Financial Basics

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GRADING RUBRIC MUST BE FOLLOWED

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.

Questions to Consider:

  • 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?

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:

  • 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.

Resources:

Additional Resources for Further Exploration

You may use the following optional resources to further explore topics related to competencies.

This tool enables you to practice learning health care finance and accounting commonly used terms.

This website contains information on care coverage, facility reimbursement, and costs of care.

This website contains comprehensive information on Medicaid and CHIP coverage and reimbursement.

This article discusses managed care plans including HMO, PPO, and POS plans and provides links to helpful websites.

This is the website for the leading association for health care finance leaders with links to industry initiatives, education, forums, and publications.

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