Revenue and Reimbursement
Write a 3–4-page proposal for billing changes, and explain how the proposed changes will benefit the organization, the physicians, and the patients.
Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.
Resources for Further Exploration
You may use the following optional resources to further explore topics related to competencies.
Coding and Reimbursement
This website focuses on medical billing and revenue cycle management, and it has helpful links to education and publications on these topics.
The information on this website relates to the billing and coding process, and it provides links and information on revenue and reimbursement cycles for health care organizations.
This website provides an overview of each code set in relation to HIPAA.
This website provides technical process information on aspects of ICD-10 codes, guidelines, and regulations.
Financial Strategies
This is a bi-weekly newsletter focusing on health care finance strategies for a variety of topics. The main website contains links to publications and resources.
Financial Management
This web page discusses electronic exchanges between administrative and financial entities, and it contains helpful links.
ASSESSMENT INSTRUCTIONS
PREPARATION
Use the Capella University Library and the Internet to locate resources and information on health care revenue cycles and billing processes.
Imagine that you have just stepped into a new role as the office manager for a very successful clinic. The clinic is a conglomeration of physicians who offer specialized care. Each group of physicians tried to manage their own billing process but it quickly became obvious that one billing office would be more efficient. You realize that there has been a lack of consistency in the clinic and that you will need to update the billing policies and procedures immediately. You also realize that there is always resistance to change, and you will need to provide evidence supporting the changes you plan to make.
Prepare a proposal for billing changes that you would present to the physicians. You will need to support each proposed change with relevant evidence to assure buy-in from the physicians.
There is no specific format you must follow for this assessment, but be sure that your proposal is clear, logical, and succinct. Follow APA guidelines for any in-text citations and references. Include a title page and reference page.
REQUIREMENTS
Write a proposal for changes you would like to make to the billing policies and procedures in a successful physicians clinic. Include the following in your proposal:
ADDITIONAL REQUIREMENTS