PHBE 240 AMU A Revenue Cycle Plan for A Community Hospital Essay
I’m working on a health & medical multi-part question and need an explanation and answer to help me learn.
Prepare a revenue cycle plan for a community hospital. Include the following information in your plan:
- Introduction
- Evaluation of clinical data required for payment and reimbursement systems (PPS, DRG, RBRVS, RUGs, VBP, Billing/insurance plans).
- Explanation of chargemaster and claims management applications and processes.
- Assess the effect on healthcare finance of revenue management (cost reporting, budget variances).
- Summarize revenue cycle management and reporting processes (CCI, X12N).
- Evaluation of the severity of illness and how it impacts the healthcare payment systems.
