HCA405

Textbook

Read the following chapters:

• Chapter 5: Third-Party Payment 

  • This chapter explains the history of third-party reimbursement, classifies managed care organizations, examines new methods of financing and delivering healthcare, identifies methods of payment, and computes cost-shifting and cost-cutting problems. 

• Chapter 6: Medicare 

  • Expect to gain insight into the history of Medicare, identify the current benefits and financing for Medicare, analyze legislative attempts to control Medicare costs, understand the important provisions of fraud and abuse regulations, and identify political proposals to change Medicare. 

• Chapter 7: Medicaid 

  • In this chapter, you will learn about the history of Medicaid, identify the current benefits and financing for Medicaid, analyze legislative attempts to control Medicaid costs, and understand the important provisions of the Medicaid expansion. 

• Chapter 8: Cost Accounting 

  • This chapter highlights the methods of classifying, allocating, and assembling costs and explores the relationship of costs to volume and revenue. 

• Chapter 9: Reimbursement 

  • This chapter focuses on the various methods of setting charges, identifies concerns regarding charges, provides details about how cost shifting affects setting charges, and reviews methods of reimbursement to providers. 

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