HSM 340 Professor: Steve Klense For this week's homework, you need to respond to the following questions and problems: Respond to the following three problems. Show your work for any calculations...

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HSM 340 Professor: Steve Klense For this week's homework, you need to respond to the following questions and problems:  Respond to the following three problems. Show your work for any calculations performed. Each accurate and complete response is worth 20 points.     Problem 1.  An HMO has a Point of Service (POS) option for its members, but will pay only 80 percent of approved charges. If a member goes out of network for a medical procedure with a charge of $2,000, of which $1,200 is approved, how much must the member pay? Problem 2.  A hospital has contracted with an HMO to provide acute care inpatient services for $1,000 per day, subject to a 10 percent withhold. The proposed budget for inpatient services is based upon expected utilization of 600 days per 1,000 members at $1,000 per day, or $600,000 per 1,000 members. The hospital risk pool will be split equally between the hospital and a primary care physician group. If only 450 days per 1,000 members were utilized in the first year, how much would the hospital be paid per 1,000 members? Problem 3. An uninsured patient receives services with charges of $5,000 from a hospital. The hospital staff bills the patient $1,000 and records $4,000 as charity care. If the hospital's ratio of cost to charges is 50%, what amount would the hospital recognize as charity care in Schedule H of IRS Form 990? Please submit your homework. Use full APA formatting on all of our written assignments. When making your math calculations, carry them out to two decimal points. Please refer to the File tab in the Week 7 study aide for more information about the assignment. Grading Rubric for week 7 written assignment:   Week 7 written assignment the 3 math problems. - Key Grading Criteria. 60 points. When making your math calculations, carry them out to two decimal points. Title Page Answer and show calculations. (17 points possible) You must show your calculations on how you determined your answers. 1. Answer and show calculations. (17 points possible) You must show your calculations on how you determined your answers. 2. Answer and show calculations. (17 points possible) You must show your calculations on how you determined your answers. 3. APA Formatting (title page, body, & reference page) (6 points possible) References (3 points possible): at least one required. HSM 340 Professor: Steve Klense For this week's homework, you need to respond to the following questions and problems:  Respond to the following three problems. Show your work for any calculations performed. Each accurate and complete response is worth 20 points.     Problem 1.  An HMO has a Point of Service (POS) option for its members, but will pay only 80 percent of approved charges. If a member goes out of network for a medical procedure with a charge of $2,000, of which $1,200 is approved, how much must the member pay? Problem 2.  A hospital has contracted with an HMO to provide acute care inpatient services for $1,000 per day, subject to a 10 percent withhold. The proposed budget for inpatient services is based upon expected utilization of 600 days per 1,000 members at $1,000 per day, or $600,000 per 1,000 members. The hospital risk pool will be split equally between the hospital and a primary care physician group. If only 450 days per 1,000 members were utilized in the first year, how much would the hospital be paid per 1,000 members? Problem 3. An uninsured patient receives services with charges of $5,000 from a hospital. The hospital staff bills the patient $1,000 and records $4,000 as charity care. If the hospital's ratio of cost to charges is 50%, what amount would the hospital recognize as charity care in Schedule H of IRS Form 990? Please submit your homework. Use full APA formatting on all of our written assignments. When making your math calculations, carry them out to two decimal points. Please refer to the File tab in the Week 7 study aide for more information about the assignment. Grading Rubric for week 7 written assignment:   Week 7 written assignment the 3 math problems. - Key Grading Criteria. 60 points. When making your math calculations, carry them out to two decimal points. Title Page Answer and show calculations. (17 points possible) You must show your calculations on how you determined your answers. 1. Answer and show calculations. (17 points possible) You must show your calculations on how you determined your answers. 2. Answer and show calculations. (17 points possible) You must show your calculations on how you determined your answers. 3. APA Formatting (title page, body, & reference page) (6 points possible) References (3 points possible): at least one required.
Answered Same DayJun 16, 2021

Answer To: HSM 340 Professor: Steve Klense For this week's homework, you need to respond to the following...

Harshit answered on Jun 20 2021
146 Votes
COSTING
PROBLEM 1
Health Maintenance Organization pays 80% on the approved charge to its members a
t the point of Service (POS).
The actual medical charge = $ 2,000
Approved medical charge = $ 1, 200
Therefore the payment will be :
=Approved medical charge * percentage of payment on approved charges
In the given case the payment will be = $ 1,200 * 80%
= $ 960
$ 960 will be paid by HMO.
PROBLEM 2
The proposed budget for inpatient services =
No. of members per day * expected utilization in days
600 * 1000 or 1000 * 600
$ 600,000
The actual amount of inpatient services
= Actual utilization in days * No. of members per day * (Total - Percentage withheld)
= 450 * 1000 * ( 100% -...
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