Susquehanna Medical Center operates a general hospital in northeastern Pennsylvania. The medical center also rents space and beds to separately owned entities rendering specialized services, such as Pediatrics and Psychiatric Care. Susquehanna charges each separate entity for common services, such as patients’ meals and laundry, and for administrative services, such as billings and collections. Space and bed rentals are fixed charges for the year, based on bed capacity rented to each entity. Susquehanna Medical Center charged the following costs to Pediatrics for the year ended June 30, 20x5: During the year ended June 30, 20x5, Pediatrics charged each patient an average of $360 per day, had a capacity of 60 beds, and had revenue of $7.2
Facility administrators need to establish a balance between providing a safe environment, while at the same time providing each resident with opportunities for choice, control, and individuality (Kane & Kane, 2001). The staffing levels of professional nurses in a nursing home are not as high as that of a hospital; however, nursing homes have registered nurses on duty that perform assessments, administer medications, perform treatments, and interact with families and physicians, to name some of their many responsibilities. Nursing home residents often become ill. In 1997, there were 1,465,000 nursing home residents and 2.1 million elderly nursing home discharges due to hospitalization and death in the United States (Gabrel, 2000). When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian.
Comparison of Health Plans Allison Hershberger HCR/230 September 22, 2013 Jill Frawley Comparison of Health Plans PPO stands for preferred provider organization and is a managed care organization of medical doctors, hospitals, and other health care providers who have a binding agreement with an insurer or a third-party administrator, which usually pay participating providers based on a discount from their physician fee schedules, called discounted fee-for-service (Valerius et al, 2008). Providers in the PPO will provide the insured members of the group a substantial discount below their regularly-charged rates. These arrangements help to ensure that the insurer will be billed at a reduced rate when it’s insured utilize the services
Jackeline S Gonzalez BUS5651 - Healthcare Policy Term: Spring 2 2012 Week 2: Case Study Physician Reimbursement Case Discuss the general differences between facility and non-facility rates. Discuss the MS-DRG system for hospital inpatient services. Include in your discussion the history of the MS-DRG system and the need for the updated system. There are two types of bills used in healthcare. Which type of bill is used for physician services?
Missy Drake MEDS 1551 09-07-2013 Review Exercises 1) In patient is when one is admitted into the hospital for at least 24 hours to receive extended medical care. Outpatient is where one receives a diagnostic evaluation and or treatment from a particular department of a hospital without staying a 24-hour period. 2) The basic four consist of History and Physical Report, Discharge Summary, Operative Note or Report, and Consultation report. The only thing that is different form the basic four that the basic six has is the Pathology Report and Radiology Report. 3) Four methods of physical examination would evaluation performed by the physician or health profession would be Visual, auditory or aural, olfactory, and tactile.
This initiative was to see if factors are reliable in increasing compliance rates among all categories of hospital workers. Factors associated with poor hand hygiene compliance include: being a doctor versus being a nurse, surgical unit and intensive care unit (ICU) setting versus medical unit setting, wearing gloves and gown, before patient contact versus after patient contact, performing high-risk activities, weekdays versus weekends, having a high number of opportunities for hand hygiene per hour, and overcrowding or understaffing. The study was conducted in the United States in an urban academic medical & level I trauma center for the intervention time frame of July 2008 to December 2012. There are 1,767 affiliated physicians and 7,400 healthcare workers at the hospital where collected data was analyzed across all inpatient units providing current supportive information on hand hygiene conformity. | Review of Literature | Several reputable
Medicare Part A Mrs. Zwick has all three parts of Medicare. With part A Medicare will pay for the days she was in the hospital. She was admitted into the hospital and was there for five days. According to the official U.S. Government site for Medicare, “Medicare part A (Hospital Insurance) covers a semi private room, meals, general nursing and other services and supplies. This includes the care you get in an acute care hospital, a critical access hospital, inpatient rehabilitation facilities, long term care hospitals, inpatient care as part of a qualifying clinical research study and inpatient mental health care.” (2012) With Medicare A you can stay in the hospital up to 90 days for each benefit period.
The population of 65 and older accounts for approximately 13% of our nation’s population, and they account for 24.1% of the total hospital visits (Dychtwald). One reason that the health care industry is such a moneymaker is because Medicare doesn’t generally cover all of the costs of disease prevention and long term care, which can be quite expensive. The percentage of GDP that is spent on healthcare was approximately 17% in 2009, and it is projected to be 19.3% by the year 2019 (Terry). (2) p.113 Healthcare costs for Medicare patients shown as $100/yr in 1965 and $7,000 in
The rate of Medicare benefit for medical treatment provided while a private patient is in hospital is 75 per cent of the Medicare Benefits Schedule fee. The safety net does not apply to Medicare benefits for in-hospital services. Registered private health insurers offer Medicare-eligible patients insurance for the difference between 75 per cent and 100 per cent of the Schedule fee, together with additional benefits for hospital accommodation and other hospital charges. Private specialist doctors’ services under Medicare For some kinds of medical services, Medicare requires that the service be provided by a doctor who has been formally recognised as a specialist, and that another doctor has referred the patient to the specialist. If these requirements are not met, either no benefit is payable or the benefit is lower.
Scenario 1: A: A: Under Medicare Part A, the five days that Mrs. Zwick spent in the hospital as an inpatient will be fully covered after any deductible. Originally, the plan was for her to only stay in the skilled nursing center for 21 days, and the treatments and medications and stay would all be covered by Medicare. For stays to a skilled nursing facility, 1-20 days has no charge. For all days between 21-100,there is a charge (Medicare basics,Medicare part A, www.medicare.gov/navigation/medicare-basics/medicare-benefits/part-a.aspx?Asp... ,date retrieved 11/28/2011). She had to stay longer due to a hospital acquired infection, and Medicare will no longer cover stays beyond what she would have for these type of hospital acquired