Need help with the following 2 assignments. I have uploaded 3 documents (the entire case study, readmission information, and additional info) to assist with this. The book this came from is Introduction to the Financial Management of Healthcare Organizations, 6th edition by Micheal Nowicki.1. US attorneys are reviewing our billing practices and physician relationships. Explain to me what they’re looking for and whether you think we have any liability. What actions have been brought against hospitals like ours during the last 2 years? Do we need a corporate compliance plan and, if so, what should it include? Do rural hospitals get any breaks in dealing with physicians?2. I need your analysis of three Medicare initiatives. First, Medicare keeps threatening to cut physician payments. give me the history of this threat; the likelihood this cut will happen and how you think physicians will be reimbursed by Medicare in the future; and what you think physicians will do in reaction, including the possible effect on our hospital. Second, is it true that Medicare will no longer pay for healthcare-associated infections and readmissions? How much revenue will we lose and what should we be doing now in preparation? And third, how much have hospitals, and our hospital in particular, lost in Medicare reimbursement since 2010?
bobcatcasestudy.pdf

additional_information____city_s_utilization_of_bobcat_s_services.xlsx

copy_of_final_case_study____readmission_and_infection_rates_for_assignment_9.xlsx

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Bobcat Integrated Delivery System
Capitation Contract with the City
Utilization Projection – based on national rates and services
http://www.cdc.gov/nchs/fastats/hospital.htm
http://www.healthindicators.gov/Indicators/Skilled-nursing-facility-Medicare-utilization-percent_215/Profile/ClassicData
From ACA exercise:
Converted to
per 100
population
Utilization
2014 – 300
covered lived
2010
Charges per
Discharge
Projected
Charges for
Utilization
11.4
34.2

Acute
SNF
5.1
15.33

SNF
Rehab
1.0 est
3

Rehab
Acute
$
18

Home Health
Emergency
44.5
133.5

Emergency
Outpatient
4.0
12
Home Health
6.0 est
Projected Cost of Services
Outpatient
$

Note 2
Note 1
Bobcat
County
Bobcat 2013
Bobcat 2014
$
9,600
$
9,500 $
10,188 $
10,391
$
5,200
$
5,200 $
5,518 $
5,629
$
10,000
$
9,500 $
10,612 $
10,824
$
250
$
240 $
265 $
271
$
800
$
750 $
849 $
866
$
200
$
180 $
212 $
216
Bobcat Integrated Delivery System
FY15
Medicare
– Readmission Rate
– Hospital Acquired Infection Rate
15,2%
2,1%

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