. Evaluation for Priority Diagnosis – 10 points/10% Discusses evaluation

In this LearnScape, the student is acting as the Chief Financial Officer at a community hospital and discovers that there has been a reduction in revenue reported over the last three months. The student must then determine the source of this reduction and devise a strategy to address the problem. This scenario will take the students through a number of internal processes to isolate the causes for the reduction in patient service revenue; however, for this discussion, students are to focus on the reimbursement methodologies that are highlighted within the scenario. This case exposes the students to several reimbursement methods that are typically used to cover inpatient and outpatient services by providers and provider organizations. In addition, the scenario emphasizes that human errors can be a contributing factor when patient service revenues demonstrate a downward trend relative to past performance. Surprisingly, this phenomenon is not all that uncommon within the healthcare industry

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