coding

Assignment InstructionsPrepare a revenue cycle plan for a community hospital.  Include the following information in your plan:IntroductionEvaluation 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 effect on healthcare finance of revenue management (cost reporting, budget variances).Summarize revenue cycle management and reporting processes (CCI, X12N).Evaluation of severity of illness and how it impacts the healthcare payment systems.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.Grading RubricAssignment 2: Revenue Cycle PlanPointsPlan includes an evaluation of: Clinical data required for payment and reimbursement systems (PPS, DRG, RBRVS, RUGs, VBP, Billing/insurance plans15Plan includes explanation of: Chargemaster and claims management applications and processes.15Plan includes assesses: Effect on healthcare finance of revenue management (cost reporting, budget variances).15Plan includes summary of: Revenue cycle management and reporting processes (CCI, X12N).20Plan includes evaluation of: Severity of illness and how it impacts the healthcare payment systems.15Plan is comprehensive and written in a policy and procedure format, based on findings and collection of information20Total100 pointsThis assignment will assess the following CAHIIM Competencies:Domain IV. Revenue CycleSubdomain IV.A. Revenue Cycle and ReimbursementManage the use of clinical data required by various payment and reimbursement systemsTake part in selection and development of applications and processes for chargemaster and claims management.Apply principles of healthcare finance for revenue management.Implement processes for revenue cycle management and reporting.Domain V. ComplianceSubdomain V.B. CodingIdentify severity of illness and its impact on healthcare payment systems.

 

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