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A mother brings her daughter into the emergency room during an asthma attack. Though both of her parents work, they cannot afford medical insurance for themselves or her. They also earn too much money to qualify for state or federal aid. She is treated with medication for her asthma attack at the hospital and she and her mother leave. Two weeks later, they return to the hospital in a virtually identical scenario.
In a 3-4 page paper, consider the following questions and explain your position of the issues:
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There are several steps to take when submitting a claim form to the insurance company for reimbursement. The result of a clean claim is proper reimbursement for the services the facility has provided.
Due to her enthusiasm, you have decided to introduce her to some additional tools she may be able to use in her organization. Discuss the concepts of a break-even (BE) point and CVP analysis and why they are important in business. Give appropriate..
Once you have covered these steps, analyze the revenue cycle process and the various reimbursement methodologies by describing the importance of maintaining and reporting financial information for health care providers and facilities.
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