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May 22, 2024

Healthcare reimbursement methodologies

Healthcare reimbursement methodologies differ based on the type of service provided, the location the service is provided, and the type of provider. Write a 4-5-page paper that evaluates the types of regulatory requirements, policies, procedures, and audit mechanisms that must be in place for organizations and/or providers to ensure compliance with regulations and that they receive proper reimbursement for the type of service they provide. Select at a minimum 3 of the following methodologies to research for your paper:

Fee-for-Service

Value-based purchasing

Capitation
Global payment
Prospective Payment
Your paper should include examples of non-compliance with regulatory requirements for each methodology and an explanation of the penalties they are subject to. Also, include the role HIM professionals can play in this process.

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