answering the following questions on medicare

I’m stuck on a Health & Medical question and need an explanation.

INTRODUCTION


The healthcare ecosystem is influenced by external forces in the form of government regulations, accreditation standards, and federal legislation. These regulations and legislation are components of federal government programs and bring with them directives that may impact the economics of healthcare.

As greater numbers of healthcare organizations implement information systems across the United States, a seamless exchange of health information may provide consumers with a higher quality of care, improvement in patient access, and more efficient control of the cost of healthcare services. The healthcare ecosystem is one of continuous change, and health information management is supporting many of the changes.

REQUIREMENTS


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. An originality report is provided when you submit your task that 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.

A. Analyze one federal government payer program for healthcare services (i.e., Medicare, Federal Employees Health Benefits Program, Indian Health Service, or TRICARE) making an impact on today’s healthcare ecosystem by doing the following:

1. Explain how your chosen federal government payer program impacts licensure, certification, or accreditation standards.

2. Explain how your chosen federal government payer program influences each of the following:

a. clinical quality reporting systems

b. reimbursement for healthcare services

c. patient access to care

B. Evaluate how health information management plays a part in your chosen federal government payer program by discussing a specific professional role within the HIM profession and how the role supports the goals of the chosen federal government payer program.

C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

RUBRIC


A1. IMPACT ON STANDARDS
:

NOT EVIDENT

An explanation is not provided.

APPROACHING COMPETENCE

The explanation does not identify one federal government payer program or does not logically discuss how the chosen federal government payer program impacts licensure, certification, or accreditation standards.

COMPETENT

The explanation identifies one federal government payer program and logically discusses how the chosen federal government payer program impacts licensure, certification, or accreditation standards.

A2A. CLINICAL QUALITY REPORTING SYSTEMS:

NOT EVIDENT

An explanation is not provided.

APPROACHING COMPETENCE

The explanation does not logically discuss how the chosen federal government payer program influences clinical quality reporting systems.

COMPETENT

The explanation logically discusses how the chosen federal government payer program influences clinical quality reporting systems.

A2B. REIMBURSEMENT FOR HEALTHCARE SERVICES:

NOT EVIDENT

An explanation is not provided.

APPROACHING COMPETENCE

The explanation does not logically discuss how the chosen federal government payer program influences reimbursement for healthcare services.

COMPETENT

The explanation logically discusses how the chosen federal government payer program influences reimbursement for healthcare services.

A2C. PATIENT ACCESS TO CARE:

NOT EVIDENT

An explanation is not provided.

APPROACHING COMPETENCE

The explanation does not logically discuss how the chosen federal government payer program influences patient access to care.

COMPETENT

The explanation logically discusses how the chosen federal government payer program influences patient access to care.

B1. ROLE OF HEALTH INFORMATION MANAGEMENT PROFESSIONALS:

NOT EVIDENT

A discussion is not provided.

APPROACHING COMPETENCE

The discussion does not include relevant responsibilities of a health information management role or does not logically address the effect of the chosen federal government payer program on that role.

COMPETENT

The discussion includes relevant responsibilities of a health information management role and logically addresses the effect of the chosen federal government payer program on that role.

C. APA SOURCES:

NOT EVIDENT

The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.

COMPETENT

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.

PROFESSIONAL COMMUNICATION:

NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the student. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

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