For Expert_Researcher ONLY! Assignment 2-5

ScoringGuideAssessment2-5.pdf

Revenue and Reimbursement Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED

Develop a step-by- step process for a revenue cycle.

Does not develop a step-by-step process for a revenue cycle.

Develops a process for a revenue cycle but does not include each step, or puts steps in an illogical or inaccurate sequence.

Develops a step-by- step process for a revenue cycle.

Develops a step-by-step process for a revenue cycle and explains the function or importance of each step.

Recommend a pricing structure method.

Does not recommend a pricing structure method.

Identifies one or more pricing structures but does not recommend one

Recommends a pricing structure method.

Recommends a pricing structure method and explains how the pricing structure method supports the financial strategies of the organization.

Explain the factors to consider for insurance contract negotiations.

Does not explain the factors to consider for insurance contract negotiations.

Identifies the factors to consider for insurance contract negotiations.

Explains the factors to consider for insurance contract negotiations.

Explains the factors to consider for insurance contract negotiations and identifies the major payer categories appropriate for the practice.

Explain a process for handling private pay and charity care.

Does not explain a process for handling private pay and charity care.

Identifies a process for handling private pay and charity care.

Explains a process for handling private pay and charity care.

Explains a process for handling private pay and charity care and how the process fits into the financial strategies of the organization.

Recommend a billing software system.

Does not recommend a billing software system.

Describes billing software systems but does not recommend one.

Recommends a billing software system.

Recommends a billing software system by comparing the benefits and limitations of each in terms of organizational needs and financial strategies.

Explain how billing process changes benefit physicians, clinics, and patients.

Does not explain how billing process changes benefit physicians, clinics, and patients.

Lists the benefits of billing process changes.

Explains how billing process changes benefit physicians, clinics, and patients.

Explains how billing process changes benefit physicians, clinics, and patients. Provides supporting references and examples.

Write content clearly and logically with correct use of grammar, punctuation, and mechanics.

Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics.

Writes with errors in clarity, logic, grammar, punctuation, and/or mechanics.

Writes content clearly and logically with correct use of grammar, punctuation, and mechanics.

Writes clearly and logically with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.

Format citations and references using APA style.

Does not format citations and references using APA style.

Uses APA to format citations and references but with numerous errors.

Formats citations and references using APA style with few errors.

Formats citations and references with no errors.