Reimbursement
Healthcare reimbursement has greatly evolved since the time when medical services were often bartered for with items such as crops or livestock. Today, there are many ways that healthcare providers are reimbursed for their services, and methodologies are constantly changing. The purpose of this assignment is to explore the world of payment systems in health care.
- Compare and contrast four types of health insurance plans to include indemnity plans, health maintenance organization plans (HMOs), preferred provider organizations (PPOs), and point of service plans (POS).
- Differentiate between four reimbursement methodologies commonly used in health care today.
- Discuss the components of three government entitlement programs and who can qualify to be covered under them.
- Combine what you have learned in Unit III regarding coding with what you learned in this unit regarding reimbursement, and explain the importance of these entities being able to work together. Discuss AHIMA’s clinical documentation improvement (CDI) initiative and how it strives to improve the relationship between medical coding and reimbursement. Take advantage of sources outside your textbook for this topic. Make sure to cite properly using APA formatting.
- Provide an example of a company that has done a total “ turnaround”. Determine if the turnaround has been effective and improved its profitability.
- Examine changes and developments that are currently taking place in the field of HR management. Predict two changes and developments that are likely to occur in this field in the next 10 years.