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.
1. 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
– 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)
