Billing policy and procedures

Instructions

Create a presentation that details how MACRA will affect reimbursement and customer services. Include all of the following in your presentation:

• 1 slide: Explain value-based purchasing.
• 1 slide: Explain MACRA.
• 1 slide: Explain the MIPS model.
• 2 slides: Explain the APM and how it relates to MIPS.
• 23 slides: Outline five quality measures that you recommend the clinic focus on.
• Include measure title, description, and primary measure steward.
• 23 slides: Defend your recommendations and why you feel these are the measures that the clinic should focus on.
• 23 slides: Analyze how the reimbursement changes will benefit the patients, physicians, and the clinic.
• 1 slide: Conclusion.

Note: To increase stakeholder buy-in, remember to provide a minimum of three current scholarly and/or authoritative resources to support the changes you are recommending. These resources should be over and above the resources provided to you in this week’s reading list.

Additional Requirements

Your assignment should also meet the following requirements:

• Written communication: Be sure that your presentation is clear, logical, and succinct. It also needs to be free of errors that detract from the overall message.
• Length: 1215 slides.
• Title and reference pages: Include a title and a reference slide. Include a minimum of three references to current scholarly and/or authoritative resources. These resources need to be over and above the resources identified for you in this week’s reading list. Current means no more than five years old.
• APA format: Ensure in-text citations and references adhere to current APA format. For an APA refresher, consult the
• section of the Writing Center.
• Rubric: Review the Billing Policies and Procedures rubric so that you understand how your instructor is going to evaluate your work.

Competencies Measured

By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and rubric criteria:

• Competency 1: Develop financial strategies to address dynamic environmental forces.
• Explain value-based purchasing.
• Explain MACRA.
• Competency 2: Analyze the cost and revenue implications for organizational changes due to environmental forces.
• Explain MIPS and APM and how they are related.
• Recommend five quality measures that the clinic should focus on, including the measure title, description, NQS domain, meaningful measure area, and primary measure standard for each selected measure.
• Defend the given recommendation and why the clinic should focus on the selected quality measures.
• Analyze how the reimbursement changes will benefit the patients, physicians, and the clinic.
• Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.
• Write content clearly and logically with correct use of grammar, punctuation, and spelling.
• Format citations and references in APA style.