Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

You have been hired as the billing manager for Nash Medical Center and Clinics. One of your responsibilities is to calculate what the patient owes

You have been hired as the billing manager for Nash Medical Center and Clinics. One of your responsibilities is to calculate what the patient owes and what the insurance company owes, so that you can determine what revenue to expect for these services. You have the charge and the usual, customary, and reasonable (UCR) amount. The reimbursement will be calculated on the 80/20 distribution. The deductibles for each of these patients have been met. Under this insurance plan, $20.00 copays are due for primary care physician office visits and $40.00 copays for specialists. There is no copay for other services. The Medical Center also recently negotiated with a group of employers to treat their patients based on a capitated amount of $750 per person per month. This group of employers has combined 6,525 employees. You predict that your cost will be $610 per month per person. The budgeted revenue was initially $1,575,000.

Summarize your prediction and forecasting data. Compare to the budgeted revenue.

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

Elementary Algebra

Authors: Charles P McKeague

3rd Edition

1483263843, 9781483263847

More Books

Students also viewed these Mathematics questions

Question

What are the role of supervisors ?

Answered: 1 week ago

Question

4. Choose appropriate and powerful language

Answered: 1 week ago

Question

2. Choose an appropriate organizational pattern for your speech

Answered: 1 week ago