Kaplan HS440 Unit 2 Assignment: Third-Party Payers

HS440 | Finance for Health Care

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Unit 2 Assignment:

Third-Party Payers

Unit outcomes addressed in this Assignment:

? List the features of third-party payers.

? Describe third-party payers.

? Explain reimbursement methods used by third-party payers.

? Explain the effects of coding on reimbursement.

Course outcome assessed/addressed in this Assignment:

HS440-1: Describe the current financial environment in healthcare and its influence on decision

making.

HS440-2: Describe international standard diagnosis classification use in the US health care

reimbursement and billing system.

GEL 1.1: Demonstrate college-level communication through the composition of original

materials in Standard American English.

Instructions

For this Assignment, you will be writing a report to the Board of Directors of Health Care

Systems, Inc. regarding the importance of proper coding in order to ensure prompt

reimbursement. In the report, the Board requires an introductory paragraph that should

summarize the role of finance in Health Care Systems, Inc., the primary users of the financial

information, any associated legal or regulatory issues, and a brief statement on the legal form of

Health Care Systems, Inc.

The body of your report to the Board of Directors should include a detailed description of the

features of third-party payers, the reimbursement methods used, and the effects of coding on

reimbursement.

To conclude your report to the Board of Directors, summarize in a one paragraph conclusion the

key points of your report and include a final statement on how you, as the CFO, will ensure

proper coding to facilitate prompt reimbursement in the future.

Requirements

? This report should be no less than 5 total pages in length, including the title page

and separate reference page. The body of this report should be no less than

three full body pages.

HS440 | Finance for Health Care

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? Follow APA formatting for the title and reference page, as well as APA formatting

within the paper itself (Times New Roman 12-point font and properly double

spaced).

? Information should be summarized in your own words with appropriate APA

formatting and citation style of in-text citations in the body of the text to

acknowledge the source(s) of information.

? Follow the conventions of Standard American English (correct grammar,

sentence structure, punctuation, etc.).

? Your work should display superior content, organization, style, and mechanics.

Submitting Your Work

For directions on how to submit your work and review your graded assignments, refer to the

Dropbox Guide found on the Academic Tools tab. Make sure that you save a copy of your

submitted work.

Unit 2 Assignment Grading Rubric = 175 points

Assignment Requirements Points

possible

Points

earned by

student

Report includes a description of the role of finance and legal and

regulatory issues in health care.

0-25

Report includes a description of third-party payers. 0-50

Report includes a description of the affects of coding on

reimbursement

0-50

Report concludes with a description of how to ensure proper

coding to facilitate prompt reimbursement

0-35

Report identifies the users of financial information and the role of

finance in decision-making.

0-15

Total (Sum of all points)

Points deducted for spelling, grammar, and/or APA errors.

HS440 | Finance for Health Care

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(See Writing Deductions Rubric in Course Home)

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