AS N540 2022 May Complete Course Latest (Full)

N540 Healthcare Finance and Economics

Module 1 Discussion

DQ1 You are the district manager for a busy chain of primary care practices. One clinic has been losing money for the past 6 months and you have called a meeting with the providers, office manager, and nurse manager to explore solutions to increase revenue. Some of the suggestions are to decrease the number of Medicare patients, stop accepting new Medicaid patients, provide bonuses to providers based on performance or decrease the length of the office visit to 15 minutes.

Which option would you select? Is there another option available based upon your knowledge and your research this week?  Support your decision with scholarly sources and any experiences you have had with a similar situation.

DQ2 Analyze at least two factors that have led to increased health care costs for your organization or an organization found in the literature.  What are several of the efforts that have been attempted to control either the factors or the costs? Support your answers with citations from the course readings, evidence based scholarly sources and discussion with the Chief Financial Officer at your organization.

 

N540 Healthcare Finance and Economics

Module 2 Discussion

Analyze examples from your own organization or from an organization described in the literature for which the implementation of technology has affected the financial state of the health care organization. Provide the examples and describe the effect Include at least one ethical concern you have noticed in your discussion.

 

N540 Healthcare Finance and Economics

Module 3 Discussion

DQ1 What is the impact of a large percentage of patients with Medicare insurance and a hospital’s working capital? Provide examples and support your information with sources.

DQ2 Choose a local healthcare facility & visit with the Chief Financial Officer or Chief Nurse Officer about the compensating balance requirement as it applies to their organization.  How does this requirement affect their organization?  What challenges have they encountered related to this requirement and how were these challenges overcome?

 

N540 Healthcare Finance and Economics

Module 4 Discussion

You need to replace a supply system with a more cost-effective process. Which financial technique would you use to determine if the purchase is a sound decision? What are the strengths and weaknesses of your selected method?

 

 

 

N540 Healthcare Finance and Economics

Module 5 Discussion

DQ1 A manager is planning a large purchase. What factors are involved when deciding to lease or purchase? Analyze the experiences you or your organization have had with such a decision?

DQ2 Explain whether adding debt increases or decrease the flexibility of a health care provider. How would your organization benefit from adding debt to its current financial status? If you are not working, explain how adding debt impacts a tax paying entity.

 

N540 Healthcare Finance and Economics

Module 6 Discussion

Consider the relationship between financial and nonfinancial criteria when deciding to provide a service. Discuss examples of instances when a hospital might provide a service although it is not profitable?

 

N540 Healthcare Finance and Economics

Module 7 Discussion

Discuss the benefits of a group purchasing organization. Analyze how these benefits have impacted, or might impact, your organization. If not working, analyze how the benefits would impact a non-tax paying entity.

 

N540 Healthcare Finance and Economics

Module 8 Discussion

DQ1 Analyze activity-based costing and provide examples where it is beneficial or presents risks to patient care if applicable.

DQ2 Analyze your learning outcomes over the past 8 weeks and how they will enhance your role as a nurse manager.

 

 

 

 

 

 

 

 

 

N540 Healthcare Finance and Economics

Module 2 Assignment  

After reviewing the readings, develop a 4-5 page APA formatted scholarly paper in which you do the following:

Analyze the main sections of a balance sheet in not-for-profit institutions and for-profit () institutions. Include horizontal, vertical, & ratio analysis of a chosen item in each balance sheet in your overall analysis & describe why you chose each item to analyze.

Analyze how the differences between balance sheets of not-for-profit and for-profit () institutions impact ethical considerations in controlling health care costs.

Analyze specific deferred revenue and restrictions on assets and how they impact ethical considerations in controlling health care costs.

Please use the balance sheet for Finkler Nursing Home as the for-profit institution & Kovner Ambulatory Clinic for the not-for-profit institution.  These can be found in the Jones et al. (2018) textbook in Chapter 7 Appendices.  In addition to the course text, cite two additional scholarly sources from the university library to support your information. Remember to include a title page and reference page (those do NOT count towards the 4-5 pages).  Use the rubric below to help you complete this assignment.

 

N540 Healthcare Finance and Economics

Module 4 Assignment  

LearnScape Episode: “Rates Negotiation Process”

Complete the Jones and Bartlett Navigate 2 Episode 2: “Rates Negotiation Process” (refer to the syllabus for purchase instructions). During this episode, you will encounter several questions requiring you to demonstrate your knowledge of Health Care Finance (See example questions below). After answering these questions, save the responses as a Word document.  Use the Word document you have created to write a 4-5 page APA formatted paper analyzing payment mechanisms to hospitals & health plan contract negotiations as described on the grading rubric.

Assessing Your Understanding

What were you thinking?

I'm thinking, if we agree on a higher price to charge my Hospital's inpatients, we'll make up the difference if you stay at 5%.

Well, looking beyond the rate for a few minutes and talking about some of the contract language, actually.

We’ll let you charge patients for services outside our plan, but we still want to retain the right to lease out our plan to other networks.

I'm not sure I can do that if you're still unwilling to budge on your rate. Leasing your plan out means more of a loss from inpatients from other networks, you know.

Sounds good to me!

What did you learn about contract negotiations that might be helpful in the future?

I learned that rates shouldn't be the only focus in contract negotiation. Sometimes, altering the language in key areas can have a huge impact.

I learned that some people just need to be worn down over two or three meetings.

What are you trying to determine when you construct the Hospital Cost Index and compare it to industry averages?

That would be part of determining pricing reasonableness.

You are trying to determine performance metrics.

Do you remember what the three main factors are that influence pricing?

Yes. Bundled Services, Fee schedules, and Return on Investment (ROI)

Yes. Net Income, Competitive Position, Market Structure.

What about basic methods of payment for hospitals? Can you describe the cost-payment basis?

A cost-payment basis uses the provider's cost as a basis and it is something that is negotiated beforehand, the provider's ratio of cost to charges multiplied by the total charges for a specific claim.

Yes, it's when you bundle all of the services for a specific condition into one code and then payment is based on an agreed fee schedule for that code.

 

N540 Healthcare Finance and Economics

Module 6 Assignment  

Instructions

See questions #3 & #4 on page 448 of the Zelman text.  To understand fixed and variable cost - briefly describe what happens to each of the following as volume increases. Assume all values stay within their relevant range:

Total fixed cost?

Total variable cost?

Fixed cost per unit?

Variable cost per unit?

Explain the relationship between step-fixed costs and the relevant range.

Create and submit a PowerPoint presentation with the answers to the questions. Submit your speaker notes along with your assignment for review by TurnItIn. Include citations and references in APA format. Use the rubrics below to help you complete this assignment.

See assignment instructions:

Instructions:

Microsoft PowerPoint Presentation

 

Add title and reference slides.

Follow Rules of 7.

PPT’s must include speaker notes

Submit your Speaker Notes and your PowerPoint presentation as 2 separate documents. The Speaker Notes must be a Word document.

Your PowerPoint presentation will not be graded and will result in a zero if the Speaker Notes are not uploaded as a Word document.

Note:

1.    Title and reference pages/slides do not count towards the count requirements.

2.    Programs will assist in creating voice to text when creating the document to submit for similarity report in Turnitin.

3.    A Turnitin Originality Report is required for any assignment to be graded.

 

N540 Healthcare Finance and Economics

Module 7 Project   

Please download & save the provided Excel spreadsheet in the instructions for the Final Project.  Use the spreadsheet  to complete your final project by completing the balance sheet with the data provided in the tab “Data for Final Project”. The worksheet tab “Final Project Answers” has built-in formulas, so be sure you have saved a backup copy before entering your data. After entering data for both years 2017 & 2018 for the Final Project Outpatient Clinic, you will analyze the data for the clinic utilizing the techniques you have learned in this course, including horizontal, vertical, & ratio analysis, along with a discussion of the clinic’s assets & liabilities relating this to what you’ve learned about sustainability of the organization & cost & budgeting issues.  Your paper should be 5-7 pages in length, not including the title & reference page, and should include at least 3 outside references from peer-reviewed literature.