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PHBE 240 AMU A Revenue Cycle Plan for A Community Hospital Essay

 

I’m working on a health & medical multi-part question and need an explanation and answer to help me learn.

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 the effect on healthcare finance of revenue management (cost reporting, budget variances).
  • Summarize revenue cycle management and reporting processes (CCI, X12N).
  • Evaluation of the severity of illness and how it impacts the healthcare payment systems.