Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 2
Lecture:Methods of Controlling Rising Medical Costs
Slide content:Financing Health Care, Part 2 Summary - 1 Revenue cycle is a unique process Requires submission of claim to payors Methodology involves fee-for-service or episode-of-care U.S. has highest per capita national health expenditures and highest national health care expenditures as a percentage of GDP in the world. 24
Slide notes:This also concludes the unit Financing Health Care, Part 2 . In summary, the revenue cycle for health care organizations is a unique process that requires submission of medical bills or claims to insurance payors using standardized codes for review and adjustment. The methodology used to adjust the claim involves either a fee-for-service or episode-of-care method, which is a function of the provider-payor contract. The U.S. has the highest per capita national health care expenditures and the highest national health care expenditures as a percentage of GDP in the world. Factors driving costs include increased demand and utilization due to aging and chronic disease, technology, pharmaceutical costs, and high administration costs. Health IT Workforce Curriculum Version 4.0 24