Differentiate between the reimbursement payments of private insurance and federally supported insurance for services providers (e.g., physicians) and hospitals render
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Differentiate between the reimbursement payments of private insurance and federally supported insurance for services providers (e.g., physicians) and hospitals render
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- Describe the various sources of funding beyond third-party reimbursement from which the various types of healthcare facilities can benefitdescribe the difference between primary, secondary, and supplementary insurance. Do you feel having secondary and/or supplementary insurance is a benefit for the patient or more trouble than it is worth? Explain your answer.What are the advantages and disadvantages of long-term care insurance.
- In the past decade there has been increasing discussion of the government's role as a health care insurer. Should the government play more of a significant role as an insurer? Currently the largest insurance type in the U.S. is employer based. Is there a real difference between members of society being at the mercy of their employer for coverage instead of at the mercy of the government?Are telehealth and telemedicine services billable to the patients insurance coverage the same as face encounters in the office or hospital setting?What is the difference in the reimbursement cycle among long-term care facilities as compared to most other healthcare facilities?
- Explain the basic structure, driving forces, payers in relation to healthcare services in the US.Discuss the financial impact of initially declined claims and delayed payments to healthcare organizationsThe difference between a remittance advice (RA) and an explanation of benefits (EOB) is: The RA goes to the provider only and includes payment information. The EOB goes to the provider. The RA is sent to the patient and includes payment information. The EOB contains payment information.
- Describe how patient hospital stays can impact healthcare reimbursement from the organizational perspective.Explain how the provider’s perspective revenue cycle differs from the patient's perspective revenue cycle in ensuring revenue integrity.List the various reimbursement options that are available for home care services.
