Operational Performance Measures
This essay focuses on Operational Performance Measures. For healthcare financial staff, some cycles are so common they are taken for granted – day and night, seasonal changes, month-end close, year-end reporting.
Operational Performance Measures
Analyze how healthcare organizations in general utilize financial principles to guide strategic planning to ensure the meeting of third-party submission requirements. d) Reimbursement Methods: Considering third-party payer systems, what strategies would you recommend organizations implement in order to receive full reimbursement on claims as well as to improve timeliness of this reimbursement? Be sure to justify your recommendations.
V. Operational and Strategic Planning in Healthcare:
Firstly, Pay-For-Performance Incentives: Based on your prior analysis of the impact of case rates and management utilization data on pay-for performance incentives. Recommend appropriate operational strategies to improve performance measures that will maximize reimbursement. Be sure to provide support for your recommendations.
Secondly, Operational Performance Measures: Considering benchmarking data, recommend performance measures that should be monitor for the purpose of maximizing reimbursement.
Thirdly, Teamwork and Strategic Planning: Recommend collaborative teamwork principles that would be beneficial for healthcare strategic planning in terms of reimbursement. Be sure to provide support for your recommendations.
What are the Methods of Hospital Reimbursement?
- Discount from Billed Charges
- Fee-for-Service
- Value-Based Reimbursement
- Bundled Payments
- Shared Savings
For healthcare financial staff, some cycles are so common they are taken for grant – day and night, seasonal changes, month-end close, year-end reporting. On one hand there is the age-old adage, ‘the only constant in life is change’ and on the other hand ‘the more things change, the more they stay the same’. When providers approach the task of monitoring payer reimbursement, the doctrine of cycles certainly apply.
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