Week 6 – DQ

Required Resources:

ISBN: 978-0-07-351371-3

Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance, an Integrated Claims Process Approach. (6th Ed.), New York, NY: McGraw-Hill Publishers.

• Chapter 17

ISBN: 978-0-7637-5964-3

Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance Workbook. New York, NY: McGraw-Hill Publishers.

Week 6 Discussion:

Lead-in:

Setting matters. Where a healthcare provider practices or where a procedure is performed makes a difference in how it is billed and reimbursed. For this assignment you consider those differences and suggest why those differences have evolved.

To Prepare for the Assignment:

• Read Chapter 17 in Medical Insurance, an Integrated Claims Process Approach

With these thoughts in mind:

Post your primary response to DQ1 by Day 3: Compare and contrast the differences in the hospital and healthcare provider reimbursement. Then suggest 2-3 differences in hospital and outpatient healthcare reimbursement requirements. Finally, suggest why these differences have evolved. Justify your response.

Instructions for post: Title of post: Your Name, One Difference