Reimbursement of Health Health, Medicine, Nursing Essay (Essay Sample)

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When changes come about you should be prepared to avoid possible conflicts between your organization. Reimbursement of health services in the U.S.A will call for serious actions to be put in place to ensure that patients continue receiving quality services. As a clinic owner, you will need to be prepared for the reimbursement of health service programs in case such amendments will take place to avoid the reduction of service delivery your clinic and also maximize the output.
First, you need to come up with a system of how workers in the clinic will be paid. Avoid a sophisticated method of healthcare reimbursement by not accepting insurance. Instead, patients should be bailed directly to reduce the burden of administration in claims submission and denial of appeals (Jacobson, 2016). Taking part in many insurance panels will translate to providers having a chance to a bigger pool of prospective patients of which many of them are beneficiaries of low-cost healthcare. Here, you should put concerns a few things which include; proper details documentation of the necessary details for payments, assigning of medical codes, claims submission electronically, a system which will interpret the response of payer’s, and post-payment audit preparation.