Reference no: EM133499682

Discussion Post: Draft of Billing Marketing and Reimbursement

Submit your draft of Sections III and IV of the final project. Specifically, the following critical elements must be addressed:

I. Billing and Reimbursement

Question A. Analyze how third-party policies would be used when developing billing guidelines for patient financial services (PFS) personnel and administration when determining the payer mix for maximum reimbursement. How do third party policies impact the payer mix for maximum reimbursement?

Question B. Organize the key areas of review in order of importance for timeliness and maximization of reimbursement from third-party payers. Explain your rationale on the order.

Question C. Describe a way to structure your follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective?

Question D. Develop a plan for periodic review of procedures to ensure compliance. Include explicit steps for this plan and the feasibility of enacting this plan within this organization.

II. Marketing and Reimbursement

Question A. Explain how new managed care contracts impact reimbursement for the healthcare organization. Support your explanation with concrete evidence or research.

Question B. Discuss the resources needed to ensure billing and coding compliance with regulations.

Question C Evaluate strategies to ensure stakeholders involved in the reimbursement process adhere to ethical standard.