MCCG222 – Advanced CPT and HCPCS Level II Coding

Week 3 Reimbursement Systems Report


This Assessment is worth 10% of your overall grade.

Deadline

Due by the end of Week 3 at 11:59 pm, ET.

Completing this Assessment will help you to meet the following:

Course Outcome



Directions

For this Assessment, you will complete a report consisting of two parts in which you will analyze three professional reimbursement systems: Fee for Service, Capitation, and Bundled Payment. To begin, first read about these professional reimbursement systems in the articles provided below.

Guide to Healthcare Reimbursement Models

Reimbursement Methods: Fee-For-Service Vs Capitation 

Capitation VS Fee For Service:  Which is Better?

What Are Bundled Payments?

What are Medicare bundled payments?

Part I

Now that you have read the articles above, use the information presented within them to complete the table below. Each column in the table represents a different reimbursement system. For each reimbursement system, provide the following:

  • A general definition
  • At least one example
  • At least two advantages
  • At least two disadvantages
Reimbursement Systems
 Fee for ServiceCapitationBundled Payment
General Definition   
Example(s)1.1.1.
Advantages1. 21. 2.  1. 2.  
Disadvantages1. 2.  1. 2.  1. 2.  

Part II

Once the table is complete, write at least a 500-word essay in APA format in which you will compare and contrast the three different reimbursement systems: Fee for Service, Capitation, and Bundled Payment. Be sure to support your analysis with references to the articles provided.

To help guide your response, address the following prompts:

  • Identify and explain the similarities between the three reimbursement systems.
  • Identify and explain the differences between the three reimbursement systems.
MCCG222 – Reimbursement Systems Report Grading Rubric
CriteriaExceeds ExpectationsMeets ExpectationsNeeds ImprovementPoints
Table Content (30 points)27 – 30 points   Provides accurate answers for all 12 of the required fields in the table.     20 – 26 points   Provides accurate answers for 7 to 11 of the required fields in the table.    0 – 19 points   Provides accurate answers for 0 to 6 of the required fields in the table.   
Table Formatting (10 points)9 – 10 points The content within the table is clear, concise, and adheres to template formatting. The visual organization of information in the cells of the table is easy to follow, with spaces or bullet points separating details.    7 – 8 points   The content within the table contains a few unclear areas, and mostly adheres to template formatting.  The visual organization of information in the cells in the table can be followed with minimal difficulty.  Some attempt is made to separate details in each cell.    0 – 6 points The content within the table is unclear and/or does not adhere to template formatting. The visual organization of information in the cells in the table is difficult to follow.  No attempt is made to separate details in each cell. 

 
Essay Content (50 points) 44 – 50 points   Identifies and explains accurate similarities and differences between all three reimbursement systems. 35 – 43 points   Identifies and explains accurate similarities and differences between two reimbursement systems.0 – 34 points   Fails to identify and explain similarities and differences between two reimbursement systems. 
Essay Formatting & Mechanics (10 points)9 – 10 points   Adheres to APA style guidelines.  Provides support from references that are properly cited in APA format with no errors in in-text citations or reference list.   Word count is 500 words or more. Makes minimal grammar, spelling, and punctuation errors. Errors do not distract reader or cloud meaning of the message. Writing is clear with no “text” or “chat” language.  7 – 8 points   Mostly adheres to APA style guidelines.  Some support is provided from references or support from scholarly references is not cited properly or there are some errors in in-text citations or reference list. Word count is between 400 and 499 words. Makes several errors grammar, spelling, and punctuation errors. Errors do not distract or cloud the meaning of the message.  Some “text” or “chat” language is used.  0 – 6 points   Does not adhere to APA style guidelines. Little to no support is provided from references and/or scholarly references are not cited properly and/or there are many errors in in-text citations and/or reference list. Word count is below 400 words. Makes several errors grammar, spelling, and punctuation errors. Errors distract reader and/or cloud meaning of the message. Some “text” or “chat” language is used. 
Instructor Comments: Total Points: 

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