Milwaukee Regional Health System [Case 30, P.193].
1. Using the template in exhibit 30.1, add one additional benchmark and one defect benchmark for each revenue cycle function listed.
b. Describe each metric in the completed template, and justify choosing these benchmarks over the alternatives listed in exhibit 30.2.
2. Compare the benchmark values in your completed template with the actual MRHS metric values given in exhibit 30.3. Discuss your results. Most important, suggest what actions might be implemented to improve revenue cycle performance.
3. Complete the reimbursement amount template provided in the case for CPT 73722 (MRI of the knee) and MS-DRG 470 (major joint replacement). Discuss the fairness and efficiency of the current fragmented reimbursement system to providers, insurers, patients, and society (the ultimate bearers of healthcare costs).
b. Assume that MRHS’s payer mix is 46 percent Medicare, 34 percent commercial/managed care, 16 percent Medicaid, and 4 percent self-pay/no insurance. Calculate the average expected payment for each of the two procedures
There are also questions in this google docs excel sheet. I have done the first page.
https://docs.google.com/spreadsheets/d/1z03MN33iaygQGRQS1X7D9jFWrcAQVSS5/edit?usp=sharing&ouid=100513460302748240227&rtpof=true&sd=true
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
