You are a business office manager of a small rural hospital.
The chair of your board of directors, who has been in that role for
many years, is discussing how you might be able to improve the
financial position of the hospital. He asks why you cannot
simply increase charges to Blue Cross to cover losses to Medicare,
Medicaid, and charity care. As he states, this mechanism of
‘cost shifting’ was used in the 70s and 80s and was
effective. He wants to know why it will not work now.
What will you tell him?
Cost shifting refers to charging the insured person in excess to combat the loss happened to a healthcare provider or an organization .It will not work now due to some of the following reasons are
You are a business office manager of a small rural hospital. The chair of your board...
You work in a small family practice in rural Virginia. A man in his early 50s comes in with a complaint of intermittent fever (102— 03°F) and headache for the past two weeks. The physician examines him and takes a history. The only clinical finding is a wound about the size of a quarter on his right thumb. Axillary lymph nodes are swollen and tender. The man says he cut himself while skinning a rabbit three days ago. On the...
1) Imagine that you are a first-line manager of a department in a relatively small hospital located in a semi-rural area. For many months there had been rumors of a possible merger with another semi-rural hospital half again the size of yours located about 12 miles away. Both administration and the board of directors had been declining to comment on the rumors although it was apparent that some kind of negotiations were underway. In about mid-November all managers were officially...
1) Imagine that you are a first-line manager of a department in a relatively small hospital located in a semi-rural area. For many months there had been rumors of a possible merger with another semi-rural hospital half again the size of yours located about 12 miles away. Both administration and the board of directors had been declining to comment on the rumors although it was apparent that some kind of negotiations were underway. In about mid-November all managers were officially...
1. Assertiveness is behavior that helps you act in your own or your patient's best interest. As a nurse what are your strengths in the area of advocacy, your limitations in the area of advocacy and the steps you could take to become more assertive. 2.Give an overview of any biases you felt, or that society as a whole would feel, about a patient. What might a patient concerns be related to biases society, or personal family/friends, may have against...
HIMT 2150 Healthcare Statistics You are the Health Information Management Director at Georgetown Hospital. Georgetown is a 75 bed, 20 bassinet general hospital located in Charleston, South Carolina. A flu epidemic in Charleston stretched the capacity of the facility, so 10 adult beds were set up in the solarium for the entire month of March 2014. Your responsibilities as HIM director include the maintenance and reporting of common hospital statistics. As often happens during budget and tax season, requests for...
You are the Vice President of Nursing Services in a nondenominational community hospital, and you receive a complaint from a patient, who is a Wiccan. The patient and her primary care nurse, Penny Baker, were discussing her religious practices and how she prays, when another nurse, Ruth Goose, walked into the room, stated, “Thou shalt not suffer a witch amongst you,” and told Penny not to discuss the “satanic religion” with the patient any more. The patient demands an apology...
Denise Stubbs, the Nancy Drew of forensic accounting, sat in her office pondering yet another financial mystery. Her client, Candace Goodwell, owns Salon Select and the building and land on which the building sits. The retiree, who spends her winters in Florida and her summers in New York, had just left Denise’s office after discussing a matter that was particularly troubling. Candace had relied on her office manager, D Maxwell, who had been with her for years, to obtain bids...
Imagine the situation in your workplace (B2B Parcel delivery business) where you are a part of a team that has not been performing very well as since Martin Farrell, the previous manager left the team to join the head office. All the members including the new recruits have been experiencing the difficulties meeting the service standards, delivery and performance targets. The team members apparently have no co-ordination among their functions and have no motivation. The team is under tremendous pressure...
On September 25, 2012, Japanese camera and medical equipment maker Olympus Corporation and three of its former executives pleaded guilty to charges related to an accounting scheme and cover-up in one of Japan’s biggest corporate scandals. Olympus admitted that it tried to conceal investment losses by using improper accounting under a scheme that began in the 1990s. The scandal was exposed in 2011 by Olympus’s then-CEO, Michael C. Woodford. As the new president of Olympus, he felt obliged to investigate...
On September 25, 2012, Japanese camera and medical equipment maker Olympus Corporation and three of its former executives pleaded guilty to charges related to an accounting scheme and cover-up in one of Japan’s biggest corporate scandals. Olympus admitted that it tried to conceal investment losses by using improper accounting under a scheme that began in the 1990s. The scandal was exposed in 2011 by Olympus’s then-CEO, Michael C. Woodford. As the new president of Olympus, he felt obliged to investigate...