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Calculating reimbursement rates

Calculating reimbursement rates

Assignment Details

Assignment Description

You will create this assignment following the Assignment Detail instructions below.

Review the tutorial How to Submit an Individual Project.

Assignment Details ­ This is a 5 part deliverable

PART 1

Your facility has 2000 cases in the following payer mix:

40% commercial insurances 25% Medicare insurance 15% Medicaid insurance 15% liability insurance 5% all others, including self­pay

What are the proportions of the total cases for each payer?

PART 2

The average Medicare rate for each case is $6,200. Use this as the baseline. Commercial insurances average 110% of Medicare, Medicaid averages 65% of Medicare., Lliability insurers average 200% of Medicare, and the others average 100% of Medicare rates.

1. Calculate the individual reimbursement rates for all 5 payers? 2. What is your expected Accounts Receivable?

PART 3

Which of the following costs are fixed, which are variable, and which are direct or indirect:

Materials/supplies (gowns, drapes, bedsheets) Wages (nurses, technicians) Utility, building, usage exp (lights, heat, technology) Medications Licensing of facility Per diem staff Insurances (malpractice, business, and so on)

PART 4

Given the following costs per case:

Materials/supplies: $2,270 Wages: $2,000 Utility, building, usage exp: $1,125 Insurances (malpractice, business, and so on): $175

What is the total cost of all combined cases?

PART 5

Calculate the difference between accounts receivable (A/R) and accounts payable (A/P)

Your assignment will be graded in accordance with the following criteria: Review the grading rubric.

Please submit your assignment.

For assistance with your assignment, please use your text, Web resources, and all course materials.

If you are planning to repurpose an assignment or submit one you have used before, please let your instructor know. If an instructor is not made aware of work being repurposed or reused, he or she will treat the assignment as a plagiarized task and reserves the right to post an F grade and submit a task for review to administration until proof of originality is provided. View the full AIU Policies on submitting papers.

The following are some tips if you have problems submitting your assignment:

1. Resave in the proper format per the Assignment Detail instructions, and resubmit. 2. Submit with a different Web browser. 3. Submit from a different computer. 4. Call Technical Support at 877­221­5800, Menu Option 2. They are open 24/7. 5. If you are still having difficulties after trying steps 1 to 4, please contact your course instructor.

Make sure you submit this assignment by the listed due date. Late deductions will apply for this assignment as follows: 1. Assignments submitted within 7 calendar days after the stated due date: 10% penalty of total assignment points. 2. Assignments submitted 8 to 14 calendar days after the stated due date: 20% penalty of total assignment points. 3. Assignments submitted 15 to 21 calendar days after the stated due date: 30% penalty of total assignment points. 4. Assignments submitted 22 to 28 calendar days after the stated due date: 40% penalty of total assignment points. 5. No assignments, including late assignments, will be accepted after the end of the course unless an approved Incomplete has been granted.

Reading Assignment Understanding Value Based Healthcare: Chapter 6

Assignment Objectives Achieve exercises such as income sensitivity and breakeven analyses for providers with diverse payer mixes. Analyze and compare capital investment opportunities based on an understanding of the basics of capital budgeting and capital structure decisions. Assess the major reimbursement sources, such as Medicare, Medicaid, and commercial insurance that affect all providers. Differentiate the various reimbursement methods, including prospective payment systems, cost reimbursement systems, discounted charges systems, flat­rate reimbursement systems, and capitation contracts. Evaluate healthcare relationships expressed in financial and economic terms.

Other Information There is no additional information to display at this time.

Legend Extra Credit View Assignment Rubric

Privacy Policy Terms of Use About Our Ads Contact Us

© 2021 American InterContinental University, a member of the American InterContinental University System. All Rights Reserved. Authorized Users Only.

Unit 3 ­ Individual Project

Assignment Overview

Unit: Evaluating Financial Statements Due Date: Tue,1/12/21 Grading Type: Numeric Points Possible: 200 Points Earned: Deliverable Length: See assignment details

Type: Individual Project

Go To:

Looking for tutoring? Go to Smarthinking

Assignment Details Learning Materials Reading Assignment

My Work:

Online Deliverables: Submissions

1:57 PM (CST)

Assignment Details

Assignment Description

You will create this assignment following the Assignment Detail instructions below.

Review the tutorial How to Submit an Individual Project.

Assignment Details ­ This is a 5 part deliverable

PART 1

Your facility has 2000 cases in the following payer mix:

40% commercial insurances 25% Medicare insurance 15% Medicaid insurance 15% liability insurance 5% all others, including self­pay

What are the proportions of the total cases for each payer?

PART 2

The average Medicare rate for each case is $6,200. Use this as the baseline. Commercial insurances average 110% of Medicare, Medicaid averages 65% of Medicare., Lliability insurers average 200% of Medicare, and the others average 100% of Medicare rates.

1. Calculate the individual reimbursement rates for all 5 payers? 2. What is your expected Accounts Receivable?

PART 3

Which of the following costs are fixed, which are variable, and which are direct or indirect:

Materials/supplies (gowns, drapes, bedsheets) Wages (nurses, technicians) Utility, building, usage exp (lights, heat, technology) Medications Licensing of facility Per diem staff Insurances (malpractice, business, and so on)

PART 4

Given the following costs per case:

Materials/supplies: $2,270 Wages: $2,000 Utility, building, usage exp: $1,125 Insurances (malpractice, business, and so on): $175

What is the total cost of all combined cases?

PART 5

Calculate the difference between accounts receivable (A/R) and accounts payable (A/P)

Your assignment will be graded in accordance with the following criteria: Review the grading rubric.

Please submit your assignment.

For assistance with your assignment, please use your text, Web resources, and all course materials.

If you are planning to repurpose an assignment or submit one you have used before, please let your instructor know. If an instructor is not made aware of work being repurposed or reused, he or she will treat the assignment as a plagiarized task and reserves the right to post an F grade and submit a task for review to administration until proof of originality is provided. View the full AIU Policies on submitting papers.

The following are some tips if you have problems submitting your assignment:

1. Resave in the proper format per the Assignment Detail instructions, and resubmit. 2. Submit with a different Web browser. 3. Submit from a different computer. 4. Call Technical Support at 877­221­5800, Menu Option 2. They are open 24/7. 5. If you are still having difficulties after trying steps 1 to 4, please contact your course instructor.

Make sure you submit this assignment by the listed due date. Late deductions will apply for this assignment as follows: 1. Assignments submitted within 7 calendar days after the stated due date: 10% penalty of total assignment points. 2. Assignments submitted 8 to 14 calendar days after the stated due date: 20% penalty of total assignment points. 3. Assignments submitted 15 to 21 calendar days after the stated due date: 30% penalty of total assignment points. 4. Assignments submitted 22 to 28 calendar days after the stated due date: 40% penalty of total assignment points. 5. No assignments, including late assignments, will be accepted after the end of the course unless an approved Incomplete has been granted.

Reading Assignment Understanding Value Based Healthcare: Chapter 6

Assignment Objectives Achieve exercises such as income sensitivity and breakeven analyses for providers with diverse payer mixes. Analyze and compare capital investment opportunities based on an understanding of the basics of capital budgeting and capital structure decisions. Assess the major reimbursement sources, such as Medicare, Medicaid, and commercial insurance that affect all providers. Differentiate the various reimbursement methods, including prospective payment systems, cost reimbursement systems, discounted charges systems, flat­rate reimbursement systems, and capitation contracts. Evaluate healthcare relationships expressed in financial and economic terms.

Other Information There is no additional information to display at this time.

Legend Extra Credit View Assignment Rubric

Privacy Policy Terms of Use About Our Ads Contact Us

© 2021 American InterContinental University, a member of the American InterContinental University System. All Rights Reserved. Authorized Users Only.

Unit 3 ­ Individual Project

Assignment Overview

Unit: Evaluating Financial Statements Due Date: Tue,1/12/21 Grading Type: Numeric Points Possible: 200 Points Earned: Deliverable Length: See assignment details

Type: Individual Project

Go To:

Looking for tutoring? Go to Smarthinking

Assignment Details Learning Materials Reading Assignment

My Work:

Online Deliverables: Submissions

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