The Relationship Between Coding and Reimbursement Overview As a healthcare leader, it is important to understand the relationship between coding and reimbursement. Discuss when or where the revenue cycle process begins for inpatient and outpatient/ambulatory services. Describe how inpatient charges are captured in an inpatient setting. Describe how ambulatory charges are captured in an ambulatory setting. Describe the importance of the information in the physician office encounter form. Analyze the similarities and differences between the UB-04 and the CMS-1500. Discuss one reason a medical claim would be denied? The specific course learning outcome associated with this assignment is: Analyze the importance of coding and classification systems in delivering healthcare services, regulatory compliance, and reimbursement.
