Healthcare Financial Management And Decision Making

Topic: Financial Management in Health Care

Deliverable Length: 5-6 pages of content excluding Information and Reference Pages

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 5-6 pages, include and introduction and at least 5-6 relevant academic or professional references published in the past 5 years.

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