Explore BrainMass
Share

Explore BrainMass

    Financial Management in Health care

    This content was COPIED from BrainMass.com - View the original, and get the already-completed solution here!

    Financial Management in Health care

    Need help with a healthcare class.

    Please see topic information below.

    This assignment will require you to consider several influences to the budgeting process of a health care institution. Here, you will review payer mix and other influences to revenue as you consider revenue factors for the budget. Complete the following for this assignment:
    •For a health care organization of your choice (real or hypothetical), describe the type of organization, and determine the payer mix of patients served (percentage of Medicare, Medicaid, private insurance, managed care, and private pay).
    •Take into consideration that reimbursement can be affected by the claims process, out-of-network payments, denials, audits, and legislation.
    •Assess the differences in health care budgeting as a result of these potential changes in the payer mix and payment methodologies as an outcome of the Affordable Care Act.
    •Take into consideration that while more patients may have insurance coverage, the out-of-pocket expenses will continue to create a potential uncollectable liability.
    •Evaluate how you would strategize to keep a balanced budget for all 12 months in a year using a flexible budget rather than a static budget, and provide rationale and justification.

    The body of the resultant paper should be 4 pages and include at least 3 relevant academic or professional references published in the past 5 years.

    © BrainMass Inc. brainmass.com October 10, 2019, 8:04 am ad1c9bdddf
    https://brainmass.com/health-sciences/marketing-in-health-care/financial-management-health-care-607210

    Solution Preview

    Payer and Patient Mix: Keys to a Healthy Private Practice. Authors: Foehl, Angela Source: ASHA Leader. 8/11/2009, Vol. 14 Issue 10, p46-46. 1p.

    Payer Mix and EHR Adoption in Hospitals. Academic Journal By: Dong Yeong Shin; Menachemi, Nir; Diana, Mark; Kazley, Abby Swanson; Ford, Eric W. Journal of Healthcare Management. Nov/Dec2012, Vol. 57 Issue 6, p435-448. 14p. 4

    "Private Practice Administrative Costs Influenced by Insurance Payer Mix" (J Oncol Pract 5:291-297, 2009), Jorge M. Luna, MPH, Paul W. Thurman, MBA, [...], and William D. Figg, Sr, PharmD, MBA

    This assignment will require you to consider several payer mix influences to the budgeting process of a health care institution. and other influences to revenue as you consider revenue factors for the budget. Complete the following for this assignment: •For a health care organization of your choice (real or hypothetical), describe the type of organization, and determine the payer mix of patients served (percentage of Medicare, Medicaid, private insurance, managed care, and private pay).•Take into consideration that reimbursement can be affected by the claims process, out-of-network payments, denials, audits, and legislation. •Assess the differences in health care budgeting as a result of these potential changes in the payer mix and payment methodologies as an outcome of the Affordable Care Act. •Take into consideration that while more patients may have insurance ...

    Solution Summary

    The expert evaluates financial management in health care. How reimbursement can be affect by the claims process is determined.

    $2.19