ASSIGNMENT | Identify sources of health care revenue

Identify sources of health care revenue
Identify which sources are government sponsored
Explain how inappropriate billing can lead to fraud
Explain the consequences of fraudulent activity
Explain how to report Medicare and Medicaid fraud
Sources most not be no older than 10 years old
The sources of revenue should be:

Private insurance-explain the types of private insurance like fee-for-service (describe), managed care organizations (describe), consumer direct plan (describe), purpose of liability plans (describe).

Federal Insurance explain the different types Federal insurance and who they offer insurance plans like Medicare, Medicaid, Tricare, ChampVA, Medigap Insurance.

Contract, Self-pay, sliding scale, and Credit, describe all.

SAMPLE SOLUTION

There are four primary sources of healthcare revenue. Government aid is provided through grants and subsidies. The industry also gets revenue through government-sponsored programs like Medicare and Medicaid. American citizens provide the funds indirectly through taxes in addition to the government borrowing to finance the budget. The Medicaid program provides low-cost or free benefits to low-income adults, pregnant women, children as well as seniors and persons with disabilities. In addition, each state determines if persons applying for this program are eligible or not. The Medicare, on the other hand, is a program for persons over the age of 65 years, those under 65 but with certain disabilities and at any age with renal disease (Cleverley et al., 2010). Premiums paid by private insurance companies to healthcare providers come from the policyholders and form a major source of revenue. The fee-for-service is a system of insurance where the care providers receive a fee for…