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Analyze the advantages and disadvantages of nongovernmental payer models, as well as their impact on various stakeholders.
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- Describe payor sources, reimbursement entities and how reimbursement is influenced by organizations responsible for reimbursementDescribe how patient perception towards payment can affect the revenue cycle for a healthcare organizationDescribe at least two advantages and disadvantages of the different payment systems from a healthcare administrator's perspective, and explain how these models influence organizations' strategic plans.
- Analyze the impact of at least one unique regulatory requirement for federal payers on the organization’s strategic planning and financial performanceAnalyze the impact of at least one unique regulatory requirement for third-party payers on the organization’s strategic planning and financial performanceExplain how the patient perspective of revenue cycle is like the provider perspective revenue cycle in ensuring revenue integrity.
- briefly describe a strategic planning, staffing impact, reimbursement compliance and revenue cycle process in healthcare reimbursementDetermine how overall strategic planning can potentially be improved by applying financial management and teamwork principles within your organization.Why would payers make shared savings bonuses contingent on measured quality performance of the primary care clinicians?
