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Running head: 7-2 FINAL PROJECT SUBMISSION WHITE PAPER 1 7-2 Final Project Submission White Paper Donna Butler HCM 345 November 8, 2015 Southern New Hampshire University
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7-2 FINAL PROJECT SUBMISSION WHITE PAPER 2 TABLE OF CONTENTS I. Reimbursement and the Revenue Cycle…………………………………………………… 3-5 II. Departmental Impact on Reimbursement…………………………………………………..6-7 III. Billing and Reimbursement……………………………………………………………….7-8 IV.Marketing and Reimbursement……………………………………………………………8-10 V. Reference……………………………………………………………………………………11 Reimbursement and the Revenue Cycle
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7-2 FINAL PROJECT SUBMISSION WHITE PAPER 3 Providers of healthcare are paid by government payers or insurance through a system called reimbursement. In my hospital at Jackson Memorial Hospital, how much the doctor normally charges for their service, and what is reimbursed by the insurer are different; the doctor fee is higher, and reimbursement is less. If our doctor accepts your insurance for healthcare fees, most likely he accepts your payer's reimbursement, and would not expect out of pocket fees for his services, if so he would tell you in advance. The revenue cycle is the arrangement of exercises in a business which achieves the trading of products or administrations with clients for money and most business exchanges are led on a credit premise on the grounds that the money is not got until after the merchandise have been transported to the clients. For somebody to have the capacity to make sense of the records that an organization may use in their business for their revenue cycle you will need to a corporate general record. This will be what the organization uses to have the capacity to record the greater part of their money related things and the genuine bookkeeping information synopses. There are various diverse records that are included when it go to the revenue cycle. The records are offers of merchandise, procurement of administrations, rebates and discount from merchants and administration suppliers, picks up from attractive securities as changes, stocks, bonds, and subordinates (accounts-for the most part included-revenue-cycle-organization, 2014). The organization I work for is a recovery doctor's facility called Mark Social insurance. Revenue for the most part is acknowledged and earned when certain rules are acknowledgment and certain rule has been met. In our organization, the first thing is, there must be some convincing confirmation of a game plan that has been set up and that it exists. The following
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7-2 FINAL PROJECT SUBMISSION WHITE PAPER 4 thing is that the client's has needed to get their items or administrations as of now and they have been rendered. At that point the following step is that the organization has an altered cost to their potential patients that has as of now been resolved for our administrations. The following thing is
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