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 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. 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)