3-2 Final Project Milestone Two: Draft of Departmental Impact on Reimbursement

Overview: Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization.
Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the
amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary
information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest
changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are
exposed to the necessary knowledge.
Milestone Two provides you an opportunity to engage with real-world data that you would encounter in an actual professional environment. Specifically, you will
take a closer look at how reimbursement impacts other healthcare departments, and you will dive deep into utilizing data, tracking records, and ensuring
compliance within individual departments.
Prompt: Submit a draft of Section II of the final project. Specifically, the following critical elements must be addressed:
II. Departmental Impact on Reimbursement
A. Describe the impact of the departments at this healthcare organization that utilize reimbursement data. What type of audit would be necessary
to determine whether the reimbursement impact is reached fully by these departments? How could the impact of these departments on pay-forperformance
incentives be measured?
B. Assess the activities within each department at this healthcare organization for how they may impact reimbursement.
C. Identify the responsible department for ensuring compliance with billing and coding policies. How does this affect the department’s impact on
reimbursement at this healthcare organization?
Guidelines for Submission: Your paper must be submitted as a three- to four-page Microsoft Word document with double spacing, 12-point Times New Roman
font, one-inch margins, and at least three sources, which should be cited in APA format.