Reimbursement and the Revenue Cycle

1. What does reimbursement mean to a healthcare organization?
2. What would happen if services were provided to patients but no payments were received for those services?
3. What is the flow of the patient through the cycle from the initial point of contact through the care and ending at the point where the payment is collected.

Departmental Impact on Reimbursement

Many different departments utilize reimbursement data in a healthcare organization. It is crucial the healthcare organization monitors this data.

1. What impact could the healthcare organization face if this data were not monitored?
2. Why is collecting data required for pay-for performance incentives.
3. What are the activities within each department in a healthcare organization for how they may impact reimbursement?
4. What specific data would you review in the reimbursement area to know whether changes were necessary?
5. Who is the responsible department for ensuring compliance with billing and coding policies?
6. How does this affect the department's impact on reimbursement in a healthcare organization?