Discuss how third-party payment calculations impact healthcare reimbursement in healthcare organizations.

History.
January 19, 2021
Explain the role of psychology in such areas as industry, complex organizations, law, and education.
January 19, 2021

Healthcare reimbursement systems

answer the following questions in full detail and answer by letter

A. Discuss the components of each of the following insurance plans:

• Fee for service (indemnity) plans

• Managed care plans

• Government-sponsored health plans (i.e., Medicare, Medicaid, State Children’s Health Insurance Program (SCHIP), Military/TRICARE, Indian Health Service).

• High-deductible health plans/healthcare savings accounts

B. Discuss the restrictions of each of the following insurance plans:

• Fee for service (indemnity) plans

• Managed care plans

• Government-sponsored health plans (i.e., Medicare, Medicaid, State Children’s Health Insurance Program (SCHIP), Military/TRICARE, Indian Health Service).

• High-deductible health plans/healthcare savings accounts

C. Discuss the reimbursement process for each of the following insurance plans:

• Fee for service (indemnity) plans

• Managed care plans

• Government-sponsored health plans (i.e., Medicaid, State Children’s Health Insurance Program (SCHIP), Military/TRICARE, Indian Health Service).

• High-deductible health plans/healthcare savings accounts

D. Discuss the inpatient and outpatient reimbursement processes for Medicare.

E. Analyze the impact the Medicare and Medicaid Patient and Program Protection Act of 1987 had on Medicare and Medicaid.

F. Analyze the impact the Recovery Demonstration Project had on Medicare and Medicaid.

G. Analyze the impact of anti-kickback statutes of both Stark II and the Medicare and Medicaid Program Protection Act of 1987 on healthcare providers.

H. Discuss how third-party payment calculations impact healthcare reimbursement in healthcare organizations.

I. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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