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Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patient

Overview

Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patients (beneficiaries), providers, or payers. Therefore, it is important for both stakeholders to understand the other’s perspective, so that they have a more holistic view of the entire process. The following flowcharts capture the revenue cycle from the patient’s perspective and the facility’s perspective.

Text-only versions of the images below are available: Module One Activity Revenue Cycle Images Text-Only Version.

Casto, A. (2021). Principles of Healthcare Reimbursement (7th Ed). American Health Information Management Association (AHIMA). https://bookshelf.vitalsource.com/books/9781584268017

Reproduced with permission from AHIMA.This activity will help you describe the revenue-cycle process and healthcare reimbursement, as well as differentiate the components of revenue-cycle processes from various perspectives.

The activity will help you prepare for section 4 (Revenue Cycle Process) in the course project that you will be submitting in Module Nine.

Directions

Complete the provided template by analyzing the revenue cycle from both the patient perspective and the provider perspective. Then, analyze the revenue-cycle components from a third-party payer perspective.

If you need writing support, access the Online Writing Center through the Academic Support module of your course.

Specifically, you must address the following rubric criteria:

  1. Comparative Table: Create a table to compare and contrast the revenue cycle from the patient’s perspective and the provider’s perspective. Refer to Figure 1.7A and Figure 1.7B in the Overview section of this rubric to create the table.
  2. Comparison of Perspectives: Explain how the patient perspective is like the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  3. Contrast Between Perspectives: Explain how the patient perspective differs from the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  4. Significance for Third-Party Payer: Interpret the revenue cycle from the perspective of a third-party payer. Deduce your interpretation based on the information in the comparative table. Consider the following questions to guide your response:

Your analysis should be evidence-based. Your citations should be from your independent search for evidence (not from the textbook or module resources) of credible sources and be current within the last five years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to the IHP 630 Library Guide located in the Start Here section of the course for additional support.

What to Submit:    attachments below 

Submit the provided template as a 2- to 3-page Microsoft Word document. Sources should be cited according to APA style.

Please follow the instructions carefully as this professor is so particular.

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Do people, at the end of the day, always do what they desire most? Or do people sometimes act strictly for the good of “the Other,” without even a trace of self-interest?

Write a Position Paper 

Do people, at the end of the day, always do what they desire most? Or do people sometimes act strictly for the good of “the Other,” without even a trace of self-interest?

 you will be writing a “position paper” [word count = minimum:1800 words – maximum: 2300 words]: this is a research paper in which you will address a particular issue introduced in the topic of the paper (see below for the list of topic choices). It should be written in a formal style and be in the third-person voice, and it should present your original, considered solution or unique approach to solving the problem or settling the issue in question. The thesis will state your opinion, but it will also provide justification for why you have that opinion or hold this point of view on the issue. This is the main point of writing a position paper. The presentation of your “reasons why,” in other words, the sum of evidence you find to support your position, plus a statement of the position itself, comprises what philosophers call an “argument.” This kind of paper is also known as an “argumentative essay.” A philosophical argument is simply giving reasons (the premises of the argument) for why a particular claim (the conclusion of the argument) should be taken as true.

The introductory paragraph should present the issue in question and include a clear and precise statement of your thesis, which is your position on the issue. Another essential element of the position paper or argumentative essay is a consideration of at least one alternative position on the same issue, and this is typically an opposing view. So in this paper, you will assert and defend your own position, and you will also consider an opposing or alternative position on the issue and the argument(s) in support of that view. Finally, you will show why you reject the opposing or alternative position and instead hold the one you do.