Billing Of Services, Revenue Cycle, And Reimbursements

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Within this organization, revenue is generated from the services given to patients and the medication given to them. Services such as, Social services, dietary, physical therapy, occupational therapy, speech therapy and nursing services. Medication distributions and ancillary services impact revenue and reimbursements. The revenue cycle and reimbursements can be interrelated by the fact that sale of medicines generates revenue and reimbursement will affect the stock. The delivery of services to patient are also a part of reimbursements and revenue cycle. Since this facility primary financial resource relies on Medicare and Medicaid reimbursement. Quality of services seems to need improvements as better services to patients…show more content…
However, the quality of these services seems to need improvements as better services to patients and proper care for health will impact the revenue cycle and reimbursements. Obama-care supporters are making the false impression that new government rules would promote opposition, control costs, and advance the quality of health care delivered within Medicare. Believing that, implementing this method would concurrently regulate the growth of Medicare costs in a more rational fashion and close the gap of health care we currently have and the health we would have in our future. No matter what department is seeking insurance reimbursement, accurate documentation is required along with proper billing codes to receive timely reimbursement. In 1998, CMS implemented a prospective payment system (PPS) for Medicare SNFs, replacing the prior fee-for-service reimbursement system.Under PPS, the Medicare program pays SNFs per day rates, which cover all routine services, ancillary services, and capital-related costs for a beneficiary's Part A stay. The program pays different rates for residents according to case-mix adjustments, which are based on residents' assessments (looking at the severity of residents' medical conditions and skilled care needs). The payment categories are called Resource Utilization Groups, or RUGs. Medicare pays

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