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Medical Reimbursement Unit 7 Assignment

Medical Reimbursement Unit 7 Assignment
Unit outcomes addressed in this Assignment:
• Understand the various data sets utilized in the payment for post-acute care.
Course outcome assessed/addressed in this Assignment:
Examine the reimbursement processes of different health insurance plans.
Instructions:
• Go to the CMS.gov Home Health Compare website at: http://www.medicare.gov/HomeHealthCompare/search.aspx
• Source:Home Health Compare. Medicare.gov. Retrieved from http://www.medicare.gov/HomeHealthCompare/search.aspx
• Explore the site including the green link “About the Data” and the blue side bars “Home Health Spotlight” and “Additional Information” and answer the following questions:
• List a way in which “Home Health Compare” can be utilized;
• What is the difference between “process” and “outcome” care measures?
• What are the current data collection periods” for the home health available measures?
• What is the data source for the majority of the process and outcome measures?
• How is the data collected?
• What is meant by the term “risk adjusted” as it relates to outcome measures?
• Review the Medicare coverage for Home Health. What are the typical services covered and not covered?
• What is the HHABN and how it is utilized?
• Conduct a search for a home health agency in your state by using the “find a Home Health Agency” search box. Narrow your search by using the “Modify Your Results” if you choose.
• Choose three agencies to compare and click “compare now”.
• What type of services are provided? Are there any services not provided?
• Write a 2–3 paragraph summary of the results of the “Quality of Patient Care” results for your three agencies. Include the following:
• Provide an explanation of the data and why the information is important for the selected measures.
• How your selected agencies compare to the state and national averages for the selected measures.
• Why is preventing unplanned hospital care important?
Requirements
• Provide the answers to the questions and your 2–3 paragraph summary in a Word document
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