Krona Community HospitalMemoTo: Krona Community HospitalFrom: Cc: Date:January 12, 2015Re: Cutting Medicaid at Krona Community Hospital Cutting Medicaid will definitely have an effect on Krona Community Hospital. Medicaid is a vital foundation of revenue for the hospital and the effect that this will have on the hospital will not be over-the-top. The effect will be on families with low income, providers, and possibly a lot of the economy. Cutting Medicaid obstructs the proficiency of the hospital to deliver operative healthcare to the patients and restrict a huge number of patients. The lack of ability of the hospital to deliver applicable health establishments can be impractical for the hospital to get bigger. The modifications made to Medicaid in the past couple of years has caused it to be impractical for the healthcare hospital to stay alive in the world. The decrease to Medicaid has directed to reduce repayments of the healthcare providers that may not want to help patients. Medicaid is a main supplier of revenue for several healthcare establishments, suggesting that security of the amount and the excellence of services delivered may mutually be deliberated. If the hospital chooses to welcome patients that have Medicaid, there could be a possibility of the refunds being rejected for the services that they have tended to. This could have a huge destructive effect on the financial stance of the hospital and the delivery of healthcare to the patients. There may be a chance that grant funding will not be boosted in funding for patients that do not have insurance. Therefore, the hospital will not obtain any refunds from Medicaid for patients who are admitted. When Medicaid cuts have taken place, the hospital will have to use methods on foreseen contact. With these methods, net revenue or functioning boundary should be the right method that will be suitable to their capability to deliver estimates of financial pressure because the use of any other method will effect Medicaid. The Medicaid cuts are liable to amplify financial predicting from 1 year to 4 or 5 years. The Medicaid cut generates a traditional notion through the prediction. Capitation is a way of paying for healthcare services that are rendered. This way is an amount that has a due date for the healthcare providers for a set time frame despite if the payer has rendered services or not. The percentage of the payment is mainly defined the age of the patient and the sex for the demographics. This type of payment was presented to raise convenience and fairness in delivery of healthcare hospitals. There are many advantages of utilizing capitation. One, this system creates a solid bond among the physician and the patient. This happens because the patient is permitted to have several doctors pending the plan elapses, decreasing consequences relates with treatment going too far. The big task related with capitation is that incurable illnesses, or complex medical problems are problematic ...

1. Krona Community HospitalMemoTo:
Krona Community HospitalFrom:
Cc:
Date:January 12, 2015Re:
Cutting Medicaid at Krona Community Hospital
Cutting Medicaid will definitely have an effect on Krona
Community Hospital. Medicaid is a vital foundation of revenue
for the hospital and the effect that this will have on the hospital
will not be over-the-top. The effect will be on families with low
income, providers, and possibly a lot of the economy. Cutting
Medicaid obstructs the proficiency of the hospital to deliver
operative healthcare to the patients and restrict a huge number
of patients. The lack of ability of the hospital to deliver
applicable health establishments can be impractical for the
hospital to get bigger.
The modifications made to Medicaid in the past couple of years
has caused it to be impractical for the healthcare hospital to
stay alive in the world. The decrease to Medicaid has directed
to reduce repayments of the healthcare providers that may not
want to help patients. Medicaid is a main supplier of revenue
for several healthcare establishments, suggesting that security
of the amount and the excellence of services delivered may
mutually be deliberated.
If the hospital chooses to welcome patients that have Medicaid,
there could be a possibility of the refunds being rejected for the
services that they have tended to. This could have a huge
destructive effect on the financial stance of the hospital and the
delivery of healthcare to the patients. There may be a chance
that grant funding will not be boosted in funding for patients
that do not have insurance. Therefore, the hospital will not
obtain any refunds from Medicaid for patients who are admitted.

2. When Medicaid cuts have taken place, the hospital will have to
use methods on foreseen contact. With these methods, net
revenue or functioning boundary should be the right method that
will be suitable to their capability to deliver estimates of
financial pressure because the use of any other method will
effect Medicaid. The Medicaid cuts are liable to amplify
financial predicting from 1 year to 4 or 5 years. The Medicaid
cut generates a traditional notion through the prediction.
Capitation is a way of paying for healthcare services that are
rendered. This way is an amount that has a due date for the
healthcare providers for a set time frame despite if the payer has
rendered services or not. The percentage of the payment is
mainly defined the age of the patient and the sex for the
demographics. This type of payment was presented to raise
convenience and fairness in delivery of healthcare hospitals.
There are many advantages of utilizing capitation. One, this
system creates a solid bond among the physician and the
patient. This happens because the patient is permitted to have
several doctors pending the plan elapses, decreasing
consequences relates with treatment going too far. The big task
related with capitation is that incurable illnesses, or complex
medical problems are problematic to afford for this method
because of the elevated amount. That signifies that the method
may not think about the concern a lot of patients who have
complex medical matters that need continuous access.
Capitation urges doctors to lower their rates while
procrastinating with the patients get ideal care if they have
complex medical problems.

3. Reference
Samuels, D. I., & Healthcare Financial Management Association
(U.S.). (1996). Capitation: New opportunities in healthcare
delivery. Chicago: Irwin Professional Pub.
Frank, C. R., & Kibbe, I. D. (2000). Physician empowerment
through capitation. Gaithersburg, Md: Aspen Publishers.
1
3
Krona Community Hospital
2930 Clinical Parkway Local Place, CA 90210 555-5551234
[email protected]
1/26/2015
Wendy H. Hunter
Krona Community Hospital

4. Welcome Mrs. Hunter
Since you are a new member of staff, it is impoetant that you
receive this knowledge that must be needed of you to help for
the following board meeting. The material is regarding the
yearly statement and everything it incorporates. A yearly
statement is a record that gives the business monetary figures. It
is a presentation of amounts and information which is put into
sections. These sections are the amount that is spent, what is
earned, assests, and responsibilities. The document will be
announced by the executive that will develop monetary
strategies for the future. A way to develop this yearly document
is to follow certain stages. The stages to be used are assemble,
itemization, graph, calculate, and make a prediction.
First, you must assemble the information. Gather all of the
essential information and material that is needed for this
statement like sales amount for the year, and the wealth of the
company now with the assests and legal responsibilities. This
material must be verified correctly from monetary documents,
proof of payments, and documents from the bank.
Second, is the itemization of this material. After all the
documents have been collected, it should be calculated into the
amount once a month by utilizing the material given on the
monetary documents and proof of payments. Having this
material, you can develop a monetary plan that gives the
quantity of the business makes every month by changing
monetary ways, develop a single plan to display the monies that
was utilized every month.
Third is graph. After the plans are done, you take that material
to build charts that evaluate that expenditures and what was
earned for the month. Every 30 days must be separated to have
its own graph to display the amount. These charts are utilized to
display the business expenditures and profits even if its good or

5. bad. This is organized to show the person who reads a better
grasp on the month to month expenses.
Fourth is to estimate. The yearly statement is a vital document
for a business and it should include the document on the worth
of the business. This quantity is constructed on the whole
amount of the company by what belongs and indebted. These
numbers are discovered by taking away the liability and the
assests.
Last, is prediction. Since every piece of information and the
material will be on a graph or charts, a company will insert
more parts that will give them a approximate amount for the
following year. The company may get rid of any redundant
expenditure and rebuild the pkan to eliminate any possible
issues for the future.
Incorporated in the yearly statement procedure are more files
and I will only go over 3 3 for now. The 3 files that I will go
over are vital to the yearly document are the Chairman oof the
Board Letter, the CPA Letter and last, Management and
Discussion Analysis. These files deliver distinctive material I
separate sections of the files and it contains important
information that the company should know about concerning the
company.
The Chaiman of the Board Letter
Because the Chaiman of the Board Letter delivers guidance to
this company, the Chairman’s point of view of this company
doings is very important. The Chairman is responsible for
delivering the 1st 5-6 pages of the yearly statement. It should
not be more than 900 words concentrating on the investors,
customers and anyone else that will gain from the company.
This document gives information related to previous
information like modification with staff members,
achievements, and upcoming initiatves. This is a statement
from the chairman of the Board to discuss previous and future
viewpoints on the company (Sample Letter to Chairman, House
Energy Committe, 2011).
CPA Opinion

6. The CPA Opinion document comes before the yearlt statement.
The individual who does this is the businesses personal auditor.
The accountant gives the information to the company so they
know if they have been successful or not. Also, they go over
the financial documents so they know what steps can be taken to
improve. This document will be regarded as clear and will give
the company a good report about their financial status. The
documents may have some mishaps that the accountant has
discovered on the documents can also represent the health status
of the company (Sample "Review" Opinion Letter, 2015).
Management Discussion and Analysis
Management and Analysis is an essential of the yearly
document. The discussion that comes from management
prepared to classify material which might not be seen when
looking over the numbers in the yearly document. The
management and analysis talks about how modifications in the
country and the administration have an effect on the business. It
talks about the dangers and the looks that can have an effect on
the operation and presence of the facility.
This material in this email is very vital to this establishment. It
would be greatly appreciated if you could go over some of the
information of the document with the sections provided. If you
needed any assistance with any information feel free to contact
me anytime before the meeting is scheduled.
Welcome to Krona Community Hospital
Sincerely,
Lakeisha Dotson
Krona Community Hospital
References
Sample "Review" Opinion Letter. (2015, January 26). Retrieved
from Dana S. Beane & Company, P.C. Certified Public
Accountants:
http://www.dsbcpas.com/services/accounting/review/reviewopin

7. ion.html
Sample Letter to Chairman, House Energy Committe. (2011,
January 26). Retrieved from michigan stop smart meters:
http://michiganstopsmartmeters.com/sample-letter-to-chairman-
house-energy-committee/
Lakeisha Dotson
Phase 2 Individual Project
January 19, 2015
Professor Glenda Byers Shaffer
CTU Online
Abstract
Several factors that depend on hospital revenues are:
Inpatient
Outpatient
Pharmacy
Home health
Hospital
Payroll and Benefits
If you are a manager or even an owner of a medical
establishment at Krona Community Hospital there are numerous
techniques to build revenue in these sections. In these different
sections, I will be discussing how to improve the incomes in
these sections that are listed above. I will be including a chart
of income for 2015 and 2016 and also a whole amount of the
income that will be established if the implied techniques are
applied.

8. 2
How to improve inpatient revenues
Adjust inpatient management
Carefully observe conditions vital to inpatient services
Appropriate updates of cost connected to input services
Education on hospital facilities concerning inpatient
management
In some hospitals, inpatient income is a big section of their
funds. On some occasions, many of the inpatient charges are
not processed correctly, deprived monetary correction and
power also absence of education in the methods in the monetary
sections can be part of the reason that revenue is down. There
are several approaches to ensure that inpatient income will
increase patient management. Manage day-to-day checks of
patient and monetary events. Verify and see if patient
information is gathered and entered correctly like insurance and
payment information. Wrong information will effect how the
payment is received and may be denied. Ensure monetary
management is processing the claim documents on time with
correct information. Raising inpatient funds by educating the
employees on the correct method to collect information and
steps for confirming forms and claims. Members of staff who
have just started must have appropriate education on how to
process patient access and in service will be directed to have
everyone updated on the modifications on the progression.
Observing and management actions are vital to decrease
mistakes in patient access process. This will assist in enhance
accurateness, decreased rejected claims and a rise in inpatient
services.
3
How to improve outpatient revenues
Adjust the excellence and steadiness of care the patients obtain

9. after they are released
Minimize the patients being readmitted rates by refining
prescriptions obedience when the patient is checked out
Have complete enhanced outpatient pharmacies
It is imperative to develop the excellence and the connection of
attention of patients obtain after they are released since it can
assist in raising inpatient revenue. Deliberate delivering
medicine and medical equipment to several locations including
the patients home. Ensuring the patient is capable to receive
the medicine and or equipment that is essential to assist with
recuperation or healing may certainly encourage the excellence
of care and have more consumers and raise funds for this part.
Medicine supervision is the key of the in-between care team up
with the nurses and social workers to form a method to avoid
being readmitted and work with the patient along with care
assisting the patient with their hospital involvement with
training by a pharmacist can aid when accomplishing better
results, diminish the re-entry percentage, and enhance dynamic
parts that a patient has in its care and the outpatient pharmacies
should partake in federal medication pricing methods that can
suggest a price cut to deliver care for patients that do not have
enough insurance or none at all. Doing this can create a
outpatient pharmacy method that provide fresh sources of
income, raise productivity, develop excellence and prolong care
for patients.
4
How to improve pharmacy revenues
Outpatient pharmacies
Locating
Stock
Consumer services

10. Several individuals discover outpatient pharmacies may
function just like a store carrying essential funds and refining
patient care. Consumers value professional help and
accessibility. Patients will come back to the pharmacy if they
know they can get the knowledge and well deserved respect
from the staff. Maintaining a pharmacy which can adapt to
distinctive approaches that goes with the facility may assist its
lower mark. Another method that healthcare establishments like
the pharmacy will improve the supply. There should be some
kind of software that the pharmacy should use on the computer
so they will know if they need more necessities, spending and
secretarial data. It is essential for the customer to be satisfied.
All patients want the accessibility and quick help.
5
How to improve home health and hospital revenue
Multiply consumers
Increase
Be different
Home based businesses must participate in more to compete
with other businesses to flourish. This is a different method to
develop things to sell and can deliver opportunities. Your
business is unique and stick out from all the others. Attract new
customers to grow the establishment. Watch other businesses
and assist patients on discovering a new establishment that can
deliver their necessities. Get a hold of the patients that have
been sent home form the hospital and discuss what home based
services are recommended and what is required. Come up with
different ways to draw attention to new customers by promoting
diverse paths and advertise something no other company has
done. Being different from other businesses can be a plus for
home based health. There is always competition out there and
being different helps out a lot.
6

11. How to improve payroll and benefit revenue
Get rid of payroll mistakes
Education
Getting rid of payroll mistakes is a option to raise the payroll
and funds. Obtaining software for the payroll will definitely
assist in this section. This can maintain payroll actions and
make sure that members of staff are receiving their pay checks
on time with the correct amount. This option will keep up with
the employees work hours and overtime and not happening to
enter it physically can get rid of mistakes. While using software
to generate payroll, hospital managers may keep an eye on the
funds and assistance funds in Krona Community hospital. It is a
must to raise the pay of nurses because they participate in a lot
of hospital activities. Hospital budgets big section belongs to
the nurses because if it was not for them, a hospital would not
be successful. The nurses are paid nicely since the jobs requires
many different functions. Education is required for all the
members of staff in respect of how the time is observed. The
staff should learn how to clock in for their shift and out, and
they must keep track of lunch breaks as well. They also will be
informed of the days that have been missed and times to ensure
they receive the correct funds for the days they clock in.
7
Revenue Chart
Conclusion
Consumer services
Development
New equipment
software

12. Changes are becoming noticeable with the fastly growing rate of
the new knowledge, medical developments, and increasing
rivalry it is unavoidable to discover methods to new funds.
Several hospitals are flourishing well presently since many of
the sources of funds have been recognized in the previous
slides. It is essential to discover methods to create exceptional
customer service and group education and approaches that may
be valuable to the development of the business. Receiving the
education and progression can assist the company to develop
repayments. Since there are many proposals that have been
stated in this assignment the methods to develop the funds is not
restricted.
9
Reference
Hospital retail pharmacies can boost revenues. Retrieved
January 18, 2015, from Better Thinking for Better Health:
www.betterhealth.com/2013/07/hospital-retail-pharmacies-can-
boost-revenues
Improve inpatient revenue management. (2014, January 20).
Retrieved January 18, 2015, from
www.hospitalinformationsystem.com/2012/01/hospital-in-
patient-revenue-optimisate
Why are those nurses hogging so much of the hospitals budget?
(2011, March 25). Retrieved January 18, 2015, from The truth
about nursing:
www.truthaboutnursing.com/news/2011/mar/25/hogging.html