Based on information in the text (Kongstvedt, 2013), Weeks’ 1-3 lecture notes (Oestmann, 2014), and research from at least 3 authoritative outside sources, write a 3- to 5-page paper that addresses...


Based on information in the text (Kongstvedt, 2013), Weeks’ 1-3 lecture notes (Oestmann, 2014), and research from at least 3 authoritative outside sources, write a 3- to 5-page paper that addresses the following: As a health services manager with expert knowledge of managed care systems, insurance, and regulations, develop a payer mix goal with objective referenced rationale based on utilization management for a healthcare organization of your choice (real or hypothetical). The payer mix should: Be reported in terms of percentages for each patient group receiving services at your specified organization Include pros and cons associated with your recommendation to address the recent loss in A/R (money coming in) based on the payer mix payment Be based on a list of 10 common services and corresponding payment structures (e.g., make one recommendation if your payer mix payment dropped 20 percent in one quarter)We will send lecture notes





Oct 07, 2019
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