Payment Systems

Compare and contrast the various billing and coding regulations researched in Module Two to determine which
ones apply to prospective payment systems. Reflect on how these regulations affect reimbursement in a
healthcare organization. Assess the impact of regulations on reimbursement in a healthcare organization and
explain what you think is working and what could be a challenge. If possible, bring in a real-world example
either from your life or from something you have read about.
Specifically, the following critical elements must be addressed:
• Application of healthcare reimbursement concepts that are relevant to the journal prompt
• Personal reflection about course content from real-world examples you have witnessed, read about,
experienced, or expect to experience.

Sample Solution