As a healthcare leader, it is important to understand the relationship between coding and reimbursement. This assignment is designed to illustrate this relationship using key inpatient and outpatient reporting documents.
Write a 3-page summary that addresses the topics below:
Discuss when or where the revenue cycle process begins for inpatient and outpatient/ambulatory services.
Describe how inpatient charges are captured in an inpatient setting.
Describe how ambulatory charges are captured in an ambulatory setting.
Describe the importance of the information in the physician office encounter form.
Analyze the similarities and differences between the UB-04 and the CMS-1500.
Discuss one reason a medical claim would be denied?
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