Accounting homework help. IHP 630 Milestone Two Guidelines and Rubric
Overview: In terms of reimbursement and financial principles (specifically relating to the revenue cycle), you will determine what federal and state funding is
available for healthcare organizations. As you continue to explore payment systems from the view of the hospital administrator, consider what actions you might
take to ensure your facility meets compliance requirements. Additionally, you will research the importance of implementing policies and procedures that are
designed to ensure timely reimbursement.
Prompt: Submit a draft of the Federal and State Payment Systems portion of your research and analysis. Be sure to address all critical elements as listed below.
Specifically, the following critical elements must be addressed:
III. Federal and State Payment Systems:
a) Federal and State Regulations: Considering the recent changes in economic policy at the federal and state levels, what changes in federal and state
regulations present the most concern for healthcare leaders? Be sure to provide support for your response.
b) Reporting Requirements: Analyze the reporting guidelines required by Medicaid and Medicare and other government payment systems. What are
the opportunities and challenges for healthcare leaders in meeting reporting requirements?
c) Compliance Standards and Financial Principles: Analyze how healthcare organizations in general utilize financial principles to ensure compliance
with government standards.
d) Government Payer Types: Considering Medicaid, Medicare, and other government payer systems, what strategies would you recommend
organizations implement in order to receive full reimbursement on claims as well as to improve timeliness of this reimbursement? Be sure to justify
your recommendations.
Rubric
Guidelines for Submission: Your draft of the Federal and State Payment Systems portion of your 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
Federal and State:
Regulations
Logically assesses the changes in
federal and state regulations
that present the most concern
for healthcare leaders,
supporting response
Assesses the changes in federal
and state regulations that
present the most concern for
healthcare leaders, supporting
response but with gaps in logic,
detail, or relevant support
Does not assess the changes in
federal and state regulations
that present the most concern
for healthcare leaders
25
Federal and State:
Reporting Requirements
Accurately analyzes reporting
guidelines required by
government payment systems
for the opportunities and
challenges facing healthcare
leaders in meeting reporting
requirements
Analyzes reporting guidelines
required by government
payment systems for the
opportunities and challenges
facing healthcare leaders in
meeting reporting requirements
but with gaps in accuracy or
detail
Does not analyze reporting
guidelines required by
government payment systems
for the opportunities and
challenges facing healthcare
leaders in meeting reporting
requirements
25
Federal and State:
Compliance Standards
Accurately analyzes how
healthcare organizations utilize
financial principles for ensuring
compliance with government
standards
Analyzes how healthcare
organizations utilize financial
principles for ensuring
compliance with government
standards but with gaps in
accuracy or detail
Does not analyze how
healthcare organizations utilize
financial principles for ensuring
compliance with government
standards
20
Federal and State:
Government Payer Types
Recommends appropriate
strategies for organizations to
receive full reimbursement on
claims and improve timeliness of
reimbursement from
government payers, justifying
recommendations
Recommends strategies, but
they are not appropriate for
organizations to receive full
reimbursement on claims and
improve timeliness of
reimbursement from
government payers or response
has gaps in detail or relevant
justification
Does not recommend strategies
for organizations to receive full
reimbursement on claims and
improve timeliness of
reimbursement from
government payers
20
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 1
