Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Revenue from Blue Cross Blue Stold (payer = Managed Care Contract) Assignment Exercise 5-2: Revenue Sources and Grouping Revenue The Metropolis Health System (MHS) has

image text in transcribed
image text in transcribed
Revenue from Blue Cross Blue Stold (payer = Managed Care Contract) Assignment Exercise 5-2: Revenue Sources and Grouping Revenue The Metropolis Health System (MHS) has revenue sources from operations, donations, and interest income. The revenue from operations is primarily received for services. MHS groups its revenue first by cost center. Within each cost center the services revenue then grouped by payer. Required 1. Set up a worksheet with individual columns across the top for six revenue sources (payers): Medicare, Medicaid, Other Public Programs. Patients, Commercial Insurance, and Managed Care Contracts. 2. Certain situations concerning the Intensive Care Unit and the Laboratory are described below. Set up six vertical line items on your worksheet, numbered 1 through 6. Six situations are described below. For each of the six situation: number (1 through 6) and enter the appropriate cost center (either intensive Care Unit or Laboratory). Then place an X in the column(s) that represents the correct revenue source(s) for the item. The six situations are as follows: 1. ICU stay biled to employee's Insurance program. 2. Lab test paid for by an individual. 3. Pathology work performed for the state. 4. ICU stay billed to member's health plan. 5. ICU stay billed for Medicare beneficiary 6. Series of allergy tests run for eligible Medicaid beneficiary 4. ICU stay nea to members neann pian. 5. ICU stay billed for Medicare beneficiary. 6. Series of allergy tests run for eligible Medicaid beneficiary. Headings for your worksheet: Medicare Medicaid Other Public Programs Patients Commercial Insurance Managed Care Contracts (6) ALADI Revenue from Blue Cross Blue Stold (payer = Managed Care Contract) Assignment Exercise 5-2: Revenue Sources and Grouping Revenue The Metropolis Health System (MHS) has revenue sources from operations, donations, and interest income. The revenue from operations is primarily received for services. MHS groups its revenue first by cost center. Within each cost center the services revenue then grouped by payer. Required 1. Set up a worksheet with individual columns across the top for six revenue sources (payers): Medicare, Medicaid, Other Public Programs. Patients, Commercial Insurance, and Managed Care Contracts. 2. Certain situations concerning the Intensive Care Unit and the Laboratory are described below. Set up six vertical line items on your worksheet, numbered 1 through 6. Six situations are described below. For each of the six situation: number (1 through 6) and enter the appropriate cost center (either intensive Care Unit or Laboratory). Then place an X in the column(s) that represents the correct revenue source(s) for the item. The six situations are as follows: 1. ICU stay biled to employee's Insurance program. 2. Lab test paid for by an individual. 3. Pathology work performed for the state. 4. ICU stay billed to member's health plan. 5. ICU stay billed for Medicare beneficiary 6. Series of allergy tests run for eligible Medicaid beneficiary 4. ICU stay nea to members neann pian. 5. ICU stay billed for Medicare beneficiary. 6. Series of allergy tests run for eligible Medicaid beneficiary. Headings for your worksheet: Medicare Medicaid Other Public Programs Patients Commercial Insurance Managed Care Contracts (6) ALADI

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Bankers Handbook On Credit Management

Authors: Indian Institute Of Banking & Finance

1st Edition

9387957853, 978-9387957855

More Books

Students also viewed these Finance questions