Chat with us, powered by LiveChat For this week's homework, you need to respond to the questions and problems below. Respond to the following three problems. - EssayAbode

For this week’s homework, you need to respond to the questions and problems below. Respond to the following three problems.

 

For this week's homework, you need to respond to the questions and problems below.

Respond to the following three problems. Show your work for any calculations performed. Each accurate and complete response is worth 20 points.  

Problem 1.  An HMO has a Point of Service (POS) option for its members, but will pay only 80 percent of approved charges. If a member goes out of network for a medical procedure with a charge of $2,000, of which $1,200 is approved, how much must the member pay?

Problem 2.  A hospital has contracted with an HMO to provide acute care inpatient services for $1,000 per day, subject to a 10 percent withhold. The proposed budget for inpatient services is based upon expected utilization of 600 days per 1,000 members at $1,000 per day, or $600,000 per 1,000 members. The hospital risk pool will be split equally between the hospital and a primary care physician group. If only 450 days per 1,000 members were utilized in the first year, how much would the hospital be paid per 1,000 members?

Problem 3. An uninsured patient receives services with charges of $5,000 from a hospital. The hospital staff bills the patient $1,000 and records $4,000 as charity care. If the hospital's ratio of cost to charges is 50%, what amount would the hospital recognize as charity care in Schedule H of IRS Form 990?

Problem1-3 Madison.321.docx by Nastassia Madison

Submission date: 16-Feb-2022 07:34PM (UTC-0600) Submission ID: 1764226811 File name: Problem1-3_Madison.321.docx (8.82K) Word count: 325 Character count: 1524

1

1

1

62% SIMILARITY INDEX

62% INTERNET SOURCES

0% PUBLICATIONS

% STUDENT PAPERS

1 62%

Exclude quotes On

Exclude bibliography On

Exclude matches < 15 words

Problem1-3 Madison.321.docx ORIGINALITY REPORT

PRIMARY SOURCES

www.coursehero.com Internet Source

Related Tags

Academic APA Assignment Business Capstone College Conclusion Course Day Discussion Double Spaced Essay English Finance General Graduate History Information Justify Literature Management Market Masters Math Minimum MLA Nursing Organizational Outline Pages Paper Presentation Questions Questionnaire Reference Response Response School Subject Slides Sources Student Support Times New Roman Title Topics Word Write Writing