The US healthcare system is complex. This course, HIT 115, was designed to provide background information and more specific and advanced information on reimbursement methods, systems, and revenue cycle management. For your final course assignment, create a document that provides an overview of what you have learned about the US medical reimbursement system. As you create his document, use your course textbook and your past completed course assignments and discussion question responses. Submission, create a document that is at least two full written pages of content ( that does not include the cover page). If any resources are used outside of the course textbook, please be sure to cite those resources on a reference page (written document). The course textbook is Principles of Healthcare Reimbursement and Revenue Cycle Management, Seventh Edition, By Anne B. Casto, RHIA CCS and Susan White, PHD, RHIA, CHDA. The Assignments: #2 – Cost Sharing Expenses & Choose MCO Services Management Tools. Discuss Cost-Sharing, Evaluate Managed Care Organization (MCO) service management costs. #3 – Analyzing the different parts of Medicare, Prepare a “Medicare Choices for Uncle Jameson” grid. Your grid should be detailed and include the following: cost, deductible(s), copayment(s), examples of covered services, and any other details you think is important. 4# – Facilitate communication regarding new reimbursement or quality of care trends related to Medicare recipients. Create an infographic. Review the information presented on the Centers for Medicare & Medicaid Services website on innovative payment and service delivery models. 5# – Patient Engagement Discussion Question (DQ2). Discuss patient engagement as it relates to healthcare reimbursement and finance. 6# – Coding Compliance Assignment, calculate staffing productivity standards. Identify the alignment of workflow and information life cycle to staff productivity. 7# DQ 3 Medicare, Discuss question grading rubric 8# – Medicare Physician – Identify Medicare reimbursement for participating physician(s) Identify Medicare reimbursement for non-participating physician(s) Identify Medicare reimbursement for nonphysician provider(s) 9# – ABN Evaluation Assignment, Evaluate a CMS policy related to RCM. Discuss critically a healthcare policy. Information: Review the Medicare Advance Written Notices of Non-coverage. What information in the booklet could be confusing for a Medicare provider? What information is confusing for a Medicare recipient? 10# – Resource Tracking Discussion Question (DQ4). Discuss resource tracking as it relates to healthcare reimbursement & finance; articulate per grammar, and spelling standards, Engage in a digital conversation with peers 11# – Assignment Lesson 11 EOB Analysis. Explain an explanation of benefits in technical terms. Articulate concepts that relate to an EOB in informal and non-technical language Create a written document. 12# – Computer-Assisted Coding Assignment Evaluate the investment of Computer-Assisted Coding. 13# – Categorizing Components of an Audit Plan and placing the applicable portions of the scenario into the correct audit plan category by following the prompt in the figure.
