Healthcare Financial Management

Healthcare Financial Management

Overall Instructions

Submit this activity on a Word Document(s).

Use at least one source (outside the textbook) to support your responses within each part of this activity.

Cite the sources within the submission and reference the source at the end of each activity.  Check tips on how to do your Nursing Essays. 

Check work for grammatical errors (using the Spellcheck in Word or Grammarly). Two (2) points will be subtracted from the overall points for four (4) or more grammatical errors.

Chapter 7: Reimbursement Methodologies

Objective: Distinguish the different types of health plans used to reimburse healthcare organizations for the delivery of inpatient and outpatient services.

Part 1: Healthcare Reimbursement Methodologies

Instructions:

Submit in an essay format (Paragraph style with at least three (3) to four (4) sentences per paragraph).

Describe and discuss the Fee-for-Service (FFS) Reimbursement Methodology. Include how hospitals/physician practices are reimbursed. Give an example.

Describe and discuss the government health plans, Medicare and Medicaid. Address the payment systems used. Give examples of services provided and how a hospital is reimbursed.

Compare and contrast the differences in the health plans discussed (address benefits and challenges of each on the healthcare organization(s).

Healthcare Financial Management

Chapter 8: Revenue Cycle Management

Objective: Identify the different phases of the Revenue Cycle process and evaluate the role and responsibilities health informatics and health information management in the Revenue Cycle process.

Part 2: Analysis of a Healthcare’s Revenue Cycle Process

Instructions:

Submit the information in a table. (Click the “Insert” tab on the Word Document and then click on the “Table” tab for help in developing a table for this activity).

Identify each phase of the Revenue Cycle.

Describe two functions or tasks that are included in each phase.

Explain the role of health informatics/health information management in each phase as it relates to the functions or tasks.

Identify at least one Key Performance Indicator (KPI) for each phase and why the indicator is important in measuring the performance of the specific function.

Healthcare Financial Management

Chapter 25: Financial Management

Objective: Identify the internal financial management controls and how they affect the healthcare reimbursement and revenue cycle processes

Part 3: Internal Controls

Instructions:

Submit in an essay format (Paragraph style with at least three (3) to four (4) sentences per paragraph).

Identify the three internal financial management controls.

Describe each internal control.

Explain how each of the internal controls apply to the reimbursement and revenue cycle processes as reviewed in Chapters 7 and 8.