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American Military University Revenue Cycle Plan Discussion

American Military University Revenue Cycle Plan Discussion

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 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.
Recommended Text(s):

Mosby, I. (2009). Mosby’s Dictionary of Medicine, Nursing & Health Professions (8th ed.). St. Louis, Mo.: Mosby/Elsevier.
not specified

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