Reimbursement Analysis 2022

Reimbursement
Name of student
Name of institution
Date
Author’s note

Reimbursement
Iii. Billing and Reimbursement
The collection of data by the patient access personnel play a very significant role in the
billing and collection process. The patient access personnel acts as a link between the patient and
the insurance company. In addition, a facility that has excellent customer service also stands a
better chance of improving the data collection process. Third party policies are used in
developing guidelines for patient financial services (PFS) personnel. Third party policies ensure
that the patient’s privacy is maintained. They can also be used in deterring the payer mix to
ensure maximum reimbursement (Fontenot, 2018).
The key areas of review are data collection, analysis, reevaluation, implementation and
follow up. These areas have been arranged for maximization of reimbursement from third party
payers. The rationale behind this is to ensure a systemic process that will be efficient. Follow up
can be structured by conducting the process using staff who were in the reviewing process. To
ensure that the structure is effective, each member will be delegated a duty. This initiative will
foster a sense of belonging and purpose (Wright, 2017).
The periodic review of procedures will be done twice a year to ensure compliance. The
plan will begin by analyzing the current procedure. Research will then be conducted to determine
if there are new evidence-based procedures that can be implemented. The procedure will be
reevaluated, and appropriate changes will be made. Follow up on implementation will be done
Iv. Marketing and Reimbursement
there are various strategies that are used to negotiate new managed care contracts. The
most common strategies are collaborative negotiation. This is where both parties end up with a