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contractual allowance 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

contractual allowance

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.

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]

Q: How many procedures are attributed to each payer?

Q: How much is the net revenue per procedure for each payer, and how much is the contractual allowance per procedure for each payer?

Q: 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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