Question
Revenue budget: calculating net revenues. Calculate ZMG Hospitalist Practices January, February, and March Medicare net revenues if the fee for an admission is $200 and
Revenue budget: calculating net revenues. Calculate ZMG Hospitalist Practices January, February, and March Medicare net revenues if the fee for an admission is $200 and the fee for a follow-up encounter is $100 (Exhibits I.1e and I.2a). Assume that Medicare reimburses at a rate of 60% of charges.
Exhibit 1.1e Weighted Encounters by payor and type
Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
Commercial | |||||||||||||
Admissions | 1,892 | 1,768 | 1,908 | 1,772 | 1,692 | 1,736 | 1,776 | 1,828 | 1,760 | 1,860 | 1,788 | 1,968 | 21,748 |
Follow-up | 2,838 | 2,652 | 2,860 | 2,656 | 2,540 | 2,606 | 2,664 | 2,740 | 2,638 | 2,792 | 2,684 | 2,950 | 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 | 2,944 | 2,748 | 2,964 | 2776 | 2636 | 2704 | 2760 | 2844 | 2736 | 2896 | 2784 | 3060 | 33,832 |
Follow-up | 4,416 | 4,124 | 4,448 | 4,132 | 3,952 | 4,054 | 4,142 | 4,264 | 4,104 | 4,342 | 4,176 | 4,588 | 50,742 |
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 | 392 | 424 | 392 | 376 | 388 | 396 | 408 | 392 | 412 | 396 | 436 | 4,832 |
Follow-up | 630 | 590 | 636 | 590 | 564 | 580 | 592 | 610 | 586 | 620 | 596 | 656 | 7,250 |
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 |
Note: Computed by multiplying the projected encounters by type and payor in Exhibit 1.1c by the RVUs (4 for admissions, 2 for follow-up) in exhibit 1.1d, rounded to the nearest whole number
EXHIBIT I.2a ILLUSTRATION OF HOW JANUARYS NET PATIENT SERVICE REVENUES IN THE ZMG HOSPITALIST PRACTICES OPERATING BUDGET (EXHIBIT 10.10) WERE DEVELOPED
A Weighted Encountersa | B Feesb | C Gross Patient Service Revenues (A x B) | D Discount Percentageb | E Discountc | F Net Patient Service Revenues (C E) | |
Commercial | ||||||
Admissions | 1,892 | $52.50 | $99,330 | |||
Follow-up | 2,838 | $52.50 | $148,995 | |||
Total | 4,730 | $248,325 | 30% | $74,498 | $173,828 | |
Medicare | ||||||
Admissions | 2,944 | $52.50 | $154,600 | |||
Follow-up | 4,416 | $52.50 | $231,840 | |||
Total | 7,360 | $386,400 | 40% | $154,560 | $231,840 | |
Medicaid/Self Pay | ||||||
Admissions | 420 | $52.50 | $22,050 | |||
Follow-up | 630 | $52.50 | $33,075 | |||
Total | 1,050 | $55,125 | 70% | $38,588 | $16,538 | |
Charity Care | 1% | $165 | ||||
Total | 13,140 | $689,850 | $267,810 | $422,040
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