Essay Grade

Overview
Prepare a lecture for an introductory health care finance class on types of
revenue sources for health care organizations. For each revenue source, explain
the purpose of the program, how the organization is reimbursed, and the benefits
of the program.
Note: The assessments in this course build upon each other, so you are strongly
encouraged to complete them in sequence.
By successfully completing this assessment, you will demonstrate your proficiency
in the following course competencies and assessment criteria:
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Competency 1: Develop financial strategies to address dynamic environmental
forces. (L24.2, L24.5, L17.2)
• Explain the benefits of reimbursement programs.
Competency 2: Analyze the cost and revenue implications for organizational
changes due to environmental forces. (L18.2, L12.1)
• Analyze the reimbursement process that health care organizations must
undertake.
Competency 4: Communicate in a manner that is scholarly, professional, and
consistent with expectations for professionals in health care administration. (L6.1,
L6.2, L6.3, L6.4)
• Explain the purpose of health care reimbursement programs.
• Write content clearly and logically with the correct use of grammar,
punctuation, and mechanics.
• Format citations and references using the APA style.
Content
Sustainable health care organizations are charged with balancing clinical and
fiscal facets of the operation. It has become increasingly important for health care
leaders at all levels within an organization to become comfortable with financial
statements and basic accounting principles. As an early careerist, you may be
involved in conversations to evaluate existing and new health care service lines.
You may be asked to participate in various financial activities such as team
budgeting activities, developing a departmental budget, or contributing to
strategic planning or finance department meetings. As a mid or advanced
careerist, you may be evaluating higher-level organization financing options,
determining cash flow needs, or perhaps presenting financial information to the
CEO and board.
Regardless of your position within the organization, a basic understanding of health
care finance is a critical success factor for effective and responsible health care
leadership.
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions
below and discuss them with a fellow learner, a work associate, an interested
friend, or a member of your professional community.
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What types of accounting are you familiar with? How have you used it or seen it
used?
How can you use knowledge of revenue sources to help in financial forecasting?
Assignment Instruction
Preparation
Look in the Capella University Library and on the Internet to find resources on
Medicare, Medicaid, and managed care. Specifically, you need information on
what each program is, how it works, and how organizations receive
reimbursements from each. You will need these resources to complete this
assessment.
For the purpose of this assessment, suppose you work for a large health care
organization that partners with the local college on a number of initiatives. As a
part of that partnership, you have been asked to be a guest presenter for an
introductory health care finance class. You need to explain sources of health
care revenue and how the reimbursement process works. You need to prepare a
45-minute lecture on that topic.
There is no prescribed format for this assessment, but you must reference at
least three resources and follow the APA guidelines. Just be sure that your
assessment is organized logically and your information is presented clearly.
Requirements
Write a 45-minute lecture plan for an introductory health care finance class. (You
will not be evaluated on whether your lecture plan is actually 45 minutes in
length.) The three types of revenue sources you will cover are the following:
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Medicaid.
Medicare.
Managed Care.
For each of the revenue sources, you must do the following:
Explain the purpose of the program.
Analyze the process of reimbursement for health care organizations.
• What steps must be taken in order to receive reimbursement for services?
• How complicated is each step?
• What kind of information is required from the organization?
• How long does it take to receive reimbursement?
Explain the benefits of the program for both patients and health care organizations.
The length of this assessment will vary depending on the format you use. If your
completed assessment is longer than eight pages, you may need to be more
concise in your writing. If you have only two pages, you have probably not fully
addressed all elements of the assessment.
Please include a title page and reference page, even though you would not
include those in real life.
Additional Requirements
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Include a title page and reference page.
Number of pages: Roughly 4–7.
At least three current scholarly or professional resources.
APA format for in-text citations and references only.
Times New Roman font, 12 point.
Double-spaced.
7/8/2019
Financial Basics Scoring Guide
Financial Basics Scoring Guide
CRITERIA
NONPERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Explain the purpose
of health care
reimbursement
programs.
Does not
explain the
purpose of
health care
reimbursement
programs.
Explains the purpose
of health care
reimbursement
programs, but the
explanation does not
adequately address all
health care
reimbursement
programs.
Explains the
Explains the purpose of health care
purpose of
reimbursement programs and includes
health care
information on eligibility.
reimbursement
programs.
Analyze the
reimbursement
process that health
care organizations
must undertake.
Does not
analyze the
reimbursement
process health
care
organizations
must
undertake.
Describes the
reimbursement
process health care
organizations must
undertake.
Analyzes the
reimbursement
process health
care
organizations
must
undertake.
Analyzes the reimbursement process
health care organizations must
undertake and thoroughly addresses
each step in the process, identifies the
information the organization must
provide, and how long it takes the
organization to receive
reimbursement.
Explain the benefits
of reimbursement
programs.
Does not
Identifies the benefits
explain the
of reimbursement
benefits of
programs.
reimbursement
programs.
Explains the
benefits of
reimbursement
programs.
Explains the benefits of
reimbursement programs in terms of
the overall financial strategy of the
organization.
Write content clearly
and logically with the
correct use of
grammar,
punctuation, and
mechanics.
Does not write
content clearly,
logically, or
with the
correct use of
grammar,
punctuation,
and
mechanics.
Writes with errors in
clarity, logic, grammar,
punctuation, and/or
mechanics.
Writes content
clearly and
logically with
the correct use
of grammar,
punctuation,
and
mechanics.
Writes clearly and logically with the
correct use of spelling, grammar,
punctuation, and mechanics; uses
relevant evidence to support a central
idea.
Format citations and
references using the
APA style.
Does not
format
citations and
references
using the APA
style.
Uses APA to format
citations and
references but with
numerous errors.
Formats
citations and
references
using the APA
style.
Formats citations and references with
no errors.
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