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level 2 is also attached Revenue Level 3 - Payer volumes shown are per month Medicare and managed care #1 (Blue Cross) are the same
level 2 is also attached
Revenue Level 3 - Payer volumes shown are per month Medicare and managed care #1 (Blue Cross) are the same as in Level 2. Find the numbers for these payers in the question above and brind them in to the appropriate blanks in the table below. 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 Note that level 3 has a different scenario. MRI scan of lower spinal canal has a code of 72148 with a full service rate of $345.00 In this scenario, the item has a higher full service rate of $345 as compared to the scenarios above. There are more Medicaid patients and more overall patients, thus a higher overall revenue for this item Payment Rate Number of Patients Revenue Payer Volumes Medicare Medicaid $150.00 230 Managed Care #1 (Blue Cross) Managed Care #2 (Aetna) Uninsured 80% of charges at rate of 200 $165.00 159 15%of charges at rate of $345.00 (nothing in this box) Total patients & Revenue Revenue Level 2 - Payer volumes shown are per month Managed Care #1 (Blue Cross) same as Level 1. Look at the first question in the assignment and bring those same figures for Managed Care above into the Managed Care #1 boxes for 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 1.279.54 235.80 Note that this scenario is different from the first question. MRI scan of leg before and after contrast has a code of 73720 with a full service rate of $325.00 In this scenario, ther are more Medicare patients in the mix. There are more overall patients as well as a higher full service rate for the MRI leg scan. This all leads to a higher revenue amount in this question compared to question #1 in this assignment. Payer Payment Rate Number of Patients Revenue Volumes Medicare $150.00 450 67,500 Medicaid $140.00 100 1,512,000 Managed $95 Care #1 310 29,450 (Blue Cross) Managed 80% of charges at rate of 125 Care #2 $160.00 16,000 (Aetna) Uninsured 15% of charges at rate of 150 $325.00 7,313 Total (nothing in this box) 1135 patients & 1,632,263 Revenue Step by Step Solution
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