Which report would health plan managers use to assess provider payments over budget?

Prepare for the HFMA Business of Health Care Exam. Study with flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Health plan managers would use the claims payable distribution report to assess provider payments over budget because this report provides detailed information on the payments made to providers for claims submitted. It outlines the amount paid to each provider and can highlight any discrepancies or overages relative to the budgeted amounts for claims.

By analyzing this report, managers can identify patterns or specific providers that are exceeding the anticipated costs set within their budget. The report serves as a crucial tool for financial oversight, allowing for adjustments to be made in resources, budgets, or payment practices to ensure that provider payments align with overall financial goals.

In contrast, while the audit trail report provides insights into the transaction history for claims processing, it does not specifically focus on payment amounts relative to budgets. The accounts payable distribution details the overall liabilities owed by the health plan but lacks specificity regarding claims-related expenditures. The labor distribution report focuses on workforce-related costs rather than payments to providers, making it irrelevant for assessing provider payment budgets.

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