Reimbursement Methods Reimbursement Method Advantages For Strategic Planning of

Reimbursement methods reimbursement method advantages

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occurring simultaneously. Reimbursement Methods Reimbursement Method Advantages For Strategic Planning of Operational Performance Disadvantages For Strategic Planning of Operational Performance Best Use (Type of Facility and Why) Fee for service Patients receive highly valued service and the provider is able to offer suitable recommendations. Physicians can charge a reasonable amount for a plan and can be agile to offer precise assistance to their FFS incentivizes doctors to order unnecessary tests and procedures to generate more income, and encourages them to practice “defensive medicine.” Hospital, and reason being payments in an FFS model are not bundled. This means that the insurance companies or the government agencies are billed for every test, procedure, and treatment rendered
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Title of Paper 4 patients. Restricted to personal visits and serves as a roadblock in the treatment of conditions through unconventional methods. FFS leads to an increase in overall healthcare costs over time since patients and providers are not fiscally accountable. whenever a patient visits the doctor, has a consultation, or is hospitalized. EOC Reduces high financial risks in the health care for the patients. If the cost of the episode of care is less than the set price, the providers keep the balance. However, if the cost is more, the providers lose money. It gives healthcare providers, payers and purchasers an incentive to work together to Hospital and reason being, all services related to an episode of care, including physician services, are reimbursed with a single payment to the hospital. This creates incentives for the physicians and hospitals to work
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Title of Paper 5 provide better quality and efficiency. together to improve efficiency in the care of the patient. Financial Management Principles Financial Management Principle How It Is Used to Evaluate Operational Performance Benchmarking Leaders use benchmarking to learn where an organization is performing well against its peers, and where it needs improvement. Maintainece of financial data It enables the organization to keep track of its financial performance Payer-mix breakdown of payers Provides a total for the average amount of charges, payments, and adjustments for each financial class/payer, as well as the percentage of the total charges, payments, and adjustments for each financial class/payer.
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  • Fall '18
  • susan Aloi
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