Running Head CASE STUDY PREPARATION 1

Case Study Preparation

Name
ACC 281: Accounting Concepts for Healthcare Professionals
Instructor
Date
Case Study Preparation 2

Case Study Presentation

Introduction

Healthcare firms could use the approach of Sutter Home with the intention of establishing

a major way for collecting the payments of patients before rendering any services. Healthcare

organizations at present are losing profits because of numerous unpaid self-pay payments not

being made along with because of staffs not implementing this approach for getting paid by the

customers before they receive the services. In my opinion, increases of certain healthcare

organizations in terms of payments are because of the numerous unpaid rendered services; with

the intention of compensating for lost cost, firms are raising fees.

Annotated Bibliography

Allan P. DeKaye. (1997). The Patient Accounts Management Handbook.

Jones & Bartlett Learning.

Most patient accounts managers have become keenly aware of the increasing importance

of self-pay collections ineffective healthcare accounts receivable management. Employers are

shifting a greater portion of health care costs to their employees, and, as a result, copayments and

deductibles are higher than ever before and continue to grow. Many patients have lost their

healthcare insurance coverage altogether—either by choice or an unfortunate change in their

employment situation. According to the author, at least 20 percent of healthcare revenue now

comes directly from the patient. Significant discounts provided to managed care payers,

Medicare diagnosis-related groups, and Medicaid reimbursement schedules have left self-paying

patients as essentially the lone fee-for-service accounts and therefore are some of your facility's

most profitable payers. For this reason,

Case Study Preparation 3

Finkler, S. A., Calabrese, T. D., & Ward, D. M. (2018). Accounting fundamentals for healthcare

management. Jones & Bartlett Learning.

To further complicate effective self-pay accounts receivable management, almost every

patient has some self-pay component. Calculating the patient portion, or prorating the account,

can be a complex task, particularly if managed care contracts are based on fee schedules

discounted from the facility's normal charges. Ignorance of primary care physician referral

documentation requirements (whether omitted by the patient or the provider) can negate a

patient's managed care benefits, creating a needless self-pay collection headache. As a result, the

first step in managing self-pay accounts is instituting reliable third-party payer profiles that detail

payer reimbursement formulas and interface with patient accounts management information

systems. This will facilitate timely account proration, which is the cornerstone of the effective

self-pay collection.

Souza, M., & McCarty, B. (2007). From Bottom to top: How one provider retooled its

collections. Healthcare Financial Management, 61(9), 67-73.

The changes and separation within patients that are uninsured have been discussed by the

author, along with the way the methods of payments can be determined and the diverse plans can

be managed, screening the way the A/R is performed and the way the finance accumulates on

this type of reports. The text enables for comprehending regarding the way the execution starts

along with its origination; moreover, the benefits and drawbacks have been explained by the

authors within the Sutter Health policy.

Yousem, D. M., & Beauchamp, N. J. (2007). Radiology Business Practice E-Book: How to

Succeed. Elsevier Health Sciences.

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According to this author, the self-pay patient is one key bad debt’s source, and the way

for following up with self-pay patients effectively requires distinct attention. As there are

exceptional cases, for example, screening programs for executive international and physicals

programs of health where payment is nearly complete and prompt, generally, self-pay is

associated closely with the bad debt.

Case Study Preparation 5

References

Allan P. DeKaye. (1997). The Patient Accounts Management Handbook.

Jones & Bartlett Learning.

Finkler, S. A., Calabrese, T. D., & Ward, D. M. (2018). Accounting fundamentals for healthcare

management. Jones & Bartlett Learning.

Souza, M., & McCarty, B. (2007). From Bottom to top: How one provider retooled its

collections. Healthcare Financial Management, 61(9), 67-73.

Yousem, D. M., & Beauchamp, N. J. (2007). Radiology Business Practice E-Book: How to

Succeed. Elsevier Health Sciences.