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Part B: total gross revenue for all procedures and all payers $2,098,800 The physicians at a private orthopedic practice are seeking to estimate the revenue
Part B: total gross revenue for all procedures and all payers $2,098,800
The physicians at a private orthopedic practice are seeking to estimate the revenue they can expect to receive next period. Data regarding arthroscopic ACL reconstructive surgeries performed by physicians during November are provided below. Number of procedures performed Gross charge per procedure 100 $18,000 (use this column for your calci Insurance status of patients Number of procedures Medicare 40 Medicaid 30 Private insurance 20 Self-pay 10 Reimbursement rate 50% 40% 70% 100% The physicians have requested a forecast of next month's (December) activity. Trend analysis suggests that the following changes will occur in December Increase in the number of procedures Increase in the gross charge per procedure 10% 6% The payer reimbursement rates and payer mix are expected to be the same as in November. Part (b) Provide a forecast of December's revenue expectations by completing the following table. Per procedure Gross revenue Net revenue Total (all procedures) Gross revenue Net revenue Insurance status of patients Number of procedures Medicare Medicaid Private insurance Self-pay Reimbursement rate 50% 40% 70% 100% Totals
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