week 4 - FROM Nakisha Boykins([email protected]

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FROM: Nakisha Boykins ([email protected]), SENT: 19 TH May, 2016, TO: Lauren Esther ([email protected]), CC: SUBJECT: RESPONSE TO REVENUE FOR HEALTH CARE QUESTIONS. Hello Lauren, Hope you are well and doing great with your research, I was pleased reading your email and I would like to respond to your questions on primary sources of revenue, revenue cycle management, billing and reimbursement as below: Government Support The government contributes some revenue for the health care industry through subsidies and grants. Also produces the revenue for health care plans like Medicare and Medicaid. American citizens usually render this aid indirectly through taxes or other wage deductions. Out of Pocket Direct Payments Healthcare patients generate the majority of revenue. Patients put the payment into health care when they fund out of pocket for medical services. Much of the health care reform action has
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concentrated on trying to decrease the percentage of health care revenue that gets from patient's openings. Premiums Insurance companies that provide health care insurance work on the principle that you will be well more than you will be sick and that they will earn far more in premiums than they end up paying out. The money insurance companies’ pay to health care providers thus comes mainly from the premiums. Private Donations Sometimes medical facilities get donations from corporations or individuals. Hospital administrators usually lobby for it within the community. Thus, very unstable and inconstant source of revenue, as health care providers cannot guarantee that the same value of donations will come in from year to year.
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  • Fall '13
  • Health care provider, rcm

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