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attached is question 1 (level 1) also QUESTION 4 Managed Care #1 same as Level 1. Look at the first question in the assignments and
attached is question 1 (level 1) also
QUESTION 4 Managed Care #1 same as Level 1. Look at the first question in the assignments and use those same figures for the managed care #1 boxes in this question Format with dollars and cents. Use commas for items over 1,000.00. Do not use dollar signs. For example: 35,200.00 1279.54 235.80 For this question, the scenario is a little different. MRI scan of log before and after contrast has a code of 73720 with a full service rate of $325.00. Note that this question contains the same scenario as revenue level 2 Payer Volumes Payment Rate Contractual Allowance, service full rate is $325.00 Medicare $150.00 Medicaid $140.00 Managed Care #1 Managed Care #2 80% of charges at rate of $160.00 The US health care systemuses multiple payers. As you calculate these revenue answers, review the impact that different payer mixes have on the income Revenue Level 1 - Payer volumes shown are per month Format with dollars and cents. Use commas for items over 1,000,00. Do not use dollar signs. For example: 35,200.00 1,279.54 235.80 For this Level 1 example, MRI scan of leg has a code of 73718 with a full service rate of $225.00 The revenue is determined by multiplying the payment rate by the number of patients. *Math review - for the Aetna example below. First, calculate the payment rate. Convert 80% to 8 and multiply by $120. Once you have this payment rate figure, multiply it by the 125 number of patients. Follow these same steps to calculate the uninsured payment rate. Payer Volumes Payment Rate $100.00 Number of Patients Medicare Revenue 370 37,000.00 Medicaid $90.00 120 10,800.00 29,450.00 Managed Care $95.00 310 #1 (Blue Cross for example) Managed Care 80% of charges 125 #2 (Aetna for at rate of example) $120.00* Uninsured 15% of charges 150 at rate of $225.00 Total patients & (nothing in this 1.075 Revenue box) 12,000.00 5,062.50 94,312.50 QUESTION 4 Managed Care #1 same as Level 1. Look at the first question in the assignments and use those same figures for the managed care #1 boxes in this question Format with dollars and cents. Use commas for items over 1,000.00. Do not use dollar signs. For example: 35,200.00 1279.54 235.80 For this question, the scenario is a little different. MRI scan of log before and after contrast has a code of 73720 with a full service rate of $325.00. Note that this question contains the same scenario as revenue level 2 Payer Volumes Payment Rate Contractual Allowance, service full rate is $325.00 Medicare $150.00 Medicaid $140.00 Managed Care #1 Managed Care #2 80% of charges at rate of $160.00 The US health care systemuses multiple payers. As you calculate these revenue answers, review the impact that different payer mixes have on the income Revenue Level 1 - Payer volumes shown are per month Format with dollars and cents. Use commas for items over 1,000,00. Do not use dollar signs. For example: 35,200.00 1,279.54 235.80 For this Level 1 example, MRI scan of leg has a code of 73718 with a full service rate of $225.00 The revenue is determined by multiplying the payment rate by the number of patients. *Math review - for the Aetna example below. First, calculate the payment rate. Convert 80% to 8 and multiply by $120. Once you have this payment rate figure, multiply it by the 125 number of patients. Follow these same steps to calculate the uninsured payment rate. Payer Volumes Payment Rate $100.00 Number of Patients Medicare Revenue 370 37,000.00 Medicaid $90.00 120 10,800.00 29,450.00 Managed Care $95.00 310 #1 (Blue Cross for example) Managed Care 80% of charges 125 #2 (Aetna for at rate of example) $120.00* Uninsured 15% of charges 150 at rate of $225.00 Total patients & (nothing in this 1.075 Revenue box) 12,000.00 5,062.50 94,312.50 Step by Step Solution
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