This essay focuses on Reimbursement Methods.Does not recommend strategies for organizations to receive full reimbursement on claims and improve
Recommends appropriate strategies for organizations to receive full reimbursement on claims and improve timeliness of reimbursement from third-party payer systems, justifying recommendations Recommends strategies, but they are not appropriate for organizations to receive full reimbursement on claims and improve timeliness of reimbursement from third-party payer systems or response has gaps in detail or relevant justification Does not recommend strategies for organizations to receive full reimbursement on claims and improve timeliness of reimbursement from third-party payer systems 10 Planning: Pay-forPerformance Makes appropriate recommendations for operational strategies to improve performance
measures that will maximize reimbursement based on prior analysis of impact. It is of case rates and management utilization data, providing support for recommendations. This Makes recommendations, but they are not appropriate for operational strategies. It is to improve performance measures that will maximize reimbursement. The recommendations are not based on prior analysis of impact of case rates and management. The utilization data, or response has gaps in detail or relevant support. Does not make recommendations for operational strategies to improve performance measures that will maximize reimbursement 10 Planning: Operational Performance Recommends appropriate performance measures that should be monitored for the purpose of maximizing reimbursement, considering benchmarking data Recommends performance measures that should be monitored for the purpose of maximizing reimbursement,