River Forks Clinic

While River Forks Clinic is successfully transitioning to the new system, some questions have come up regarding revenue cycle management. First, the clinic hopes that the new system will contribute to a more efficient revenue cycle. Second, depending on the payment model adapted by the clinic (value-based purchasing, pay-for-performance, etc.) certain sets of data will need to be reported. The administration is not sure on how the system will support any of these models when it comes to data collection and reporting. Also, since the clinic joined the local Accountable Care Organization (ACO) more questions have come up about population health, specifically regarding measuring and monitoring quality and data sharing with other organizations within the ACO.

  1. What are some of the desired system capabilities when it comes to supporting an effective and efficient revenue cycle?
  2. With the goal in mind improving population health, what tools, systems, and technologies can the organization use? (Keep in mind the system that is already implemented and cost minimization).
  3. Individually comment on your overall discussion-related learning experience. Provide any suggestions on how this experience can be improved. Identify parts of the discussion or weeks that were most challenging or the most fun.

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