1.A primary task of private healthcare administrators is to make

  

1.A primary task of private healthcare administrators is to make sure organizations are in compliance and profitable. For an entity to be profitable, you must understand provider reimbursement options and limits. Read the following articles for necessary knowledge.

Paying Healthcare Providers: The Impact of Provider Reimbursement on Overall Cost of Care and Treatment Decisions

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/HRRP/Hospital-Readmission-Reduction-Program

Pros and cons of health payment reform: Capitation

2. What is the importance of DRGs and RVUs, and fee schedules and payments? Select a provider reimbursement type and explain how a provider is paid in your own words with what you just learned. Provide the pros and cons to the selected method of payment.

 

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