Task Outline
A1. MIPS: Goals
The discussion accurately addresses the goals of the MIPS.
https://qpp.cms.gov/docs/pi_specifications/Measure%20Specifications/2019MIPSPIMeasuresSupportElectronicReferralLoopsReceivingandIncorpo.pdf
A1a. MIPS: Advantages and Disadvantages
The description accurately describes both the advantages and disadvantages of the MIPS.
https://healthpayerintelligence.com/news/challenges-advantages-of-merit-based-incentive-payment-system
A2. VBPS: Goals
The discussion accurately addresses the goals of the VBPS.
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.html
A2a. VBPS: Advantages and Disadvantages
The description accurately describes the advantages and disadvantages of the VBPS program.
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Hospital-Value-Based-Purchasing-.html
A3. HIIM Staff Role
The description is logical and describes the role of HIIM professionals in participating in both MIPS and VBPS.
http://library.ahima.org/doc?oid=104841#.XRlpDuhKiUk
B. Quality Improvement Organizations
The explanation is logical and explains the role of QIOs contracted under CMS and explains the relevance to the reimbursement process.
C. HIPAA Transaction and Code Set standards
The description is logical and accurately describes the impact of the HIPAA Transaction and Code Set standards on the reimbursement process.
https://www.hipaa-101.com/hipaa-transaction.htm
C1. Impact on Coders
The discussion accurately details the impact of the Code Set Standards on coders.
http://www.aafp.org/fpm/2001/1100/p28.html
D. Impact of EHR
The discussion accurately discusses the impact of the EHR Regulatory Relief Act on healthcare reimbursements.
http://www.healthcareitnews.com/news/senators-propose-ehr-regulatory-relief-act-eradicate-all-or-nothing-meaningful-use
https://www.congress.gov/bill/114th-congress/senate-bill/3173/text
E. Emerging Technology in Reimbursement
The discussion is logical and discusses how emerging technology is evaluated in the reimbursement process.
E1. Future of Reimbursement
The explanation logically explains how emerging technology will impact the future of reimbursement and the explanation is well supported.
F. Identity Fraud and Abuse
The discussion logically discusses a current or emerging technology that healthcare organizations use to minimize fraud and abuse. The discussion includes each the given points and how they are relevant to minimizing fraud.
• features
• system requirements
• security features
• remote access
• interoperability
http://library.ahima.org/doc?oid=106207#.WQzhAFMrI1g.
Further information specifically on identity fraud and abuse will best be found on the internet. Here’s an example of one article and you can find many others using your internet browser: https://khn.org/news/rise-of-indentity-theft/
G. Sources
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. 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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