Uncategorized

SOLVED253

You have been asked to prepare a reference guide about reimbursement concepts that can be used as a reference for yourself in the future. Assessment Preparation As you research and prepare for this assessment, review the following resources: NHA Study Guide Module 2: Verifying Insurance Eligibility and Benefits Financial Considerations Medical Insurance: A Review Cycle Process Approach: Ch. 1: Introduction to the Revenue Cycle Section 1.8: The Revenue Cycle Ch. 8: Private Payers/ACA Plans Section 8.6: Participation Contracts Assessment Deliverable Create a 700- to 1,050-word reference guide using headings, bullets, calculations/visuals, and paragraphs that includes the following information: Reimbursement Process List the 11 steps of the NHA reimbursement process. Eligibility Explain why verifying a patient’s eligibility with their health care plan is important to ensure reimbursement. Include what could possibly happen if this step is missed or skipped. Describe the importance of verifying the provider’s participation status with the patient’s health plan. Include what could possibly happen if this step is missed or skipped. Referrals/Authorizations Define both referrals and authorizations. Describe the steps for requesting or obtaining referrals and authorizations. Explain why not obtaining a required referral/authorization could impact reimbursement. Patient Cost Share Terminology Explain the difference between a co-payment
SCIENCE
HEALTH SCIENCE
NURSING

 
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."

Leave a Reply

Your email address will not be published. Required fields are marked *