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Health Care RCM Solution

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The regulatory and financial pressures facing healthcare providers, facilities, and payers require timely and accurate medical claim form handling. Payers are demanding an ever-increasing amount of documentation for each claim, and the ICD-10 phase-in along with standards such as the HIPAA 275 will create even greater complexity. This added complexity will further hinder health care delivery services-related cash flow. HIS Applications such as Revenue Cycle Management (RCM) Solutions provide a critical component in optimizing and managing cash flow. There are many vendors marketing RCM Solutions to the health care vertical. Read Chapter 18 download link: https://drive.google.com/file/d/0Bzr8Y46N15sBM0tnUE16OXNJVjQ/view?usp=sharing

1. Write 1 introduction paragraph (4 sentences).

2. In 1 paragraph (5 sentences or more), identify 2 vendor/product RCM solutions for a group medical practice; identify 2 vendor/product RCM solutions for a local community hospital; and identify 2 vendor/product RCM solutions for a large hospital system.

3. In 1 paragraph (5 sentences or more), explain the 4 variables (Complexity; Cost for implementation and maintenance; Information technology (IT) considerations such as database used; Ability to integrate to other third party systems) that are used to analyze the vendor/product RCM solutions.

4. In 1 paragraph (5 sentences or more), explain the similarities of the 4 variables (Complexity; Cost for implementation and maintenance; IT considerations such as database used; Ability to integrate to other third party systems) for each of the vendor/product RCM solutions of a group medical practice, a local community hospital, and a large hospital system.

5. In 1 paragraph (5 sentences or more), explain the differences of the 4 variables (Complexity; Cost for implementation and maintenance; IT considerations such as database used; Ability to integrate to other third party systems) for each of the vendor/product RCM solutions of a group medical practice, a local community hospital, and a large hospital system.

6. In 1 paragraph (5 sentences or more), identify and explain an optimal recommendation for a vendor/product RCM solution of a group medical practice, a local community hospital, and a large hospital system.

7. Write 1 conclusion paragraph (4 sentences). Note: Do not plagiarize. You can research on the Internet or books/journals & you can add additional references.

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