Tag: revenue

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Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patient

Overview

Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patients (beneficiaries), providers, or payers. Therefore, it is important for both stakeholders to understand the other’s perspective, so that they have a more holistic view of the entire process. The following flowcharts capture the revenue cycle from the patient’s perspective and the facility’s perspective.

Text-only versions of the images below are available: Module One Activity Revenue Cycle Images Text-Only Version.

Casto, A. (2021). Principles of Healthcare Reimbursement (7th Ed). American Health Information Management Association (AHIMA). https://bookshelf.vitalsource.com/books/9781584268017

Reproduced with permission from AHIMA.This activity will help you describe the revenue-cycle process and healthcare reimbursement, as well as differentiate the components of revenue-cycle processes from various perspectives.

The activity will help you prepare for section 4 (Revenue Cycle Process) in the course project that you will be submitting in Module Nine.

Directions

Complete the provided template by analyzing the revenue cycle from both the patient perspective and the provider perspective. Then, analyze the revenue-cycle components from a third-party payer perspective.

If you need writing support, access the Online Writing Center through the Academic Support module of your course.

Specifically, you must address the following rubric criteria:

  1. Comparative Table: Create a table to compare and contrast the revenue cycle from the patient’s perspective and the provider’s perspective. Refer to Figure 1.7A and Figure 1.7B in the Overview section of this rubric to create the table.
  2. Comparison of Perspectives: Explain how the patient perspective is like the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  3. Contrast Between Perspectives: Explain how the patient perspective differs from the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  4. Significance for Third-Party Payer: Interpret the revenue cycle from the perspective of a third-party payer. Deduce your interpretation based on the information in the comparative table. Consider the following questions to guide your response:

Your analysis should be evidence-based. Your citations should be from your independent search for evidence (not from the textbook or module resources) of credible sources and be current within the last five years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to the IHP 630 Library Guide located in the Start Here section of the course for additional support.

What to Submit:    attachments below 

Submit the provided template as a 2- to 3-page Microsoft Word document. Sources should be cited according to APA style.

Please follow the instructions carefully as this professor is so particular.

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Module One Activity Revenue Cycle Images Text-Only Version

Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patients (beneficiaries), providers, or payers. Therefore, it is important for both stakeholders to understand the other’s perspective, so that they have a more holistic view of the entire process. The following flowcharts capture the revenue cycle from the patient’s perspective and the facility’s perspective.

Text-only versions of the images below are available: Module One Activity Revenue Cycle Images Text-Only Version.

Casto, A. (2021). Principles of Healthcare Reimbursement (7th Ed). American Health Information Management Association (AHIMA). https://bookshelf.vitalsource.com/books/9781584268017

Reproduced with permission from AHIMA.This activity will help you describe the revenue-cycle process and healthcare reimbursement, as well as differentiate the components of revenue-cycle processes from various perspectives.

The activity will help you prepare for section 4 (Revenue Cycle Process) in the course project that you will be submitting in Module Nine.

Directions

Complete the provided template by analyzing the revenue cycle from both the patient perspective and the provider perspective. Then, analyze the revenue-cycle components from a third-party payer perspective.

If you need writing support, access the Online Writing Center through the Academic Support module of your course.

Specifically, you must address the following rubric criteria:

  1. Comparative Table: Create a table to compare and contrast the revenue cycle from the patient’s perspective and the provider’s perspective. Refer to Figure 1.7A and Figure 1.7B in the Overview section of this rubric to create the table.
  2. Comparison of Perspectives: Explain how the patient perspective is like the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  3. Contrast Between Perspectives: Explain how the patient perspective differs from the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  4. Significance for Third-Party Payer: Interpret the revenue cycle from the perspective of a third-party payer. Deduce your interpretation based on the information in the comparative table. Consider the following questions to guide your response:

Your analysis should be evidence-based. Your citations should be from your independent search for evidence (not from the textbook or module resources) of credible sources and be current within the last five years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to the IHP 630 Library Guide located in the Start Here section of the course for additional support.

What to Submit:    attachments below 

Submit the provided template as a 2- to 3-page Microsoft Word document. Sources should be cited according to APA style.

Please follow the instructions carefully as this professor is so particular. 

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Increase in revenue reimbursement through inpatient length of stay and outpatient vendor relationships

Primary Task Response: Using the budget information from Unit 1 and the financial plan and operational budget from the Unit 4 Intellipath Assignment, discuss the need for the following: 

  • Increase in revenue reimbursement through inpatient length of stay and outpatient vendor relationships
  • Allocation for the proposed improvements and required partnerships
  • Partnering with local skilled nursing facilities and home health organizations
  • Increase in salaries

Be sure to discuss the following areas: 

  • Funding sources
  • Your methodology in revenue forecasting
  • How the new services will impact revenue?
  • Fixed and variable costs
  • Project inpatient and outpatient visits based on current trends

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Open the file Excel_7G_Loan_Staff_Revenue.xlsx   downloaded with this project.

Excel_7G_Loan_Staff_Revenue

Project Description:

In this project, you will create a named range and use it to set data validation. You will use a PMT function to calculate a value and then use it in a two-variable data table. You will also enter VLOOKUP functions to return values from a table, and format cells in the workbook. You will also audit a worksheet and correct errors.

Open the file Excel_7G_Loan_Staff_Revenue.xlsx   downloaded with this project.

Display the second   worksheet—Warehouse Payment Table. In cell B8, enter a PMT function using   cell B4 divided by 12 as the rate, cell B3 as the number of payment periods, and cell   B2 as the present value of the loan. Display the result as a positive number.

Create a two-variable data table   in the range B8:H16. Set cell B3 as the row input cell, and cell B4 as the   column input cell. From the Cell Styles gallery, apply the Currency cell style   to the range C9:H16. Select the payment option closest to but less than   $10,000 per month for a 120-month loan—cell D16—and format the option with   the Note cell style. Click cell A1 and Save your workbook.

Display the fourth worksheet—Job   Information. Select the range A4:C11, and then sort the range by Job Code in   ascending order. By using the Create from Selection command, create a range   named Job_Code using the data in the range   A4:A11. Click cell A1.

Display the Staffing Plan   worksheet, and then select the range A9:A18. Create a Data Validation list   with Source equal to the named range Job_Code

Click cell A9, click the list   arrow, and then click M-MG. Click cell B9 to make it the active cell, and   then insert a VLOOKUP function that will look up the Description of the Job   Code in cell A9 using the information in the Job Information worksheet as the   table array. After selecting the table array, be sure to press F4 to make it   an absolute cell reference. The Description to be looked up is in column 2 of the table array.

With cell B9 as the active cell,   copy the VLOOKUP formula down through cell B18. In cell C9, type 1 as the # of Positions and in   cell D9, type Management as the Type.

In cell E9, insert the VLOOKUP   function to look up the Salary of the Job Code in cell A9 by using the   information in the Job Information sheet as the table array; the Salary is in   column 3   of the table   array. Copy the VLOOKUP formula in cell E9 down through cell E18.

Beginning in cell A10, add these   staff positions:
  Item # of Positions Type
 

C-CASH 3 Cashier
C-CSA 1 Customer Service
M-AMG 3 Management

Delete any unused rows between   the last item and the Total row. Sum the Budget Amount column and apply the   Total cell style. Click cell A1 and Save your workbook.

Display the Bracelet Revenue   worksheet. Click cell I5, and then on the Formulas tab, click Trace   Precedents. On the ribbon, in the Formula Auditing group, click Error   Checking, and then click Edit in Formula Bar. Edit the formula so that the   formula is using the Growth Assumption for Beaded Bracelets, not for Crystal   Bracelets.

In the Error Checking dialog   box, click Resume. In cell M6, notice the formula is trying to divide by cell   L10, which is empty. Click Edit in Formula Bar, change 10 to 9 Ensure that the reference to L9   is an absolute reference, and then in the Error Checking dialog box, click   Resume.

In cell F7, examine the error   information, and then click Copy Formula from Above. Examine the error in   cell J8, and then click Copy Formula from Left. Click OK. Use Format Painter   to copy the format in cell M5 to cell M6. Click cell A1 and Save your   workbook.

Display the Designers worksheet.   In cell B2, insert a MATCH function to find the position of Sports bracelets in the range c6:c27.   In cell B3, insert a combined INDEX and MATCH function to display the name of   the designer for Sports bracelets.   Click cell A1, and then Save your workbook.

In the sheet tab row,   right-click any sheet tab, and then click Select All Sheets. Display the Page   Setup dialog box. From the Margins tab, center the worksheets on the page   horizontally. From the Header/Footer tab, create a Custom Footer with the   file name in the Left section and the sheet name in the Right section.   Right-click the sheet tab, and then click Ungroup Sheets. Display the   Warehouse Payment Table worksheet, and then set this sheet’s Orientation to   Landscape. Display the Bracelet Revenue sheet. For this sheet, set the   Orientation to Landscape, and in the Scale to Fit group, set the Scale to 95%   Set the Orientation of the Designers worksheet to Landscape.

Display Backstage view, click   Show All Properties. On the list of Properties, in the Tags box, type staffing   plan, bracelet revenue   In the Subject box, type your course name and section number. Under Related   People, be sure that your name displays as the author. On the left, click   Print. Under Settings, click the Print Active Sheets arrow, and then click   Print Entire Workbook. At the bottom of the window, click Next Page to scroll   through the six worksheets and check for any errors. On the left, click Save.

Ensure that the worksheets are   correctly named and placed in the following order in the workbook: Warehouse Purchase, Warehouse Payment   Table, Staffing Plan, Job Information, Bracelet Revenue, and Designers. Save   the workbook. Close the workbook and then exit Excel. Submit the workbook as   directed

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an algebraic statement of the revenue function and the cost function

Description

Case studies are used to enable you to apply new concepts, use the tools you have mastered, and improve your technical skills you have attained. Through the individual case studies you will discover for yourself the usefulness of quantitative problem solving methods, how to apply them in practice, and their benefit to organizational decision-makers.

In this case study, you will act as a consultant for a company that crushes sunflower seeds to produce high quality refined sunflower oil for sale in the wholesale market. The company is looking for you to make a recommendation on the optimal blend of raw materials required for its next production cycle. You will use a number of decision analysis tools including time series forecasting, linear programming, and cost-profit-volume analysis to make the recommendation and provide analysis on the profitability of the company.

You will be required to submit a written report to management, and to include the spreadsheet models you used to generate price forecasts, optimize the raw material, and a perform the break-even analysis. All analysis should be done using Excel and the various models should be implemented on separate worksheets or in separate workbooks.

Scenario

TourneSol Canada, Ltd. is a producer of high quality sunflower oil. The company buys raw sunflower seeds directly from large agricultural companies, and refines the seeds into sunflower oil that it sells in the wholesale market. As a by-product, the company also produces sunflower mash (a paste made from the remains of crushed sunflower seeds) that it sells into the market as base product for animal feed.

The company has a maximum input capacity of 150 short tons of raw sunflower seeds every day (or 54,750 short tons per year). Of course the company cannot run at full capacity every day as it is required to shut down or reduce capacity for maintenance periods every year, and it experiences the occasional mechanical problem. The facility is expected to run at 90% capacity over the year (or on average 150 x 90% = 135 short tons per day).

TourneSol is planning to purchase its supply of raw sunflower seeds from three primary growers, Supplier A, Supplier B, and Supplier C. Purchase prices will not set until the orders are actually placed so TourneSol will have to forecast purchase prices for the raw material and sales prices for the refined sunflower oil and mash. The contract is written such that TourneSol is only required to commit to 70% of total capacity up front. Any amounts over that can be purchased only as required for the same price. Historical prices for the last 15 years are in the table below (note that year 15 is the most current year).

Historical Price DataMarketing YearSeed

Average Price Index

$/short ton

Oil

Average Price Index

$/short ton

Mash

Average Price Index

$/short ton

1127.7317.8632192.4465873242662.21054242668.21115274791.3124624273210872909511348347.2112315394361297.319310422.81312187114661416193125821664247135081317.4242144281182.4197154341334.4210​

Sunflower oil contains a number of fatty acids, some which are desirable in food products and others that are not. One desirable fatty acid is oleic acid. TourneSol produces high oleic oil for the wholesale market, and requires that the oleic acid content be a minimum of 77%. Sunflower oil also contains trace amounts of iodine. The market requires that that iodine content be a minimum of 0.78% and maximum of 0.88%

The oleic acid and iodine content for the sunflower seeds from the three suppliers is given in the table below.

SupplierOleic AcidIodineA72%0.95%B82%0.85%C65%0.72%​

For all three suppliers, it is expected that the average yield of oil from the seeds is 30%. There is no net loss of material, so the yield of mash from the same supply is expected to be 70%.

Because the oleic acid and iodine content varies across the three suppliers, so does the price. It is expected that the cost of supply from the suppliers will be a percentage of the market average price of seeds.

​SupplierCost as % of Average Market Price of SeedA85%B100%C90%

The company faces an additional variable production cost of $10/short ton and an estimated fixed cost of $1,750,000 over the upcoming production period.

The company is asking you to provide a recommendation on the amount of raw material it should purchase from each supplier to minimize its cost of feedstock.

Management is also looking for an analysis on the profitability of the company in the next production cycle. 

Suggested Approach

This is a fairly complex problem. The following approach is suggested:

  • Use the historical price data set as input to a time series forecast model in order to generate forecasted prices for the average price of sunflower seeds, oil, and mash in the next production period. Use standard measures of error to decide between a three-period moving average model or an exponential smoothing model (with α = 0.2). Use the type of model for all three time series forecasts. That is, if you decide to use the moving average model, use a three-period moving average model to fit the relevant data for all three series. Don’t use the moving average for one time series and the exponential smoothing model for another time series.
  • Formulate a linear program to minimize the cost of raw sunflower seeds. Use the average price of seeds forecasted from the previous step in order to determine supplier prices.
  • Perform a cost-volume-price analysis (review the handout entitled Cost-Volume-Profit Analysis for details) using the average cost per short ton average selling price per short ton.
    • You can generate an effective cost per short ton by dividing the total cost of supply (from the linear program) by the total volume (that you assumed in the linear program).
    • You can generate an effective selling price per short ton from the expected percentage yields and the forecasted average price of sunflower oil and mash.
    • Because of the way that the contract is written, you can assume that the purchase of raw sunflower seeds is a variable cost (you only purchase what you require).

Recall that the cost-volume-price analysis requires you to provide:

  • an algebraic statement of the revenue function and the cost function,
  • a detailed break-even chart that includes lines for the revenue and for the total cost, fixed cost, and variable cost (a total of four lines), and
  • a calculation break-even point expressed in number of short tons and percent of capacity.

Management Report

Prepare a written management report that includes, at a minimum, the following sections:

  • Purpose of the Report
  • Description of the Problem
  • Methodology (which would include the model formulation)
  • Findings or Results
  • Recommendations or Conclusions

Be sure to address all relevant points, discuss any assumptions you are making, justify any modeling choices you have made (for example, the choice of time series forecast model), and highlight the following items in your report:

  • a forecast of the next production period’s average price index for raw sunflower seeds, sunflower oil, and sunflower mash,
  • a recommendation for the optimal purchasing strategy from the various suppliers,
  • a cost-volume-profit analysis using for the recommended purchase strategy and the forecasted sunflower oil and mash sales price,
  • a discussion of the risks and uncertainties that are faced by the company, and
  • an analysis and opinion on the profitability of the company in the next production period (accounting for the expected profit or loss and the inherent risks/uncertainties.

Remember that you are writing the report from the point of view of a consultant with senior management of TourneSol Canada, Ltd. as the intended audience.

SUBJECT: BUSINESS DECISION ANALYSIS 

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  • an algebraic statement of the revenue function and the cost function

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    Record the preceding transactions in MSK’s books assuming it recognizes revenue over time and uses costs incurred to measure the extent to which its performance obligation has been satisfied

    MSK Construction Company contracted to construct a factory building for $525,000. Construction started during 20X1 and was completed in 20X2. Information relating to the contract follows:

                                                                                                               20X1                     20X2

    Costs incurred during the year                                                  $290,000                $150,000 

    Estimated additional cost to complete                                     145,000                     —

    Billings during the year                                                                   260,000                  265,000 

    Cash collections during the year                                                    240,000                   285,000 

    Required:

    1. Record the preceding transactions in MSK’s books assuming it recognizes revenue over time and uses costs incurred to measure the extent to which its performance obligation has been satisfied.
    2. Record the preceding transactions in MSK’s books assuming it recognizes revenue at a point in time when control of the completed factory is transferred to the customer at the end of the project.

    Prepare the entry to record the construction costs incurred. Hint: Use Cash, payables, materials, etc.

    Prepare the entry to record the amounts billed to the customer.

    Prepare the entry to record the cash receipts from the customer.

    Prepare the entry to record the construction costs incurred. Hint: Use Cash, payables, materials, etc.

    Prepare the entry to record the amounts billed to the customer.

    Prepare the entry to record the cash receipts from the customer

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  • Record the preceding transactions in MSK’s books assuming it recognizes revenue over time and uses costs incurred to measure the extent to which its performance obligation has been satisfied

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    The sales and collection process generates revenue accounts receivable, and cash flow information for a firm’s financial statements

    1. The sales and collection process generates revenue accounts receivable, and cash flow information for a firm’s financial statements. What other information do you think managers would like to collect?

    2. What kinds of businesses collect cash before recording the corresponding sales? How would that different sequence affect internal control requirements?

    3. Draw a basic sales activity model using BPMN for a fast-food restaurant. Draw a second basic sales activity model using BPMN for a traditional restaurant. Discuss similarities and differences. How would you add taking reservations to the second model?

    7. From your experience, think about the sales process for an online or brick-and-mortar store. Describe some business rules that help provide internal controls over the process.

    8. What classes and associations would be included in a model that describes the information needed for a query that calculates the accounts receivable balance for each customer? Describe differences in the information for the open-invoice method, where customers pay according to specific invoices, versus the balance-forward method, where customers pay balances on monthly statements?

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    Explain differential costs, differential revenue, incremental cost, and avoidable cost

    1. Explain differential costs, differential revenue, incremental cost, and avoidable cost.  Give examples for each concept.
    2. Explain opportunity costs and examine how opportunity costs are used in decision making.  Give examples of opportunity costs in decision making.
    3. Examine the concept of the time value of money and how the concept is used in capital investment decision making.
    4. Compare and contrast between net present value and internal rate of return methods
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    Salesforce Effectiveness based on last year’s annual expenses and sales revenue.

    Scenario 4: Module 4

    LusterLast: Business Year 2019

    Last year the company elected to hire a sales force. And, while sales appeared to be good, management wants Ashanti to investigate, which means, of course, that you will investigate.

    You are provided with the following data. Your boss wants you to provide her figures on:

    • Salesforce Effectiveness based on last year’s annual expenses and sales revenue.
    • Break-even number of employees.
    • Category Performance Ratio

    LusterLast Stats

    Annual Sales Expenses                 Annual Sales                Units Sold                Annual Commissions                Salaries            Bonuses

    3,525,000                                        23,500,000                      4,079,861                          2,350,000                          7,050,000         235,000

    Industry Data                

    Sales Potential                Product Category Volume                All Commodity Volume

    350,000,000                     23                                                                             87

    Use your contribution margin from the previous year if necessary. Submit your spreadsheet through the designated drop box. And, this time, instead of providing just commentary, also provide a graph illustrating two relationships you believe are essential and briefly explain your rationale

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    Identified Revenue Optimisation Opportunity

    —- Powerpoint Scenario Reflection:
    1. Introduce the Business
    2. Identified Revenue Optimisation Opportunity
    3. Suggested Recommendations for Implementation
    4. Conclusion
    —- Assessment Instructions:
    1. Students to reflect on what they have learnt in class and apply to a real life scenario
    2. Ideally they should approach where they currently work or contact a previous employer or personal contact
    3. Assessment format is a Powerpoint presentation, with voice commentary
    4. Introduce the business, identify three (3) revenue optimisation opportunities then present your suggested recommendations for implementation and conclusion
    5. No limit to the number of slides, however presentation should be around 5 minutes
    6. Last slide to include all references
    7. Students should include at least 3 external references to back up their suggested action.
    —- Video example link :
    https://www.youtube.com/watch?v=upB_2vQEGCE

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