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Please help me with question 15 from Chapter10 of Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts and Applications, 5th Edition
Please help me with question 15 from Chapter10 of Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts and Applications, 5th Edition isbn 978-1-119-55384-7 August 2020 Jossey-Bass
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15. Revenue budget: calculating gross revenues. Calculate ZMG Hospitalist Practices January, February, and March Medicare gross revenues if the fee for an admission is $300 and the fee for a follow-up encounter is $150 (Exhibits I.1e and I.2a).
(Exhibit l.la)? 15. Revenue budget: calculating gross revenues. Calculate ZMG Hospitalist Practice's January, February, and March Medicare gross revenues if the fee for an admission is $300 and the fee for a follow-up encounter is $150 (Exhibits 1.1e and I.2a). EXHIBIT I.1e WEIGHTED ENCOUNTERS BY PAYOR AND TYPE Jan Feb Mar Apr May Jun Jul Total Aug Sep Oct Nov Dec Commercial Admissions Follow-up 1,892 2,838 1,768 2,652 1,908 2,860 1,772 2,656 1,692 2,540 1,736 2,606 1,776 2,664 1,828 2,740 1,760 2,638 1,860 2,792 1,788 2,684 1,968 2,950 21,748 32,620 Total 4,730 4,420 4,768 4,428 4,232 4,342 4,440 4,568 4,398 4,652 4,472 4,918 54,368 Medicare Admissions Follow-up 2,944 4,416 2,748 4,124 2,964 4,448 2,756 4,132 2,736 2,636 3,952 2,704 4,054 2,896 2,784 2,760 4,142 2,844 4,264 3,060 4,588 33,832 50,742 4,104 4,342 4,176 Total 7,360 6,872 7,412 6,888 6,588 6,758 6,902 7,108 6,840 7,238 6,960 7,648 84,574 Medicaid/Self-Pay Admissions 420 Follow-up 630 392 392 590 424 636 436 392 590 376 564 388 580 396 592 408 610 412 620 396 596 4,832 7,250 586 656 Total 1,050 982 1,060 982 940 968 988 1,018 978 1,032 992 1,092 12,082 Total 13,140 12,274 13,240 12,298 11,760 12,068 12,330 12,694 12,216 12,922 12,424 13,658 151,024 *Computed by multiplying the projected encounters by type and payor in Exhibit l.1c by the RVUs (4 for admissions, 2 for follow-up) in Exhibit l.id, rounded to the nearest whole number. S06 CHAPTER 10 BUDGETING EXHIBIT 1.2a ILLUSTRATION OF HOW JANUARY'S NET PATIENT SERVICE REVENUES IN THE ZMG HOSPITALIST PRACTICE'S OPERATING BUDGET (EXHIBIT 10.10) WERE DEVELOPED B A E D Gross Patient Service Revenues (A x B) F Net Patient Service Revenues (C-E) Weighted Encounters (*) Fees (6) Discount Percent (b) Discount (9 Commercial Admissions Follow-up 1,892 2,838 $52.50 $52.50 $99,330 $ 148,995 Total 4,730 $248,325 30% $74,498 $173,828 Medicare Admissions Follow-up 2,944 4,416 $52.50 $52.50 $154,560 $231,840 Total 7,360 $386,400 40% $154,560 $231,840 Medicaid/ Self-Pay Admissions Follow-up 420 D2 $52.50 $22,050 $52.50 $33,075 630 1,050 $55,125 70% Total Charity care $16,538 $38,588 $165 1% Total 13,140 $689,850 $267,810 $422,040 Exhibit 1.1d. bNew information. The discount is computed by multiplying the total of gross charges for each payor by the discount percentage. In the case of Medicaid/Self-Pay, 1 percent of Medicaid/Self-Pay net revenues is considered charity care; therefore, this additional discount is computed by multiplying Medicaid/Self-Pay net patient service revenues by 1 percent. (Exhibit l.la)? 15. Revenue budget: calculating gross revenues. Calculate ZMG Hospitalist Practice's January, February, and March Medicare gross revenues if the fee for an admission is $300 and the fee for a follow-up encounter is $150 (Exhibits 1.1e and I.2a). EXHIBIT I.1e WEIGHTED ENCOUNTERS BY PAYOR AND TYPE Jan Feb Mar Apr May Jun Jul Total Aug Sep Oct Nov Dec Commercial Admissions Follow-up 1,892 2,838 1,768 2,652 1,908 2,860 1,772 2,656 1,692 2,540 1,736 2,606 1,776 2,664 1,828 2,740 1,760 2,638 1,860 2,792 1,788 2,684 1,968 2,950 21,748 32,620 Total 4,730 4,420 4,768 4,428 4,232 4,342 4,440 4,568 4,398 4,652 4,472 4,918 54,368 Medicare Admissions Follow-up 2,944 4,416 2,748 4,124 2,964 4,448 2,756 4,132 2,736 2,636 3,952 2,704 4,054 2,896 2,784 2,760 4,142 2,844 4,264 3,060 4,588 33,832 50,742 4,104 4,342 4,176 Total 7,360 6,872 7,412 6,888 6,588 6,758 6,902 7,108 6,840 7,238 6,960 7,648 84,574 Medicaid/Self-Pay Admissions 420 Follow-up 630 392 392 590 424 636 436 392 590 376 564 388 580 396 592 408 610 412 620 396 596 4,832 7,250 586 656 Total 1,050 982 1,060 982 940 968 988 1,018 978 1,032 992 1,092 12,082 Total 13,140 12,274 13,240 12,298 11,760 12,068 12,330 12,694 12,216 12,922 12,424 13,658 151,024 *Computed by multiplying the projected encounters by type and payor in Exhibit l.1c by the RVUs (4 for admissions, 2 for follow-up) in Exhibit l.id, rounded to the nearest whole number. S06 CHAPTER 10 BUDGETING EXHIBIT 1.2a ILLUSTRATION OF HOW JANUARY'S NET PATIENT SERVICE REVENUES IN THE ZMG HOSPITALIST PRACTICE'S OPERATING BUDGET (EXHIBIT 10.10) WERE DEVELOPED B A E D Gross Patient Service Revenues (A x B) F Net Patient Service Revenues (C-E) Weighted Encounters (*) Fees (6) Discount Percent (b) Discount (9 Commercial Admissions Follow-up 1,892 2,838 $52.50 $52.50 $99,330 $ 148,995 Total 4,730 $248,325 30% $74,498 $173,828 Medicare Admissions Follow-up 2,944 4,416 $52.50 $52.50 $154,560 $231,840 Total 7,360 $386,400 40% $154,560 $231,840 Medicaid/ Self-Pay Admissions Follow-up 420 D2 $52.50 $22,050 $52.50 $33,075 630 1,050 $55,125 70% Total Charity care $16,538 $38,588 $165 1% Total 13,140 $689,850 $267,810 $422,040 Exhibit 1.1d. bNew information. The discount is computed by multiplying the total of gross charges for each payor by the discount percentage. In the case of Medicaid/Self-Pay, 1 percent of Medicaid/Self-Pay net revenues is considered charity care; therefore, this additional discount is computed by multiplying Medicaid/Self-Pay net patient service revenues by 1 percent
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