Question
You are Accounts Receivable manager or General Medical Center (GMC). Your assignment is to determine the amount of payment GMC would collect from Best, Managed
You are Accounts Receivable manager or General Medical Center (GMC). Your assignment is to determine the amount of payment GMC would collect from Best, Managed Care (Best) under different payment method's. The following patient was admitted to GMC. Use the information for this patient's accounts to Calculate the payment amount to be collected by GMC for different payment methods.
Patient Account: 12345 Patient Name: Joe Limbo
Admit. Date: February 10. 2017 Discharge Date: February 14, 2017
Billed charges: $ 30,000
Length of stay = 4
Diagnostic related Group (DRG): 456 Cardiac Bypass
1. Assume best's contract states that best pays 100% of billed charges. How much would GMC for the above patient account?
2. Assume best's contract states that Best is to receive a 25% discount on billed charges. How much would GMC collect for the above patient account?
3. assume GMC's ratio of cost to charge is 40% and that best's contract states that best is to pay GMC at cost. How much would GMC collect for the above patient account?
4. assume Best's pays on a per diem basis and that Best's contract rate is $4,500 per day of stay. How much would GMC collect for the above patient account?
5. Assume Best's contract states that Best pays based on per case or diagnosis (DRG). Best's contract fee schedule indicates the rate best is to pay for DRG 456 Cardiac Bypass is $6,725. How much would GAMC collect for the above patient account?
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