El Reparto
Simulation teaching distributive vs. integrative negotiation through a real estate deal in Lima, Peru.
Sobre la simulación
A 90-minute, 4-round Express simulation on the outpatient revenue cycle of a US community practice: eligibility, copays and deductibles at the front desk, payer mix and contract renegotiation, claim denials by root cause, coding to documentation, uninsured and self-pay patients under the No Surprises Act, same-day access and no-shows, a Medi-Cal plan's value-based offer and patient balances under California's medical-debt law.
For health-administration, medical-office and billing programmes at Hispanic-Serving Institutions and healthcare-management electives. Bilingual EN/ES.
Ruiseñor Family Medical Group (a fictional seven-clinician family practice in Visalia, California): as Graciela, the new practice administrator, you decide how the front desk handles coverage and copays and what to do with the payer contracts, how to work denied claims and set visit levels, how to price care for the uninsured and run the schedule, and how to answer a Medi-Cal plan's offer and collect patient balances at year-end.
Scored on the operating result, the first-pass denial rate, days in accounts receivable, visits and patient trust.
Para quién es
Una simulación de nivel intermedio para participantes que ya conocen los conceptos básicos de la materia, pensada para programas de máster y MBA.
Cómo funciona una sesión
- El docente crea una sesión desde el panel de Eureka e invita a los participantes.
- Los participantes juegan 4 rondas. En cada una envían sus decisiones y la simulación calcula los resultados. La primera ronda arranca con: Monday 11 January 2027: the front desk and the contracts.
- La simulación se puede jugar en: English, Español.
- El docente sigue el progreso y los resultados de cada participante desde el panel, y usa los resultados de la clase para el debriefing.