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The physicians at a private orthopedic practice are seeking to estimate the revenue they can expect to receive next period. Data regarding arthroscopic ACL reconstructive
The physicians at a private orthopedic practice are seeking to estimate the revenue they can expect to receive next period. Data regarding arthroscopic ACL reconstructive surgeries performed by physicians during November are provided below. Number of procedures performed Gross charge per procedure 100 $18,000 (use this column for your calci Insurance status of patients Number of procedures Medicare 40 Medicaid 30 Private insurance 20 Self-pay 10 Reimbursement rate 50% 40% 70% 100% The physicians have requested a forecast of next month's (December) activity. Trend analysis suggests that the following changes will occur in December Increase in the number of procedures Increase in the gross charge per procedure 10% 6% The payer reimbursement rates and payer mix are expected to be the same as in November. Parta) How many procedures are forecasted for December? How many of the forecasted procedures are expected to be provided to Medicare patients? (1) How many of the forecasted procedures are expected to be provided to Medicaid patients? (iv) What is the forecasted gross charge per procedure for December? (v) What is the forecast net revenue per procedure from Medicare patients in December? 1 (vi) What is the forecast net revenue per procedure from Medicaid patients in December
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