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Discussion

Discussion

 

1.A primary task of private healthcare administrators is to make sure organizations are in compliance and profitable. For an entity to be profitable, you must understand provider reimbursement options and limits. Read the following articles for necessary knowledge.

https://axenehp.com/paying-healthcare-providers-impact-provider-reimbursement-overall-cost-care-treatment-decisions/

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/HRRP/Hospital-Readmission-Reduction-Program

https://healthjournalism.org/blog/2016/07/pros-and-cons-of-health-payment-reform-capitation/

2. What is the importance of DRGs and RVUs, and fee schedules and payments? Select a provider reimbursement type and explain how a provider is paid in your own words with what you just learned. Provide the pros and cons to the selected method of payment.