Departmental Impact on Reimbursement Describe the impact of the departments at t

Question

Departmental Impact on Reimbursement

Describe the impact of the departments at this healthcare organization that utilize reimbursement data. What type of audit would be necessary

to determine whether the reimbursement impact is reached fully by these departments? How could the impact of these departments on pay-for-

performance incentives be measured?

Assess the activities within each department at this healthcare organization for how they may impact reimbursement.

Identify the responsible department for ensuring compliance with billing and coding policies. How does this affect the department’s impact on

reimbursement at this healthcare organization?

Explanation / Answer

Q1.

The impact that department of the healthcare organization is as follows:

1. Demand increases in the healthcare

2. Charge increases of the healthcare and other issues like manpower also arises

3. Enable blue of cross plans in the hospital

4. Increase of growth in health plans

Q2.

CLINICAL AUDIT is a used as the audit process for the purpose of the improvement of the healthcare department. It also helps the organization to make the important changes in the organization.

Q3.

Some incentives are measured:

1. Different purchasing program for the different value based system

2. Introducing of Readmission Reduction Program

3. Different physician value modifier program

4. Quality to maintain the reporting system

Related Questions

Navigate

• Browse (All)
• Browse D
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.