Chapter 5 - Payment System Grid_Class Activity

nment i Exercise 4-3A (Static) ?Prescription drugs Lori Garrett is wondering what elements are in a qualified health plan. Which of the following would be included? (You may select more than one answer. Single click the box with the question me produce a check mark for a correct answer and double click the box with the question mark to empty the box for a wrong Any boxes left with a question mark will be automatically graded as incorrect.) ? Preventive and wellness services ?Mental health benefits ? Pet insurance premiums $ R % 5 ▬ T G Q Search 6 B H & 7 prt sc F10 O (DELL) O 61 He =

Calculate the total charge, allowed amount, write-off, patient responsibility, and carrier responsibility for each of the following situations. Use the following table for your calculations. CPT Code Provider’s Charge Allowed Amount 99212 $66.00 $54.00 93040 $44.00 $36.00 99201 $88.00 $62.00 99204 $108.00 $75.00 97032 $45.00 $29.00 97110 $45.00 $29.00 99213 $90.00 $52.00 73630 $88.00 $$72.00 Patient 2 is charged 99204, 99213 and 97032. Deductible of $70 applies. Total charge. ____________________________________________________________ Allowed amount. ____________________________________________________________ Write-off. ____________________________________________________________ Patient responsibility. ____________________________________________________________ Carrier responsibility. ____________________________________________________________

In accruing patient charges for the current month, which one of the following accounts should a hospital credit? Accounts Payable. Deferred Revenue. Public Support Revenue. O Patient Service Revenues. O Accounts Receivable. Question 31 4 pt Which of the following types of health care entities follow FASB Accounting Standards Codification for preparing financial statements? MacBook Air

Healthcare organizations involve a wide variety of departments, such as the following. Pharmacy HR Billing Pediatrics ICU IT (a) Pharmacy Billing Identify whether each department is an operating unit or a support department. Pediatrics IT HR OBGYN OBGYN Surgery Medical Emergency Maintenance Gift Shop < < <

Select 3 of the following EDI transactions that are processed in the format established by the Health Insurance Portability and Accountability Act (HIPAA) A Order management B Eligibility C Release of Information D Consent forms E Claims status F Payment and remittance advice

Give typing answer with explanation and conclusion to all parts Though limited, which of the following does Medicare cover? a. assisted living facility care b. continuing care retirement community services c. adult day care services d. home health care

Don't use ai i will report you answer solve it as soon as possible with proper explanation

Course Name: Principle of Healthcare Finance How does Medicare reimburse hospitals for inpatient stays?

Overview For this assignment, pick a health care organization of your choice. It could be a hospital, large clinic, or care facility. Read these articles before you begin the assignment: The COSO Framework in Emerging Technology Environments: An Effective In-Class Exercise on Internal Control. Journal of Emerging Technologies in Accounting. COSO Internal Control - Integrated Framework: An Implementation Guide for the Healthcare Provider IndustryLinks to an external site.. Instructions In which you: Identify at least three of the five different 2013 framework elements that focus on internal control. Make sure that elements connected are related to financial reporting of the organization. Provide your rationale on the reasoning that the selected elements are tied to the financial reporting process in the organization. These are located in Chapter 3 in your textbook. Design a method in AIS where it can be integrated in the health care industry that will improve the efficiency of its…

Explain the following entities: (about ten lines each). Use any Internet resources, and please give reference to those resources. (a) HMO (Health Maintenance Organization.      (b) PPO (Preferred Provider Organization.      (C) CMS (Centers for Medicare and Medicaid Services.      (d) PPS (Prospective Payment System.      (e) DRG (Diagnosis Related Groups.

Course Name: Principle of Healthcare Finance   How does Medicare reimburse physician services?

Healthcare organizations involve a wide variety of departments, such as the following. Pharmacy HR Billing Pediatrics ICU IT (a) Pharmacy Billing Pediatrics OBGYN IT Surgery Identify whether each department is an operating unit or a support department. Medical Emergency Maintenance Gift Shop

question 7. Fill in the blank. The following table contains select data concerning several outpatient clinics in a new ambulatory care center at Hope University Hospital. Fill in the missing information

7. 41 Develop a context diagram and level-0 diagram for the hospital pharmacy system described in the following narrative. If you discover that the narrative is incomplete, make up reasonable explanations to complete the story. Supply these extra explanations along with the diagrams. The pharmacy at Mercy Hospital fills medical prescriptions for all hospital patients and distributes these medications to the nurse stations responsible for the patients’ care. Prescriptions are written by doctors and sent to the pharmacy. A pharmacy technician reviews each prescription and sends it to the appropriate pharmacy station. Prescriptions for drugs that must be formulated (made on-site) are sent to the lab station, prescriptions for off-the-shelf drugs are sent to the shelving station, and prescriptions for narcotics are sent to the secure station. At each station, a pharmacist reviews the order, checks the patient’s file to determine the appropriateness of the prescription, and fills the order…

Identify and explain the cost controls utilized by Managed-Care health plans

Conclusion on the Eight Basic Ratios Used in Health Care

1. How can social media help a hospital manage the patient experience? 2. Briefly explain the difference between short-term and long-term assets.

Revenue Cycle and Collections Instructions The revenue cycle and the phases of the life cycle of patient accounts and collections. select and answer one of the following questions: 1. What are the steps in the revenue cycle? 2. Discuss the collection process 3. Describe the statements, dunning notices, and rules regarding the collection process.

List and describe at least 5 stakeholders in the health care payer system.

QUESTION 10 With a DRG, Medicare pays for a hospitalization based on _____.     how long the patient was hospitalized     the diagnosis the patient was hospitalized to treat     how much the hospital did to treat the patient     how much the hospital spent caring for the patient.

Subject : Accounting

1. What are the four elements of financial management? 2. Briefly explain The Information Flow.  3. How can social media help a hospital manage the patient experience? 4. Briefly explain the difference between short-term and long-term assets. 5. What are the major differences in Government Sourcesand Managed Care Source? 6. Explain the two types of disbursements for services. 7. What is the difference between direct and indirect costs? Explain.

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google x S Dallas x B Score X M mybox com/ilrn/takeAssignment/takeAssignmentMain.do?invoker=&takeAssignmentSession Calcul x Ber eBook Type of Admission Unscheduled admission Scheduled admission Direct Labor Standards for Nonmanufacturing Expenses Englert Hospital began using standards to evaluate its Admissions Department. The standard was broken into two types of admissions as follows: Standard Time to Complete Admission Record Print Item b. What are the standard hours for the actual volume for the week (round to the nearest whole hour)? hours. Check My Work # 30 min. 20 min. The unscheduled admission took longer because name, address, and insurance information needed to be determined and verified at the time of admission. Information was collected on scheduled admissions prior to the admissions, which was less time-consuming. [3 The Admissions Department employs three full-time people (40 productive hours per week, with no overtime) at $15 per hour. For the most recent week, the…