Reference no: EM132508285

Question 1: What are at least two challenges associated with collecting payments for accounts receivable? And why must the healthcare organization monitor cash flow and days in accounts receivable?

Question 2: Do healthcare organizations, in general, adequately utilize case rates and management utilization to maximize payment from payors?

Question 3: Pick two recent federal or state regulations that present the most concern for healthcare leaders. Why do healthcare leaders need to be concerned about these regulations?

Question 4: What are some items that are required to be reported for CMS? What are two opportunities (benefits for the healthcare organization and/or American health) and two challenges (concerns within the healthcare facility) for healthcare leaders in meeting the reporting requirements you described?

Question 5: Identify two strategies you would recommend organizations implement to receive full and timely reimbursement on claims from CMS.

Question 6: Choose a third party payor (Aetna, Blue Cross, Kaiser Permananete are all big ones). Identify two impacts a third party payor has on a healthcare organization. (Why should the healthcare organization care about meeting the requirements of the third party payor?)

Question 7: Using the same payor, what are some items that are required to be reported to that payor? What are two opportunities (benefits for the healthcare organization and/or American health) and two challenges (concerns within the healthcare facility) for healthcare leaders in meeting the reporting requirements you described?

Question 8: Return to your Financial Management Principles section on part one of this project. Look more closely at two of those principles and expand upon how those principles ensure compliance with your third party payor standards.

Question 9: Identify two strategies you would recommend organizations implement to receive full and timely reimbursement on claims from your third party payor.

Question 10: What are two operational recommendations you would make to improve performance measures so your organization can maximize reimbursement? Please explain how these two recommendation will help to improve performance measures.

Question 11: What are two performance measures that should be benchmarked so reimbursement is maximized? Why?

Question 12: Identify and explain two methods you would use to communicate information to key stakeholders. For example, how would you communicate the same decision to patients, administrative staff, and clinicians?