Table 27-1 A Home Health Visit Scenario Services Visit Frequency Payer Rate Rate 4.2* Medicare Medicaid Cost Cost Nursing (RN) 2x/month, every other week Mc $166.83 $700.69 $700.69 Medical Social Visits wkly for 4 MA $119.51 $501.94 Worker wks (MSW) Physical 3x wkly for 2 wks Mc $103.22 $433.52 $433.52 Therapist (PT) Home Health Aide (HHA) Visits 4hrs MWF wkly for 60 days Mc $25.00 $1,260.00 $1,260.00 Registered 3x wkly for 1 wk MA $103.16 Dietitian (RD) $501.94 $309.48 Spreadsheet #1 Spreadsheet #2 Actual Budget Variance Revenue-Inpatient $17,550,000 $19,500,000 $(1,950,000) Revenue-Outpatient 4,400,000 4,000,000 400,000 Subtotal $21,950,000 $23,500,000 $(1,550,000)* Expenses-Inpatient $16,100,000 $18,000,000 $(1,900,000) Expenses-Outpatient 4,000,000 3,800,000 200,000 Subtotal $20,100,000 $21,800,000 $(1,700,000)** Excess of revenue over $1,850,000 $1,700,000 $150,000 expenses