Revenue Cycle Management:

Discussion Response: Getting Started and Reimbursement InefficienciesReading and ResourcesLecture 1.1: Healthcare Finance and the Revenue Cyclehttp://snhu-media.snhu.edu/files/course_repository/undergraduate/hcm/hcm345/module_one.pdfTextbook: Health Care Finance and the Mechanics of Insurance and Reimbursement, Chapters 1 and 10Library Article: Effective Hospital Revenue Cycle Management: Is There a Trade-Off Between the Amount of Patient Revenue and the Speed of Revenue Collection?PDF: HFMA Revenue CyclePeer response:In response to your peers, support the points they made around what seems to be working and what needs improvements with one additional idea.Classmate #1:Deborah Annese posted Feb 28, 2021 3:48 PMMy name is Debbie, and my educational background is in Dentistry. I worked in private practice for 20 years. I have since started teaching dental hygiene students in the clinical setting at a local University, I have never been happier and love what I do. As far as my experience with healthcare reimbursement, I have seen the professional side of reimbursement in the dental office, I refer to dental plans as discount plans because the insurance companies don’t pay for a lot of dental services. I have however experienced the patient side of hospital reimbursement. Over the past few year’s my healthcare coverage has seen a drastic change, I have had really good insurance that covered 80% or more of out-of-pocket fees, now I have the bare minimum coverage due to costs. I am currently making payments to my local hospital for services rendered last year and to be quite honest if I wasn’t given that as an option, I would have had to mortgage my home. Since the Affordable Cares Act has been in place, my insurance has never been the same. The out of pockets for co-pays and deductibles are high and there isn’t a transparency to services and goods. So, getting back to the hospital bill, I had a recent procedure and the billing department in the doctor’s office sent off the wrong code of service and it ultimately delayed them getting paid. Had I not followed up in the first place I would have never known. I called the hospital where the surgery was done and found out through them of the missed code. The hospital was paid in full on their end because the billing department handled it correctly from the start. The revenue cycle of this particular hospital must be on point because I live in a rural area of the country where there are high numbers of low-income families per capita. Therefore, a lot of people are having to go without insurance, make payments, or receive charitable care. I know that the billing department has gone through a lot of change recently from Covid-19, but I don’t know what affects it has had on the hospital because of the pandemic. I do know that the government had and is still helping hospitals with a relief fund in the amount so far of $175 billion and more distribution in the amount of $ 10 billion to help offset the damages done (“HHS to begin distributing $10 billion in additional funding to hospitals in high impact COVID-19 areas,” 2020). I look forward to learning about the reimbursement side of healthcare throughout this term.ReferencesHHS to begin distributing $10 billion in additional funding to hospitals in high impact COVID-19 areas. (2020, July 20). HHS.gov. https://www.hhs.gov/about/news/2020/07/17/hhs-begin-distributing-10-billion-additional-funding-hospitals-high-impact-covid-19-areas.htmlClassmate #2:Michael Belanger posted Mar 1, 2021 6:07 PMI always eagerly anticipate these opening discussions and in this class, I feel as though I have some career experience to share and I’m excited about that!A little less than a year ago, my family and I decided to make a drastic change as my wife received an offer to work for Duke University, so we uprooted from Rhode Island and moved to North Carolina. In southern New England, I worked my way up in a small non-profit agency to a director’s level and ran a Medicaid funded program that served adults with developmental disabilities and severe behavioral challenges. I was responsible for coding and billing MassHealth (Medicaid) as well as communicating with other funding sources.During my tenure with the organization, I attended numerous state meetings with service providers when reimbursement rates were arbitrated. I had a nice behind the curtain peek at the inner workings of how that took place and knew first hand how rates could affect a small non-profit.One of the shortcomings was that the rates were a blanket, state wide rate. So, were cost of living were higher, like in Boston for example, programs like mine would be reimbursed at the same rate as say a very rural Western Massachusetts program. It was one number, regardless of the location. Additionally, there was a severity scale where individuals served were profiled yearly with clinicians and this profile determined severity, which determined reimbursement. High, medium and low severity respectively. It was very opinion based and could be easily manipulated if an agency or program chose to act in an unethical manner.All in all, I’m very interested in the content of this class and hope to learn from each other!

Don't use plagiarized sources. Get Your Custom Essay on
Revenue Cycle Management:
Just from $13/Page
Order Essay
Customonlineessays
Order NOW For A 10% Discount!
Pages (550 words)
Approximate price: -

Why Choose Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

Customer Support 24/7

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Services we offer

You do not have to soldier through school on your own! We are what you need.

Essays

Essay Writing

Your high school and campus essays have never been easier to complete. At any time of the day, and any type of paper, look to us for professional help and maintain your grades. we are available 24/7 to solve your essay problems and give you constructive and lasting solutions. School just became easier for you because you discovered us. Forget about the struggles of writing essays and live in the moment as you should.

Research

Dissertation papers

some papers are not just simply papers. they require meticulous research and studies. you might need to go as far as choosing a sample group to perform your research on. we know how hard and time-consuming dissertation papers can be, but here is some good news; we have professionals that thrive in that field. let us work on your reserach, thesis and dissertation papers and ease the stress you would have. you can get the best grades at pocket friendly prices and without all the struggles.

Admissions

Admission and Business Papers

An admissions letter is an essay you will write before you join the institution. If you want someone who will present you as an irresistible candidate, look no further. We will write you the best paper that will get your foot right through the door. Your business proposals will also be handled by the best in the industry. You will be a testament to our services.

Editing

Editing and Proofreading

Our editorial team of professionals will take your papers through multiple checks to ensure that you have no errors, mistakes or cases of plagarism. Your paper will achieve professional status because you chose to trust expert. We also include citations and sources using the correct format as required by your institution. Whether you wat it in APA, MLA, Chicago or Harvard, we have specialised in all writing formats.

Writing

Rewriting services

sometimes, you spend hours and hours working on a paper but its just not giving the content as you had hoped. if this is what you feel, you shouldnt hand in that paper. instead, let us help you rewrite it so that it says what you had originally intended. all you need to do is allow us to read your first draft, collect your main points and ideas and tailor it to make sense and give you what you were hoping for. as you develop your writing skills, don allow your grades to fumble. that is why we are here for you.