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December 4, 2022

Quality Concerns

Part 4: Quality Concerns

Relevant scoring guide criteria:

Explain quality concerns affecting reimbursement given a specific patient scenario.

Specifically address the recent problematic patient case from the Vila Health: Investigating a Readmission scenario.

Briefly discuss how the care provided would be reimbursed under prior models versus reimbursement under newer models, based on your assertions in Part 3 of your memo.

Also, identify quality issues that will likely impact the organization’s reimbursement under new payment models.

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