As a health care administrator/manager it will be imperative for you to work with an organizational budget but also have an exemplary understanding and purpose of the budget for your health care organization.
Medicare payments for health care organizations have a complex set of rules. Medicare has paid skilled nursing facilities on a prospective basis since July 1, 1998. The rate is a per diem rate that is calculated to include the costs of all services, including routine, ancillary, and capital. Per diem payments for each admission are case mix adjusted using a resident classification system known as resource utilization groups.
For Part A inpatient institutional care at health care organizations, Medicare uses the inpatient prospective payment system. A prospective payment system is one in which the healthcare organization receives a certain payment for each episode of care provided to a patient, regardless of the actual amount of care used. The amount of the payment is based on the value of a certain diagnosis as determined by Centers for Medicare & Medicaid Services in the form of diagnosis-related groups (DRGs).
Instructions:
DownloadBudget Analysis I.pdfand follow the directions. You will also be using a Microsoft Excel Spreadsheet that contains all of the data for your work. Please be sure to save your progress. When finished with the spreadsheet, you will submit a minimum one-page analysis of your findings with the GHI AL facility.
