Question: Introduction[Insert a brief introduction in which you describe any relevant background information about your chosen hospital and clarify the goal of this white paper (to

Introduction[Insert a brief introduction in which you describe any relevant background information about your chosen hospital and clarify the goal of this white paper (to provide your readers with a thorough understanding of the importance of their departments and thus their impact on reimbursement).]Problem Statement[Briefly discuss the problem within the organization.]Previous Options[Briefly discuss the options that used to be available.]Billing and Reimbursement[Insert visuals, as needed, or remove this text and the following label if not applicable.]Figure [Insert number][Insert your response to the following prompt: 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?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.Describe a way to structure your follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective?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.]Marketing and Reimbursement[Insert visuals, as needed, or remove this text and the following label if not applicable.]Figure [Insert number][Insert your response to the following prompt: Explain how new managed care contracts impact reimbursement for the healthcare organization. Support your explanation with concrete evidence or research.Discuss the resources needed to ensure billing and coding compliance with regulations and ethical standards. What would happen if these resources were not obtained? Describe the consequences of noncompliance with regulations and ethical standards.Evaluate strategies to ensure stakeholders involved in the reimbursement process adhere to ethical standards.]References[Include any references cited in your paper in full APA format. Dont forget to include in-text citations as well.] Billing and Reimbursement 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? 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. Describe a way to structure your follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective? 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

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related General Management Questions!