As a healthcare leader, it is important to understand the relationship between coding and reimbursement. This assignment is designed to illustrate this relationship using key inpatient and outpatient reporting documents.
Instructions
Write a 3-page summary that addresses the topics below:
- Discuss when or where the revenue cycle process begins for inpatient and outpatient/ambulatory services.
- Describe how inpatient charges are captured in an inpatient setting.
- Describe how ambulatory charges are captured in an ambulatory setting.
- Describe the importance of the information in the physician office encounter form.
- Analyze the similarities and differences between the UB-04 and the CMS-1500.
- Discuss one reason a medical claim would be denied?
The specific course learning outcome associated with this assignment is: Analyze the importance of coding and classification systems in delivering healthcare services, regulatory compliance, and reimbursement.
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