Describe the key issues associated with managed care


BHA Financial Management Discussion

1. Describe the key elements of the Medicare cost report. Why is this report so important for hospital net revenues?

2. Review Exhibit 5.1, Office of Inspector General Work Plan: Selected Areas for Review in Billing and Claims Processing, Fiscal Year 2013, on pages 156-158 of your textbook, and discuss actions that a healthcare organization can take to eliminate or reduce government penalties under this plan.

3. Describe the key issues associated with managed care and its reimbursement methods. How does managed care impact hospital net revenues?

200 words.

4. A key aspect of the Patient Protection and Affordable Care Act is rewarding hospitals for strong performance and penalizing them for quality issues, such as high infection rates and high readmission rates to the facility. Explain the details of how PPACA rewards and punishes hospitals for their performance.

The response should include a reference list. Double-space, using Times New Roman 12 pnt font, one-inch margins, and APA style of writing and citations.

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Financial Management: Describe the key issues associated with managed care
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