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Analyze pay for performance quality and incentives in hospitals, nursing homes, or provider offices and describe the performance standards and scoring methods.

Go to the Centers for Medicare and Medicaid Services website (CMS.gov (Links to an external site.)). Click on one of the articles. Analyze pay for performance quality and incentives in hospitals, nursing homes, or provider offices and describe the performance standards and scoring methods.

Define fraud and abuse. Describe why it is important to follow CMS regulatory requirements to avoid fraud or abuse in billing and coding practices? Justify your answer.

Career Connect Essay • Explain compliance with regulatory requirements and reimbursement methodologies. Directions You are a lead coder at Bryant City Hospital and have been asked by your manager to prepare an essay to be included in the training manuals for incoming employees to the HIM department. This essay must educate new employees about The […]

Describe the organization you selected and the general services that would be offered to Medicare patients. Describe the types of ACOs recognized by the Centers for Medicare & Medicaid Services.

Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Centers for Medicare & Medicaid Services to help facilitate this cooperation. Select a type of health care organization that would accept Medicare patients (e.g., family practice, hospital, urgent […]

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