Milwaukee Regional Health System [Case 30]. This case illustrates the basics of revenue cycle management as well as the differences between charge master prices and the amounts actually billed and collected. The case considers both hospital and clinic (physician) settings. Although basic revenue cycle principles are relatively straight forward, successful management of the revenue cycle requires a detailed knowledge of the process, including the metrics used to benchmark revenue cycle functions. This case requires that you become involved with the some of the details, including metrics involved in revenue cycle management. (1a) using the template given in Exhibit 30.1, add one additional overall benchmark and one defect benchmark for each of the revenue cycle functions listed. (1b) describe each metric in the completed template and provide justification as to why these benchmarks were chosen over the alternatives listed in Exhibit 30.2. (2) Compare the benchmark values in your completed template with the actual MRHS metric values given in Exhibit 30.3. (3a) discuss your results. What actions might be implemented to improve revenue cycle performance? Complete the reimbursement amount template provided in the case for CPT 73722 (MRI of the knee) and DRG 470 (major joint replacement). Discuss the fairness and efficiency of the current fragmented reimbursement system to providers, insurers, patients, and society (the ultimate bearers of healthcare costs). (3b) assume that MRHS’s payer mix is 46 percent Medicare, 34 percent commercial/managed care, 16 percent Medicaid, and 4 percent self-pay/no insurance. (viii) Calculate the average expected payment for each of the two procedures (4) In a single paragraph, describe the revenue cycle and why good performance is so important to providers. (5) In your opinion, what are three key learning points from this case?
Eating Christmas in the Kalahari | Essay Distributed: third October, 2016 Last Edited: 26th April, 2018 Disclaimer: This article has been put together by an understudy. This isn't a case of the work composed by our expert exposition journalists. You can see tests of our expert work here. Any feelings, discoveries, conclusions or suggestions communicated in this material are those of the writers and don't really mirror the perspectives of UK Essays. Eating Christmas in the Kalahari Conceptual Richard Borshay Lee was a social anthropologist that had lived with and considered the southern Tswana clan. In "Eating Christmas in the Kalahari" Richard Borshay Lee acquaints us with some exceptionally valuable procedures in sociology. What he chose to do was participate in a bull Christmas party. Mr. Lee felt he needed to give a blessing in light of the fact that the ancestral network thought he was a recluse, this was because of the reality the Mr. Lee had been there for a long while and never shared his sustenance. Being Christmas and the two sides having confidence in this profound occasion, he felt committed to share. At last, his convictions does not agree with the !Kung individuals and we witness the intensity of mingling specialists. Despite the fact that Mr. Lee had lived with and was occupied with all aspects of the !Kung individuals' lives, he was as yet an untouchable and outsider to the general public. It appears to be after Mr. Lee chose to go to the bull Christmas celebration, he felt it would be a pleasant signal to purchase a bull to eat at the festival. Among the !Kungs, the butchering of a bull is a custom. In the wake of picking the bull to convey to the celebration, the Bushmen began grumbling and calling the bull old and thin. To Mr. Lee, the bull looked huge, fat and ideal for the Christmas festivity and the response of the !Kung Bushmen individuals abandon him extremely offended. His emotions and how he saw the Bushmen's response was likely established without anyone else culture, where individuals should acknowledge other individuals' liberality regardless of the result. In any case, to the Bushmen, giving a bull was close to what they generally do each day, and was not much. In the wake of counseling with social specialists, Mr. Lee finds the local's perspective. In the !kung's way of life, things, for example, blessings and liberality are valued. In any case, it isn't effectively appeared and constantly away from plain view. Their social conviction is that it will make more mischief applaud any individual notwithstanding for a vocation well done. They accept by boosting somebody's self image it will in the long run swell his pride to the point where he may murder somebody. The !Kung's survival depends on their familiarity with nature around them and how individuals act and think in the general public. This I think would be something to be thankful for whatever length of time that individuals were not underestimated. For what reason did the !kung individuals' affront trouble Mr. Lee so widely? I feel the anthropologist thought he had experienced such a great amount to pick, and purchase the bull for the !Kungs just to be derided for his endeavors. Lee at last got the message of what the !Kungs were attempting to put out, and this was the idea that there is some thought process behind each blessing and by one means or another, someway the blessing will be reimbursed. Be that as it may, I should differ with this idea and can't help contradicting the !Kungs. This is bolstered by the reality, consistently I see numerous altruistic demonstrations, and the general population that are giving, have no expectation of accepting recognition or anything consequently. There are numerous social principles about blessing giving in our general public. Endowments in our general public are given in festivities and uncommon events. More often than not in our general public, the sum spent on the blessing depends on the rareness or the extent of the occasion occurring. Mr. Lee's perspectives expedited by his own particular social convictions, left him feeling insufficient and offended. Be that as it may, to the !Kungs, it was a regular event and response. To comprehend the !kungs is to comprehend and acknowledge individuals of various societies. This is dually noted in the above passages. The !Kungs who live in the Kalahari were raised uniquely in contrast to somebody who experienced childhood in the general public we live in today. In tolerating blessings in our nation, we generally say thank you and the amount we value it. This acclaim gives us a sentiment of pomposity realizing that the collector truly loves our blessing. In various societies there are diverse rules. The general population of the !kung clan consider severely people that show presumption. To kill these qualities in the youngsters, they were raised to deride and ridicule others while doing things, for example, chasing and feasible exercises. What's more, by telling Mr. Lee that his bull was thin and old, they were eventually doing him a colossal support as indicated by their social convictions. As rather than our convictions that attributes, for example, bulling and taunting is off-base. Anyway now and then in our general public we consider presumption to be a negative quality yet it isn't generally debilitated in a similar way. Operators of Socialization was a solid impact in the article that Mr. Lee composed. The sentiment of being offended just originated from his own particular deficiencies and the way he was educated in his general public. His status while being among the clan was not exactly in his own particular society and furthermore added to his emotions. His social qualities were altogether different than that of the !Kung individuals, and in time he came to comprehend and acknowledge their demeanors learned as a social gathering. He understood that despite the fact that it was a festival known to individuals of his way of life, it could likewise maintain a piece of the !Kung clan. This is a documentation of another example of how unique social orders of individuals separate themselves from each other with specific traditions and contrasts, and how they behave socially.>GET ANSWER