Centers for Medicare and Medicaid Pay-for-Performance PresentationUnit outcome addressed in this...

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Centers for Medicare and Medicaid Pay-for-Performance PresentationUnit outcome addressed in this Assignment:   	Describe the different pay for reporting models under the Centers for Medicare and Medicaid Services.  Course outcome assessed in this Assignment:HI215-3: Examine the reimbursement processes of different health insurance plans.AHIMA CEE Curriculum Mapping   	 		 			Domain 			Subdomain 			Competency 		 		 			Domain IV. Revenue Management 			Subdomain IV. A. Revenue Cycle and Reimbursement 			3. Apply principles of healthcare finance for revenue management 		 		 			Domain IV. Revenue Management 			Subdomain IV. A. Revenue Cycle and Reimbursement 			4. Implement processes for revenue cycle management and reporting 		 		 			Domain V. Compliance 			Subdomain V.B. Coding 			3. Identify severity of illness and its impact on healthcare payment systems 		 	 
	
Document Preview: Assignment DetailsCenters for Medicare and Medicaid Pay-for-Performance PresentationUnit outcome addressed in this Assignment:Describe the different pay for reporting models under the Centers for Medicare and Medicaid Services.Course outcome assessed in this Assignment:HI215-3: Examine the reimbursement processes of different health insurance plans. AHIMA CEE Curriculum Mapping DomainSubdomainCompetencyDomain IV. Revenue ManagementSubdomain IV. A. Revenue Cycle and Reimbursement3. Apply principles of healthcare finance for revenue managementDomain IV. Revenue ManagementSubdomain IV. A. Revenue Cycle and Reimbursement4. Implement processes for revenue cycle management and reportingDomain V. ComplianceSubdomain V.B. Coding3. Identify severity of illness and its impact on healthcare payment systemsDomain VI. LeadershipSubdomain VI.F. Strategic and Organizational Management5. Identify the different types of organizations, services, and personnel and their interrelationships across the health care delivery systemAssignment RequirementsPlease complete all parts in a Microsoft Word document.The body of your document should be at least 900 words in length.Quoting should be less than 10% of the entire paper.  Paraphrasing is necessary.Students must cite and reference at least 4 credible sources from the KU Library.InstructionsImagine that you are an administrator for a large hospital.  As part of your role within healthcare leadership, you are involved in several committees for the organization.  Please follow the instructions below in completion of this multi-part assignment. PartCompetency AssessedInstructions1Apply principles of healthcare finance for revenue management.Imagine that you are the Chief Information Officer (CIO) for a multi-hospital health system. You are requesting funding from the Board of Directors for an investment of a new electronic health record (EHR) system. In preparation for your funding request, you...

Robert · Accepted Answer

Different pay for reporting models under the Centers for Medicare and Medicaid 
Services. 
There are different categories for the reporting modes under the centers of Medicaid and 
Medicare Services: 
Responsible/Accountable Care 
Accountable Care organization and same type of care models are complete to  health 
care provider to turn out to be answerable for a patient inhabitants and to use up in 
communications and redesigned care processes that provide for synchronized care, high 
quality and efficient overhaul deliverance. 
Episode based Payment Initiatives 
Under these models, physical condition care provider are held responsible for the cost 
and superiority of care beneficiaries receive during an incident of care, which regularly begin 
with a triggering health care occasion (such as a hospitalization or chemotherapy 
management) and extend for a incomplete stage of time after that. 
Primary Care Transformation 
Primary care provider are a key point of contact for patients’ health care requirements. 
Reinforcement and rising access to main care is significant to promote health and reducing in 
general health care expenses. Highly developed most important concern practice as well 
called “medical homes” utilize a team based advance, at the same time as emphasize 
avoidance, health information technology, care harmonization, and shared decision making 
among patients and their provider. 
Initiatives Focused on the Medicaid and CHIP Population 
Medicaid and the Children’s Health Insurance Program (CHIP) are administered by 
the states but are in cooperation funded by the federal government and states. initiative in this 
category are administer by the participate states. 
Initiatives Focused on the Medicare Medicaid Enrollees 
The Medicare and Medicaid programs were intended with separate purposes. Persons 
registered in both Medicare and Medicaid, report for a uneven share of the programs’ 
spending, A fully included, person cantered organization of care that ensure that all their 
requirements are met could improved dish up this inhabitants in a high and excellence cost 
effectual method.

Centers for Medicare and Medicaid Pay-for-Performance Presentation Unit outcome addressed in this Assignment: Describe the different pay for reporting models under the Centers for Medicare and...

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Domain	Subdomain	Competency
Domain IV. Revenue Management	Subdomain IV. A. Revenue Cycle and Reimbursement	3. Apply principles of healthcare finance for revenue management
Domain IV. Revenue Management	Subdomain IV. A. Revenue Cycle and Reimbursement	4. Implement processes for revenue cycle management and reporting
Domain V. Compliance	Subdomain V.B. Coding	3. Identify severity of illness and its impact on healthcare payment systems