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Assignment Details -
This is a 5 part deliverable
PART 1
Your facility has 2000 cases in the following payer mix:
40% commercial insurances
25% Medicare insurance
15% Medicaid insurance
15% liability insurance
5% all others, including self-pay
What are the proportions of the total cases for each payer?
PART 2
The average Medicare rate for each case is $6,200. Use this as
the baseline. Commercial insurances average 110% of Medicare,
Medicaid averages 65% of Medicare., Lliability insurers
average 200% of Medicare, and the others average 100% of
Medicare rates.
Calculate the individual reimbursement rates for all 5 payers?
What is your expected Accounts Receivable?
PART 3
Which of the following costs are fixed, which are variable, and
which are direct or indirect:
Materials/supplies (gowns, drapes, bedsheets)
Wages (nurses, technicians)
Utility, building, usage exp (lights, heat, technology)
Medications
Licensing of facility
Per diem staff
Insurances (malpractice, business, and so on)
PART 4
Given the following costs per case:
Materials/supplies: $2,270
Wages: $2,000
Utility, building, usage exp: $1,125
Insurances (malpractice, business, and so on): $175
What is the total cost of all combined cases?
PART 5
Calculate the difference between accounts receivable (A/R) and
accounts payable (A/P)

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Assignment Details -This is a 5 part deliverablePART 1.docx

  • 1. Assignment Details - This is a 5 part deliverable PART 1 Your facility has 2000 cases in the following payer mix: 40% commercial insurances 25% Medicare insurance 15% Medicaid insurance 15% liability insurance 5% all others, including self-pay What are the proportions of the total cases for each payer? PART 2 The average Medicare rate for each case is $6,200. Use this as the baseline. Commercial insurances average 110% of Medicare, Medicaid averages 65% of Medicare., Lliability insurers average 200% of Medicare, and the others average 100% of Medicare rates. Calculate the individual reimbursement rates for all 5 payers?
  • 2. What is your expected Accounts Receivable? PART 3 Which of the following costs are fixed, which are variable, and which are direct or indirect: Materials/supplies (gowns, drapes, bedsheets) Wages (nurses, technicians) Utility, building, usage exp (lights, heat, technology) Medications Licensing of facility Per diem staff Insurances (malpractice, business, and so on) PART 4 Given the following costs per case: Materials/supplies: $2,270 Wages: $2,000 Utility, building, usage exp: $1,125
  • 3. Insurances (malpractice, business, and so on): $175 What is the total cost of all combined cases? PART 5 Calculate the difference between accounts receivable (A/R) and accounts payable (A/P)