one discipline, it is possible that the findings do not reflect the dynamics in the entire healthcare.

Resource Two

Green, M. (2020). Understanding Health Insurance: A Guide to Billing and Reimbursement-2020. Cengage Learning.

Relevance: The study, rather than the guide, is based on the topic, which is helping the professional, understand principles that guide billing from a healthcare perspective.

Credibility: Billing is an important aspect of reimbursement compliance. Therefore, the study's findings are reliable and credible to the professionals in the field.

Gap Assessment: The book’s author only used secondary data to synthesize study findings.