How to calculate the allowance for contractual adjustments


Discussion: Fundamentals Of Healthcare Financial Management

1. Medicare payments to providers are heavily based on DRGs and APCs today. Explain how DRGs and APCs work, and discuss how they impact hospitals in particular.

2. Explain how to calculate the allowance for contractual adjustments in a hospital.

3. List and briefly describe the most important areas of the healthcare revenue cycle.

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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