JoAnna Younts, Potential Article Topics

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Potential Article Topics

The various trending key topics/subtopics are related to the following topics: evaluation and modification of reimbursement approaches; reimbursement benchmarking ; hospital reimbursement; ancillary provider contracting and reimbursement, including ambulatory surgery centers, freestanding dialysis centers, and skilled nursing facilities ; out-of-network reimbursement issues for out-of-network hospitals and ancillary providers ; disputes and investigations regarding billing and coding; provider costs and reimbursement rates; billing and claims analysis ; and fee schedule design. Below are the details of our findings.

KEY FINDINGS

  • Evaluation and modification of reimbursement approaches
— Impact of reimbursement approaches
— Analysis and implementation of reimbursement plans

  • Reimbursement benchmarking
— Objectives of reimbursement benchmarking
— Reimbursement benchmarking strategies
— Key performance indicators in reimbursement benchmarking

  • Hospital reimbursement
— Methods of hospital reimbursement
— Effects of hospital reimbursement
— Hospital reimbursement concepts and principles
— Key characteristics of hospital reimbursement
— Tips for maximizing hospital reimbursement
— Legal aspects of healthcare reimbursement
— How are federal policies changing health reimbursement
— Healthcare reimbursement to healthcare providers and hospitals

  • Ancillary provider contracting and reimbursement, including ambulatory surgery centers, freestanding dialysis centers, and skilled nursing facilities
— Understanding the basics of payer contracts
— Maximizing provider revenue with payer contract management
— Health insurance contracts with providers
— Ancillary provider provider contracting process
— Implementation of payer contract management
— Ancillary provider participation agreement

  • Out-of-network reimbursement issues for out-of-network hospitals and ancillary providers
— Contributing factors to out-of-network reimbursement issues for out-of-network hospitals and ancillary providers
— Appropriate solutions for out-of-network reimbursement issues for out-of-network hospitals and ancillary providers

  • Disputes and investigations regarding billing and coding, provider costs, and reimbursement rates
— Standard measures towards reimbursement rates
— State legislatures actions towards balance billing issues
— Regulations laydown concerning billing and coding, provider costs, and reimbursement rates
— Understanding healthcare fraud and abuse definitions and regulations
— Common medical billing and coding disputes
— Incorporating coding compliance
— Disputes resolution concerning billing and coding, provider costs, and reimbursement rates

  • Billing and claims analysis
— How hospital billing and claims management processes affect revenue
— Key considerations of the analysis of healthcare claims data
Billing and claims analysis strategies
— The benefit of using both claims data and electronic medical record data in healthcare analysis
— How to improve medical billing and claim analysis in the healthcare industry
— Identification of key stakeholders' activities in claims processing
Insurance claims analysis in healthcare

  • Fee schedule design
— Goals and objectives of designing fee schedule
— Benefits of an effective fee-structure plan
— Factors to consider when designing a fee schedule structure
— Federal policies regulating fee structures

Research Strategy:

In our search, we considered "key topics" or "subtopics" as the crucial, central and principle topics that elaborate and reveal the core content of the topics. After extensive search through various database such as health reports, government websites, professional journals, and medial reports, we examined various subtopics for each of the requested topics in order to determine whether they are the core and central topics or subtopics. Our search was successful in identifying the crucial topics or areas of interest. In fact, the key topics/subtopics selected in this research represent the integral part of each provided topic and writing an article on them will help to disseminate the principal information to the target audience.

Furthermore, we also identified few additional health reports from government websites, professional journals, and news outlets published more than two years ago (2016). These reports provided relevant information and data about various issues in the healthcare industry that are related to the topics mentioned above. We made sure to corroborate these reports with information garnered between 2017 and 2019.
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