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Posted: April 9th, 2022
Reimbursement Methodologies Discussion 5
Reimbursement Methodologies Discussion 5
Coding systems are different and so are payment methodologies. Coding is important in reimbursement.
1. Refer to Chapter 4, focus on Payment Methodologies and discuss the various payment systems. Demonstrate understanding of fee for service, cost based, and prospective payment systems.
2. Explain medical necessity and how it impacts payment.
3. What has been the effect of payment methods on coding?
4. Although not required, feel free to watch and comment on the video.
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Discussion of Reimbursement Methodologies 5 Discussion of Reimbursement Methodologies 5
Payment methods and coding systems are both unique. Coding is critical in reimbursement.
1. Refer to Chapter 4, and focus on Payment Methodologies, where you will discuss the various payment systems. Show that you comprehend fee-for-service, cost-based, and prospective payment schemes.
2. Describe the importance of medical necessity and how it affects payment.
3. What has been the effect of payment methods on coding?
4. Although not required, feel free to watch and comment on the video.
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