Course Code: REL-ACU-0-FSCHU
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Identify various models for payment of medical care within the U.S. healthcare delivery system and how those models affect cost and quality of care.
Recognize the relationship between various types of healthcare providers and payers.
Define strategies for maximizing reimbursement within the U.S. healthcare delivery system.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: State of Healthcare Payment Models
Who Pays for Healthcare?
State of Healthcare Reform
Affordable Care Act
Summary
Section 3: Payment/Reimbursement Models
Fee-for-Service Reimbursement
Value-Based Care
Health Care Disparities
Alternative Payment Models
Population-Based Payment Models
Episode-Based Payment Models
Transparency
Summary
Section 4: Strategies for Maximizing Reimbursement
Overview
Future
Summary
Section 5: Clinical Vignette
Case Study
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Instructor: Deborah Zastocki, DNP, EdM, MA, RN, retired NEA-BC, FACHE(r)
Deborah K. Zastocki, DNP, Ed.M. MA, RN, retired NEA-BC, FACHE(r) is the founder and president of Legacy Healthcare Management Consulting in North Carolina and an executive coach and content expert for the Healthcare Experience Foundation.. She received her BSN from the University of Rhode Island, both master's degrees from Teachers College Columbia University, and her DNP from the University of Medicine and Dentistry of NJ. Dr. Zastocki has over 30 years of experience, with a professional career that included a journey from staff nurse to nurse executive roles, authorship, adjunct faculty, and healthcare executive leadership. Dr. Zastocki is the former president and CEO of Chilton Medical Center and became a health system executive with Atlantic Health System in New Jersey, after system integration.
Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments.
Target Audience:
The target audience for this course is: Nursing Personnel; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.