Management homework help. IHP 630 Milestone One Guidelines and Rubric
Overview: As you complete each section of your final project, remember that you are assuming the role of hospital administrator, so you will identify the
important elements of healthcare insurance plans and the overall impact of financial management principles. Financial principles to focus on include the
elements of the revenue cycle, types of reporting, and the financial data that is needed for hospital administrators to evaluate the cost and quality of processes.
Prompt: Submit a draft of the Financial Principles and Reimbursement portion of your research and analysis.
Specifically, the following critical elements must be addressed:
II. Financial Principles and Reimbursement:
a) Reimbursement Strategies: What is the impact of case rates and management utilization data on pay-for-performance incentives? Be sure to
provide support for your response.
b) Reimbursement Methods: Analyze reimbursement methods, describing the advantages and disadvantages of each method in terms of strategic
planning for operational performance. For example, why might one method be more advantageous than another at a hospital or at a physician’s
office?
c) Financial Management Principles: Compare and contrast financial management principles such as financial data that describe financial performance
of revenue reimbursement, benchmarking of industry standards, payer-mix breakdown of payers, and case rate and utilization rate data used to
evaluate operational performance.
d) Accounts Receivable: What are the challenges associated with collecting payments for the accounts receivable or collections department, and what
is the significance of monitoring cash flow and days in accounts receivable in terms of reimbursement?
e) Teamwork Principles: Compare and contrast collaborative teamwork principles to most effectively develop strategic planning that involves crossdisciplinary teams. In other words, what principles work best for teams where individuals are from both clinical and non-clinical departments? What
are some of the challenges this might present for cohesive collaboration? Be sure to provide support for your response.
f) Maximizing Reimbursement: Generally speaking, to what extent do you feel healthcare organizations utilize case rates and management utilization
to maximize reimbursement from both government and third-party payer payment systems? Be sure to provide support for your response.
Rubric
Guidelines for Submission: Your draft of the Financial Principles and Reimbursement portion of the research and analysis should be 2–3 pages in length and
should be double-spaced in 12-point Times New Roman font with one-inch margins. All citations and references should be formatted according to current APA
guidelines. Include at least two references.
Critical Elements Proficient (100%) Needs Improvement (70%) Not Evident (0%) Value
Financial Principles and
Reimbursement:
Strategies
Logically assesses the impact of
case rates and management
utilization data on pay-forperformance incentives,
supporting response
Assesses the impact of case rates
and management utilization data
on pay-for-performance
incentives, supporting response,
but with gaps in logic, detail, or
relevant support
Does not assess the impact of
case rates and management
utilization data on pay-forperformance incentives
25
Financial Principles and
Reimbursement:
Methods
Accurately analyzes
reimbursement methods,
describing the advantages and
disadvantages of each method in
terms of strategic planning for
operational performance
Analyzes reimbursement
methods, describing the
advantages and disadvantages of
each method, but with gaps in
accuracy, detail, or relevancy to
strategic planning for operational
performance
Does not analyze reimbursement
methods, describing the
advantages and disadvantages of
each method in terms of strategic
planning for operational
performance
10
Financial Principles and
Reimbursement:
Management
Accurately compares and
contrasts financial management
principles used to evaluate
operational performance
Compares and contrasts financial
management principles used to
evaluate operational
performance but with gaps in
accuracy, relevancy, or detail
Does not compare and contrast
financial management principles
used to evaluate operational
performance
10
Financial Principles and
Reimbursement:
Receivable
Logically assesses the challenges
associated with collecting
payments and explains the
significance of monitoring cash
flow and days in accounts
receivable in terms of
reimbursement
Assesses the challenges
associated with collecting
payments and explains the
significance of monitoring cash
flow and days in accounts
receivable, but response has gaps
in logic or detail or is irrelevant to
reimbursement
Does not assess the challenges
associated with collecting
payments, and does not explain
the significance of monitoring
cash flow and days in accounts
receivable
10
Financial Principles and
Reimbursement:
Teamwork
Logically compares and contrasts
collaborative teamwork principles
for most effectively developing
strategic planning that involves
cross-disciplinary teams,
supporting response
Compares and contrasts
collaborative teamwork principles
for most effectively developing
strategic planning that involves
cross-disciplinary teams,
supporting response, but with
gaps in logic, detail, or relevant
support
Does not compare and contrast
collaborative teamwork principles
for developing strategic planning
that involves cross-disciplinary
teams
10
Financial Principles and
Reimbursement:
Maximizing
Logically assesses the extent to
which healthcare organizations
utilize case rates and
management utilization data to
maximize reimbursement from
both government and third-party
payer payment systems,
supporting response
Assesses the extent to which
healthcare organizations utilize
case rates and management
utilization data to maximize
reimbursement from both
government and third-party
payer payment systems,
supporting response, but with
gaps in logic, detail, or relevant
support
Does not assess the extent to
which healthcare organizations
utilize case rates and
management utilization data to
maximize reimbursement from
both government and third-party
payer payment systems
25
Articulation of Response Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact readability
and articulation of main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
10
Total 100%

Management homework help