Assignment Exercise 13–3 As a follow-up to the previous Practice Exercise, new a
ID: 2486514 • Letter: A
Question
Assignment Exercise 13–3 As a follow-up to the previous Practice Exercise, new assumptions are as follows: 1. Your unit’s gross charges for the period to date amount to $200,000. 2. The uniform gross charge for each procedure in your unit is $100. 3. The unit receives revenue from four major payers. The number of procedures performed for the period totals 2,000. Of that total, the number of procedures per payer (stated as a percentage) is as follows: Payer 1 = 30% Payer 2 = 40% Payer 3 = 20% Payer 4 = 10% 4. The following contractual payment arrangements are in effect for the current period. The percentage of the gross charge that is currently paid by each payer is as follows: Payer 1 = 80% [Medicare] Payer 2 = 70% [Commercial managed care plans] Payer 3 = 50% [Medicaid] Payer 4 = 90% [Self-pay] Q: How many procedures are attributed to each payer? Q: How much is the net revenue per procedure for each payer, and how much is the contractual allowance per procedure for each payer? Q: How much is the total net revenue for each payer, and how much is the total contractual allowance for each payer?
Explanation / Answer
Answer 1
Total number of procedure => 200000 / 100 => 2000 procedures
Answer 2
Anwer 3
Net Revenue per Procedure per Payer
Total Net Revenue per Payer
Contractual Allowance per Procedure per Payer
Total Contractual Allowance per Payer
Prayer1 2000 * 30% 600 Prayer 2 2000 * 40% 800 Prayer 3 2000 * 20% 400 Prayer 4 2000 * 10% 200Related Questions
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