Posted: December 8th, 2016
BillingandReimbursement Analyze the collection ofdataby patient access personnel and its importance to the billing and collection process. Be sure to address the importance of exceptional customer service. Analyze howthird-party policieswould be used when developing billing guidelines for patient financial services (PFS) personnel and administration when determining the payer mix for maximum reimbursement. Organize thekey areas of reviewin order of importance for timeliness and maximization of reimbursement from third-party payers. Explain your rationale on the order. Describe a way tostructureyour follow-up staff in terms of effectiveness. How can you ensure that this structure will be effective? Develop aplanfor periodic review of procedures to ensure compliance. Include explicit steps for this plan and the feasibility of enacting this plan within this organization. IV.MarketingandReimbursement Analyze the strategies used to negotiate new managed care contracts. Support your analysis with research. Communicatethe important role that each individual within this healthcare organization plays with regard to managed care contracts. Be sure to include the different individuals within the healthcare organization. Explain how new managed carecontractsimpact reimbursement for the healthcare organization. Support your explanation with concrete evidence or research.
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