Prepare a revenue cycle plan for a community hospital. Include the following information in your plan:
The format of this plan is like a policy and procedure but is a longer document. Compile your document based on the findings and collection of information for each of the requirements.
Assignment 2: Revenue Cycle Plan
Plan includes an evaluation of: Clinical data required for payment and reimbursement systems (PPS, DRG, RBRVS, RUGs, VBP, Billing/insurance plans
Plan includes explanation of: Chargemaster and claims management applications and processes.
Plan includes assesses: Effect on healthcare finance of revenue management (cost reporting, budget variances).
Plan includes summary of: Revenue cycle management and reporting processes (CCI, X12N).
Plan includes evaluation of: Severity of illness and how it impacts the healthcare payment systems.
Plan is comprehensive and written in a policy and procedure format, based on findings and collection of information
This assignment will assess the following CAHIIM Competencies:
Domain IV. Revenue Cycle
Subdomain IV.A. Revenue Cycle and Reimbursement
Domain V. Compliance
Subdomain V.B. Coding
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