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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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