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Explain why price transparency trend is an important trend to monitor and how it relates to reimbursement in healthcare
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- briefly describe a strategic planning, staffing impact, reimbursement compliance and revenue cycle process in healthcare reimbursementExplain how the patient perspective of revenue cycle is like the provider perspective revenue cycle in ensuring revenue integrity.Healthcare administrators should be well versed on policies affecting healthcare financing at the federal and state levels. Healthcare organizations need to assess the financial impact that a volume-to-value transition (VVT) will cause to their facility, the staff, and the patients. Who benefits from moving healthcare from volume to value? What are the factors a healthcare administrator must take into consideration when deciding to transition to a volume-to-value model? How are the financial impacts HCOs face who are currently using this model?
- Explain how the provider’s perspective revenue cycle differs from the patient's perspective revenue cycle in ensuring revenue integrity.Explain why deductibles and co-insurance may or may not be a component of the estimate that Patient Scheduling would share with the consumerUsing your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. Please identify some reasons why attempts at cost control have not succeeded
- Describe how patient perception towards payment can affect the revenue cycle for a healthcare organizationhow can laws and regulations help a healthcare organization reduce fraud, waste, and abuse and thereby manage risk to the revenue cycle and reimbursementDescribe the phases of the revenue cycle for healthcare billing.
- How is compliance to regulatory requirements in healthcare reimbursement built into the back-end processesin regards to Costing and Strategy: Explain why healthcare administrators need to consider cost when strategically planning for Medicare and Medicaid population growthWhat important skills do future managers / administrators need to have to be able to manage price transparency in an healthcare organization.