using a sample Third-Party Accounts Receivable Report attached a.Describe how data are utilized by an organization in healthcare audits. Consider the following: Which data are important to a revenue-cycle audit? How are the different components of the accounts receivable report used to inform an auditb. b. Describe how to establish parameters for collecting benchmarking data in healthcare audits. Consider the following: How do you determine which data are appropriate for benchmarking? What should you consider when setting parameters for benchmark data?

FINANCIAL ACCOUNTING
10th Edition
ISBN:9781259964947
Author:Libby
Publisher:Libby
Chapter1: Financial Statements And Business Decisions
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using a sample Third-Party Accounts Receivable Report attached

a.Describe how data are utilized by an organization in healthcare audits. Consider the following:

Which data are important to a revenue-cycle audit?

How are the different components of the accounts receivable report used to inform an auditb.

b.

Describe how to establish parameters for collecting benchmarking data in healthcare audits. Consider the following:

How do you determine which data are appropriate for benchmarking?

What should you consider when setting parameters for benchmark data?

Third Party A/R Report
Days Outstanding
91-120
Payer
|Payer Code
Current
31-60
61-90
121-150 151-180
180+
Total Balance
Aetna
ΑΕΤΝΑ
7175
3712
402
469
4814
225
1018
17816
Blue Cross/Blue
Shield
BCBS
18441
9541
1034
856
9307
306
4608
44094
|Cigna Health
CGNA
12381
6406
694
900
8616
201
3094
32292
HCSC
HCSC
23744
12285
1332
1196
8237
573
2331
49698
Humana
| ΗΜΝΑ
32686
16912
1833
2016
15465
1219
3873
74004
Kaiser
KSR
1639
848
92
60
924
142
410
4115
Medicaid
MDCD
2923
1512
164
157
771
70
730
6328
Medicare
MDCR
84021
43472
4712
5264
25830
796
1289
165385
United Health
UNHTH
51095
26437
2866
2454
19051
780
2378
105060
WellPoint
WLPT
2586
1338
145
94
992
47
646
5848
Worker's Comp
WCMP
2220
1149
125
226
15264
691
555
20229
Reports Totals
|% Aged
238911
123613
13400
13692
109271
5050
20932
524869
45.52%
23.55%
2.55%
2.61%
20.82%
0.96%
3.99%
Note: This is fictional data created for academic purposes.
Transcribed Image Text:Third Party A/R Report Days Outstanding 91-120 Payer |Payer Code Current 31-60 61-90 121-150 151-180 180+ Total Balance Aetna ΑΕΤΝΑ 7175 3712 402 469 4814 225 1018 17816 Blue Cross/Blue Shield BCBS 18441 9541 1034 856 9307 306 4608 44094 |Cigna Health CGNA 12381 6406 694 900 8616 201 3094 32292 HCSC HCSC 23744 12285 1332 1196 8237 573 2331 49698 Humana | ΗΜΝΑ 32686 16912 1833 2016 15465 1219 3873 74004 Kaiser KSR 1639 848 92 60 924 142 410 4115 Medicaid MDCD 2923 1512 164 157 771 70 730 6328 Medicare MDCR 84021 43472 4712 5264 25830 796 1289 165385 United Health UNHTH 51095 26437 2866 2454 19051 780 2378 105060 WellPoint WLPT 2586 1338 145 94 992 47 646 5848 Worker's Comp WCMP 2220 1149 125 226 15264 691 555 20229 Reports Totals |% Aged 238911 123613 13400 13692 109271 5050 20932 524869 45.52% 23.55% 2.55% 2.61% 20.82% 0.96% 3.99% Note: This is fictional data created for academic purposes.
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