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ThirdPartyPaymentSystemsTemplate

Part 3: Third-Party Payment SystemsHealthcare System ReimbursementThis section is no longer than a half-page. Choose a third party payor (Aetna, Blue Cross, Kaiser Permananete are all big ones). Identify two impacts a third party payor has on a healthcare organization. (Why should the healthcare organization care about meeting the requirements of the third party payor?)Reporting Requirements This section is no longer than a page. Using the same payor, what are some items that are required to be reported to that payor? What are two opportunities (benefits for the healthcare organization and/or American health) and two challenges (concerns within the healthcare facility) for healthcare leaders in meeting the reporting requirements you described?Compliance StandardsThis section is no longer than a half-page. Return to your Financial Management Principles section on part one of this project. Look more closely at two of those principles and expand upon how those principles ensure compliance with your third party payor standards.Reimbursement MethodsThis section is no longer than a half-page. Identify two strategies you would recommend organizations implement to receive full and timely reimbursement on claims from your third party payor.Part 4: Operational and Strategic Planning in HealthcarePay-For-Performance IncentivesThis section is no longer than a half-page. What are two operational recommendations you would make to improve performance measures so your organization can maximize reimbursement? Please explain how these two recommendation will help to improve performance measures.Operational Performance MeasuresThis section is no longer than a half-page. What are two performance measures that should be benchmarked so reimbursement is maximized? Why?Teamwork and Strategic PlanningUse the chart below for this section. Please select two techniques. Collaborative Teamwork Technique How It Will Help Maximize Reimbursement Communicating Strategic Planning Across TeamsThis section is no longer than a half-page. Identify and explain two methods you would use to communicate information to key stakeholders. For example, how would you communicate the same decision to patients, administrative staff, and clinicians?Financial and Reimbursement StrategiesUse the chart below for this section. ++++++++++++ Cash Flow Days in Accounts Receivable Recommendation for Low Performing System What should the system do to improve cash flow? What should the system do to improve Days in A/R? Recommendation for High Performing System What should the system do to improve cash flow? What should the system do to improve Days in A/R? ReferencesPer APA requirements, references are written in alphabetical order. Only the first line of each reference is indented. See the course for more on how to write references in APA. You will want to update this page with every milestone.

ThirdPartyPaymentSystemsTemplate