Discussion:
Create a 3-4 page paper (excluding title and reference pages) on the following:
Government insurances and payment expectations
Commercial insurances and payment expectations
Liability insurances and payment expectations
Self-pay/cash pay patients and payment expectations.
Focus on the ways in which these types are different from one another and what you as the medical business professional might need to know about the types of programs in order to bill, collect, account and project financial expectations. Do they have different rules? Are the patients responsible for more or less of the balance? Can you reasonably reduce the charges for a self-pay patient? Do you need to be comfortable with contract language for the others?
Consider that your payer mix is the basic determinant for much of your financial projections as you review and prepare this material