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:
- 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.
- 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:
- 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:
- 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.
