Revenue Cycle Plan
Each week, you will work on this assignment, in addition to any other assignments for the week. This assignment will be due in Lesson 7.
Assignment Instructions
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 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.
The format of this plan is like a policy and procedure but is a longer document. Compile your document based on the findings and collection of information for each of the requirements.
-Plan includes an evaluation of: Clinical data required for payment and reimbursement systems (PPS, DRG, RBRVS, RUGs, VBP, Billing/insurance plans
-Plan includes an explanation of Chargemaster and claims management applications and processes.
-Plan includes evaluation: Effect on healthcare finance of revenue management (cost reporting, budget variances).
-Plan includes summary of: Revenue cycle management and reporting processes (CCI, X12N).
-Plan includes evaluation of: Severity of illness and how it impacts the healthcare payment systems.
-Plan is comprehensive and written in a policy and procedure format, based on findings and collection of information
