Using the same organization and the lemonade drink from the Week 4 Learning  assignment, develop an analysis for the bank. The bank will be using this information to make their final decision on how, and if, to fund your company’s new and unique lemonade. Through your research, you have found that the bank you will be presenting to is favorable of socially-conscience companies that support local charitable endeavors.   Develop a minimum 350- to 525-word analysis that include the following: Select four of the following methods and explain how they should be used by your company to align best with your target segment and product definition: Advertising Public relations Traditional Digital marketing New Digital marketing techniques (describe) Direct marketing Event marketing Outdoor Advertising Select two of the following forms of sales promotion to promote your product and explain the reasoning for each of your choices: Coupons Deals Premiums Contests Sweepstakes Contests Samples Loyalty Programs Point-of-purchase displays Rebates Discuss ways you can demonstrate to the bank that this company is a socially-conscience organization and will be involved with local social endeavors. Discuss how your company could expand into the global market. Examine promotional methods that could be used to market your lemonade globally. Examine any ethical or moral issues you may encounter while developing and utilizing the various forms of sales promotion.Week 4 below to show assignment and grading from professor.       Simply Lemonade- A Lemonade that has been reported to taste   more like lime and have a tartier taste.  (‘Taste   Test: Ready-To-Drink Lemonade’, 2011).Our company’s lemonade is   made with fresh lemons and other fruity flavors for a fresh healthy lemonade. Minute Maid- This lemonade   was reported to be perfectly blended but were still reported as bland.(‘Taste   Test: Ready-To-Drink Lemonade’, 2011).Our company blends our   fresh lemonade with other fruity flavors for a nice sour taste added with vitamins   for an added health boost. Natalie’s Hand-Crafted-   Reported as sweet but doesn’t seem fresh.(‘Taste   Test: Ready-To-Drink Lemonade’, 2011).The above designates   the above brands’ taste weaknesses and can be significant. But, the Team must also report its   nutritional and ingredient strengths and weaknesses as compared to Super   Flight.0.800Our company prides itself   with its fresh lemonade and fruit juice blend that is carbonated giving it   that little extra fresh crispy taste. This hints at Super Flight’s   positioning in terms feature and benefits, value added and competitive   edge. However once again, I refer the   Team back to Part 2 to understand how this positioning can be strengthened to   more clearly differentiate the brand from the competition.  Define the pricing strategy in no more than 90 words      that you will use for the introduction of the product.  We believe that the best   pricing strategy for our lemonade at launch to be penetration pricing. With   penetration pricing, prices will start low with little profit margins to   attract new customers and gain market share value. This should in turn raise   awareness of our new lemonade and raise sales volume, while also creating   lower production costs and higher inventory turnover due to the increase of   sale and production.This makes good sense. The considerations can be this: If the Team is convinced the product   is addressing an unmet need for which there is no direct competition and for   which robust demand is anticipated, then a skimming pricing strategy is   advisable. However, the Team has determined the   product will be introduced into a competitive marketplace wherein a   penetration pricing strategy that aims price at the middle of the market can   be implemented to encourage trial and brand-switching.1.000 Discuss in no more than 90 words the maturity life cycle      stages of your product.  Stage of   Maturity Life CycleDiscussion Sales volume peakDuring the maturity phase   of the Product Life Cycle sales volumes tend to peak because of product   saturation in the market. Maintaining market shareDuring the maturity phase   competition is at its highest level in the cycle, which makes it increasingly   challenging for a company to maintain their market share. Stronger product   differentiation/ImprovementsThrough product   differentiation, improvement or changes to the product (new mixes, flavors,   or ingredient improvements) the company can keep maintaining or slow the   decrease of their market share. Decreasing   in market share0.300Because of the high   competition at this stage companies will start to experience a decrease in   market share. This will be followed by lower profits because of price   reduction of products to maintain competitiveness, which will also bring down   price levels.The Team has examined the maturity PLC   stage only. Note that the maturity life cycle stages are to be discussed. This means the Team must examine the   introduction, growth, maturity and decline stages. Briefly, the discussion would look   like this:· At introduction a product must establish brand   awareness, perhaps trial the product with key target markets and price the   product – the Super Flight Team implementing penetration pricing strategy to   encourage trial and brand switching.· During the growth stage, the Team improves quality and   adds new flavors to enhance differentiation and maintains the price due to   healthy demand. The Team seeks increased distribution coverage and modifies   promotion to shift the promotional message from brand awareness to preference.· At maturity, the Team may enter new geographical markets   and engage in additional product modification to further differentiate the   product line from the any emerging competition rather than compete on price. · In the eventuality of product decline, which can be   possible with the emergence new health and taste trends, the Team will reduce   promotional expenditures, cut back distribution and possibly reduce the   price. The product, if endangered, will   then be harvested from the product line if sales no longer justify a   marketing investment. The Team does discuss the maturity   stage correctly. Describe in 90 words how you will use suppliers, agents,      or distributors to create your distribution channel.  We   can use wholesalers, resellers, retailers, and consultants since they already   have resources and relationships with customers and vendors to quickly bring   our product to the market. We will   even set up our own personal sales team to bring in new customers as well to   sell directly to these customers. We   can also set up an online web-store so that customers can order directly from   us online and get their orders shipped directly to them possibly by UPS since   they can deliver even to smaller locations. Another thing we can do is to advertise our lemonade with specific   sales for brand new customers -since this seems to help catch interest.Good. The Team is planning to   implement a multi-channel distribution design; first indirect through wholesalers   and retailers. I don’t know what   “consultants” means. Super   Flight>Wholesales>Restaurants, Supermarkets, Convenience Stores>End-User.   The Team is also establishing   customer-direct distribution channel through its website.1.000 4. Mechanics1.000Total Score: 7

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Pamela Keeme Reimbursement Methodologies1) Focus on Payment Methodologies and discuss the various payment systems. Demonstrate understanding of fee for service, cost based, and prospective payment systems. Just like coding systems are different, payment methodologies for inpatient hospital, outpatient hospital, and professional claims are also different. Many commercial payers follow the lead of Medicare once it has implemented a specific payment system(Aalseth, P. 2015). Fee For Service- This is the most traditional, simple payment system. For this payment system, a service is billed using a CPT or ICD procedure code. The payer has a fee schedule with a set reimbursement amount for each service it covers. The provider gets the fee schedule amount less any deductible or coinsurance owed by the patient. Most physician services are paid according to a fee schedule. Clinical laboratory services are paid based on a laboratory fee schedule, and ambulance services are paid on an ambulance fee schedule.Cost Based or Reasonable Cost- Under this payment system, providers or facilities submit an annual cost report that details the expenses of running their businesses. There are extensive rules for completing this cost report. Examples are: data on bed utilization, salaries by cost center, expenses by cost center, indirect costs related to items such as medical education, cost-to-charge ratios, capital expenditures, and other items. In most cases the facility has been receiving periodic interim payments from the payer throughout the year, and the cost report is then used to ‘settle’ or reconcile the costs to the payments already received. For Medicare, the cost reports are submitted to the Fiscal Intermediary (FI), which reviews and/or audits the cost report and then submits it to the CMS for reporting. PIP (periodic interim payments) are available to inpatient hospitals, skilled nursing facility services, hospice services, and critical access hospitals. These facilities are supposed to self-monitor their PIP payments to make sure they are not receiving overpayments or they can be penalized if overpayment exceeds 2% of the total in two consecutive fiscal reporting periods.Prospective Payment System- In order to change hospital behavior to encourage more efficient management of medical care, Medicare introduced hospital inpatient prospective payment in 1983. Using a system that was developed in the 1970s by Yale University, reimbursement to hospitals was based on diagnosis-related groups (DRGs). Data already appearing on the claim form are used to assign each patient discharge into a DRG: Examples are Principal diagnosis, Complications and comorbidities (CCs), Surgical procedures, Age, Gender, and Discharge disposition (died, transferred, went home). Once a DRG has been assigned, the determination of the reimbursement amount can start. Each DRG has a relative weight assigned to it. Patients in a given DRG are assumed to have similar conditions, receive similar services, and use similar amounts of hospital resources. The prospective payment system is based on paying the average cost to treat patients in that DRG. The DRG weights are adjusted annually. The more complex the DRG, the higher the weight.2) Explain medical necessity and how it impacts payment- To determine medical necessity, it involves comparing the procedure being billed to the diagnosis submitted. If you receive a denial notice from the payer that the procedure was ‘not medically necessary’, it means that your payer does not think the procedure or test was justified for the diagnosis given. Medicare carriers publish what are known as ‘Local Coverage Determinations’ (LCDs) that contain lists of diagnosis codes that validate procedures. If your diagnosis is not on the list, your claim will be rejected. If the provider of the service knows in advance that a service is likely to be deemed not medically necessary, he or she can ask the patient to sign an Advance Beneficiary Notice (ABN) in which the patient acknowledges the possibility the claim will not be paid and agrees to be financially liable for the charge. 3) What has been the effect of payment methods on coding? Medical billing procedures have been much more effective since the advent of the CPT medical coding system. Developed by the AMA, the CPT system was designed to help facilitate and standardize medical billing practices. The coding system consists of alpha-numerical codes which are designated to describe the various services and treatments a doctor or medical facility performs on their patients. These codes are entered into a database system which is used for billing insurance companies, Medicare and Medicaid. Through the use of this billing system, medical professionals are better able to keep track of their financial records and receipt of their medical payments(findacode.com). Aalseth, P. (2015). Medical Coding. What It Is and How It Works. Second Edition. Burlington, MA. Jones & Bartlett Learninghttps://www.findacode.com/articles/the-impact-of-coding-system-on-medical-billingPost 2 Richard Matos Week 4 – Payment MethodologiesCOLLAPSEFee for service is a method in which doctors and providers receive payment for services provided and the most traditional payment mechanism.  Services are billed using a CPT or ICD code, The provider gets the fee schedule amount less any deductible or coinsurance owed by the patient. Laboratory and ambulance services are paid on a laboratory and ambulance fee schedule. (Aalseth P.T., 2015).Under Reasonable Cost or Cost Based providers and facilities present a detail report of the expenses of running their hospitals or clinics.  The reports include bed utilization data, salaries, expenses by cost center, medical education, cost to charge ratio, capital expenses, and other items. (Aalseth P.T, 2015). In order to control the cost of Medicare, Medicaid, and other insurance programs, Medicare introduced Hospital inpatient prospective system in 1983.  Reimbursement will be based on Diagnosis-Related Group (DRG’S).  Data already appearing on the claim form are used to assign each patient discharge into a DRG; Principal diagnosis, Complication, and comorbidities, surgical procedures, age, gender, and discharge disposition.  Once a DRG has been assigned, the determination of the reimbursement amount can start. (Aaselth P.T., 2015).Medical necessity involves comparing the procedure billed to the diagnosis submitted. Local  Coverage Determinations are a list of diagnosis codes that validates procedures such as X-rays, EKG’s and others. If the procedure billed was not on the list the claim will be rejected.  Since the implementation of DRG’s coding made a difference in reimbursement.  Coders were elevated out of the dark and into the financial limelight. Medical records departments were turned into health information management departments.  The potential dollars to be made was an incentive to coders to use the right codes. (Aaselth P.T., 2015) ReferenceAalseth, P.T. (2015). Medical Coding, what is it and how it works, (2nd ed.) Sudbury, MA: Jones & Bartlett Learning

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