100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Financial Management of Health Care Organizations An Introduction to Fundamental Tools, Concepts and Applications 4th Edition By William Zelman, Michael McCue, Noah Glick, Marci Thomas (Solution Manual) $15.49   Add to cart

Exam (elaborations)

Financial Management of Health Care Organizations An Introduction to Fundamental Tools, Concepts and Applications 4th Edition By William Zelman, Michael McCue, Noah Glick, Marci Thomas (Solution Manual)

 17 views  0 purchase
  • Course
  • Financial Management of Health Care Organizations
  • Institution
  • Financial Management Of Health Care Organizations

Financial Management of Health Care Organizations An Introduction to Fundamental Tools, Concepts and Applications, 4e William Zelman, Michael McCue, Noah Glick, Marci Thomas (Solution Manual) Financial Management of Health Care Organizations An Introduction to Fundamental Tools, Concepts and App...

[Show more]

Preview 4 out of 86  pages

  • June 4, 2023
  • 86
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
  • Financial Management of Health Care Organizations
  • Financial Management of Health Care Organizations
avatar-seller
tutorsection
Financial Management of Health Care Organizations An Introduction to Fundamental Tools, Concepts and Applications, 4e William Zelman, Michael McCue, Noah Glick, Marci Thomas (Solution Manual all Chapters ) (For Complete File, Download link at the end of this File) 1-1 Definitions
a. Accountable Care Organizations (ACOs): A group of healthcare providers who provide coordinated care to target patient populations, with the intent of tying financial incentives to quality outcomes and lowered costs.
b. Capitation: A system which pays providers a specific amount in advance to care for the health care needs of a population over a specific time period. Providers are usually paid on per member per month (PMPM) basis. The provider then assumes the risk that the cost of caring for the population will not exceed the aggregate PMPM amount received.
c. Care Mapping: A process which specifies in advance the preferred treatment regimen for patients with particular diagnoses. This is also referred to as a clinical pathway, clinical protocol, or practice guideline.
d. Compliance: The need to abide by governmental regulations, whether they be for the provision of care, billing, privacy, security, etc.
e. Elecronic Health Record (EHR): Also called an electronic medical record (EMR). An on-line version of patients charts which can include patient demographics, insurance information, dictations and notes, medication and immunization histories, ancillary test results, etc. Under strict security permissions, the information can be accessed either in-house or in private office settings. 1-1 (cont.)
f. Evidence based medicine: Using the best evidence currently available from both individual clinical expertise and outside research-based clinical evidence in making decisions about patient care.
g. Group Purchasing Organizations (GPOs): Third-party entities that contract with multiple hospitals to offer cost savings in the purchase of supplies and equipment by negotiating large-volume discounted contracts with vendors.
h. Health Insurance Exchange: A state level competitive insurance marketplace, authorized by the ACA - one for uninsured individuals and one for small businesses.
i. Health Insurance Portability and Accountability Act of 1996 (HIPAA): A set of federal compliance regulations enacted in 1996 to ensure standardization of billing, privacy, and reporting as institutions convert to electronic systems.
j. ICD-10: The World Health Organization’s International Statistical Classification of Diseases and Related Health Problems (ICD) is a coding system of diseases used in the U.S. for health insurance claim reimbursement. Currently the United States uses the 9th version of the codes. Other countries use the 10th version, ICD-10. U.S. implementation of ICD-10 has been delayed until October 1, 2014. 1-1 (cont.)
k. Malpractice reform: The ACA addresses medical liability in two ways. (1) Extension of federal malpractice protections to nonmedical personnel working in free clinics, and (2) Authorization of $50 million over the next five years for HHS to award demonstration project grants. These grants would be provided to states to develop, implement, institute and evaluate alternatives to the present system used by the U.S. to resolve charges against physicians and other health care providers of wrongdoing to patients.
l. Medical Tourism: Patients who travel to foreign countries to obtain normally expensive medical services at a steep discount. Even including a family escort, who get the added benefit of foreign travel, the total cost is less than what it would be at home.
m. Medicare severity-adjusted diagnosis related groups (MS-DRGs): CMS's DRG-based payment system that replaced the DRG payment system. It was designed to better correlate payments with patient severity. See diagnosis related groups (DRGs).
n. Patient Centered Medical Home (PCMH): A partnership between primary care providers (PCPs), the patients, and their families, to deliver coordinated and comprehensive care over the long-term in a variety of settings.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller tutorsection. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79223 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.49
  • (0)
  Add to cart