Question
Assumptions are as follows: 1.Your unit's gross charges for the period to date amount to $200,000. 2.The uniform gross charge for each procedure in your
Assumptions are as follows:
1.Your unit's gross charges for the period to date amount to $200,000.
2.The uniform gross charge for each procedure in your unit is $100.00.
3.The unit receives revenue from four major payers. The number of procedures performed for the period totals 2,000. Of that total, the number of procedures per payer (stated as a percentage) is as follows:
Payer 1 = 30%
Payer 2 = 40%
Payer 3 = 20%
Payer 4 = 10%
4.The following contractual payment arrangements are in effect for the current period.
The percentage of the gross charge that is currently paid by each payer is as follows.
Payer 1 = 80% Medicare
Payer 2 = 70% Commercial managed care plans
Payer 3 = 50% Medicaid
Payer 4 = 90% Self pay
Question:How many procedures are attributed to each payer?
Question:How much is the net revenue per procedure for each payer, and how much is the contractual allowance per procedure for each payer?
Question:How much is the total net revenue for each payer, and how much is the total contractual allowance for each payer?
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