Describe international standard diagnosis classification use in the US health care reimbursement and billing system.
• Explain cost classification
• Explain the importance of proper cost allocation in healthcare organizations
• Describe the difference between fee-for service and capitation reimbursement
• Explain the impact of revenue and cost structure on risk in healthcare organizations
Course outcome assessed/addressed in this Assignment:
HS440-2: Describe international standard diagnosis classification use in the US health care reimbursement and billing system.
Utilizing your textbook and the Kaplan Resource Library: • Describe the importance of proper coding in healthcare to ensure prompt reimbursement by answering the following questions:
1. Describe the role of finance in the healthcare system.
2. Describe the Diagnosis codes and how they are used, impacting reimbursement.
3. Describe the features of third-party payers .
4. Explain the reimbursement methods used and the effects of coding on reimbursement.