Question
Can I get help with the calculations for this information below? I am struggling on how to get to the correct answer. I saw this
Can I get help with the calculations for this information below? I am struggling on how to get to the correct answer. I saw this same one on the website already and the step by step was easy to follow, but the answers were not correct. So I am wondering if there is some calculation missing in that one.
Based on the following information (also available under course materials), calculate..
Medical Service Benefits Annual Use per 1000 members per year unit of measure Service Costs per unitCopay FrequencyCopay AmountPMPMHospital InpatientMedical surgery210days$2,551.00Psychiatric60days$1,246.00totalaHospital OutpatientEmergency room261visits$277.00196$50.00Surgery85visits$ 1,690.00Other512services$ 202.00totalbPrimary Care CapitationOffice visits2152visits$75.892035$20.00Immunization154procedure$26.49totalcFee-for-service physicianSurgery374procedure$453.00Anesthesia78procedure$ 767.00Office/inpatient1025visits$89.44944$30.00Other3277services$127.00totaldOtherPrescription drug6000scripts$63.746000$10.00Home health29visits$323.00Ambulance15runs$824.00Other32units$386.00totaleTotal medical costsfLoading Fee = 11%gTotal required PMPM rateh
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