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List and describe the characteristics of private and government based health care insurance payers that impact revenue generation in health care organizations. How does an

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List and describe the characteristics of private and government based health care insurance payers that impact revenue generation in health care organizations. How does an increase in Medicare and Medicaid patients in the payer mix for a HCO affect senior management strategies to maximize patient care revenues ? How does the chief regulatory compliance officer change organizational culture to promote accurate documentation of clinical procedures ? What type of support is expected from the Board in this process ? Chapter 6 suggests that the solvency and viability of a health care organization is determined in part by the ability of the organization's senior leadership to effectively control revenue generation. Taking into consideration the prevalent payment methods of cost based .fee for service, percentage of billed charges or bundled payments .list and describe in detail the ways financial managers enhance revenue sustainability. Discuss the specific methods that health care financial managers justify the reasonableness of procedural charges that are often marked up several hundred per cent over actual costs. Describe how the Community Value Index measures the viability and solvency of a non-profit health care organization. Discuss in detail the

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