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Title: Quality Reporting Systems and Emerging Technology in Healthcare Reimbursement
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
A. Analyze the quality reporting systems sponsored by Centers for Medicare and Medicaid Services (CMS) by doing the following:
1. Discuss the goals of the merit-based incentive payment system (MIPS).
a. Describe the advantages and disadvantages of the MIPS.
2. Discuss the goals of the value-based purchasing system (VBPS).
a. Describe the advantages and disadvantages of the VBPS.
3. Describe the role of health informatics and information management (HIIM) staff in participating in both MIPS and VBPS.
B. Explain the role of recovery audit contractors used by CMS as it applies to the reimbursement process.
C. Describe the impact of HIPAA transaction and code set standards on the reimbursement process.
1. Discuss the impact of code set standards on coders.
D. Discuss the history of the EHR Regulatory Relief Act on healthcare providers.
E. Discuss how emerging technology is evaluated in the reimbursement process.
1. Explain how emerging technology will impact the future of reimbursement.
F. Discuss current or emerging technology that healthcare organizations use to minimize fraud and abuse. Include the following details in your discussion:
• features
• system requirements
• security features
• remote access
• interoperability
G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
H. Demonstrate professional communication in the content and presentation of your submission
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