Examining Financial Resource Management and Healthcare Reimbursement

Order Description Within" rel="nofollow">in the healthcare environment there are many factors that need to be considered when examin" rel="nofollow">inin" rel="nofollow">ing organizational fin" rel="nofollow">inances and makin" rel="nofollow">ing fin" rel="nofollow">inancial decisions that will have both short- and long-term effects on an organization or a medical practice. There are external agencies such as the federal or state government, which may set rate limits that impact revenues. Also, there are outside forces such as marketin" rel="nofollow">ing structures and competition that in" rel="nofollow">influence pricin" rel="nofollow">ing of healthcare services. Managers who oversee budgets and help to make fin" rel="nofollow">inancial decisions need an overall understandin" rel="nofollow">ing of the forces shapin" rel="nofollow">ing this environment. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain" rel="nofollow">in hyperlin" rel="nofollow">inks to relevant portions of the course. A. Explain" rel="nofollow">in how codin" rel="nofollow">ing and billin" rel="nofollow">ing cycle processes impact healthcare organization revenue cycles. B. Explain" rel="nofollow">in how the operatin" rel="nofollow">ing revenue impacts the revenue cycle. C. Explain" rel="nofollow">in how to evaluate the fin" rel="nofollow">inancial condition of a healthcare organization. 1. Explain" rel="nofollow">in how fin" rel="nofollow">inancial statements are reviewed for an organization to determin" rel="nofollow">ine its profitability and risk. 2. Discuss factors that in" rel="nofollow">influence the fin" rel="nofollow">inancial viability of a healthcare organization. D. Discuss how each of the followin" rel="nofollow">ing Fraud & Abuse regulations impact the fin" rel="nofollow">inancial decisions made by a healthcare organization: • Stark II • Anti-Kickback Statute • False Claims Act 1. Discuss the importance of Stark II to healthcare providers. 2. Discuss the importance of the Anti-Kickback Statute to healthcare providers. 3. Discuss the importance of the False Claims Act to healthcare providers. E. Analyze the factors that in" rel="nofollow">influence healthcare pricin" rel="nofollow">ing in" rel="nofollow">in healthcare organizations. F. Discuss the relationship between fin" rel="nofollow">inancial plannin" rel="nofollow">ing and strategic plannin" rel="nofollow">ing. 1. Explain" rel="nofollow">in how a fin" rel="nofollow">inancial plan is developed. a. Recommend how a HIM manager should in" rel="nofollow">interact with the fin" rel="nofollow">inance department to ensure the efficacy of a fin" rel="nofollow">inancial plan. G. Explain" rel="nofollow">in the fin" rel="nofollow">inancial management control process, in" rel="nofollow">includin" rel="nofollow">ing budgetin" rel="nofollow">ing and fin" rel="nofollow">inancial plannin" rel="nofollow">ing. H. Acknowledge sources, usin" rel="nofollow">ing in" rel="nofollow">in-text citations and references, for content that is quoted, paraphrased, or summarized.