Question
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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