Math
nitjas#1
Physician office reenue for visit code 99241 has a full established rate of $72.00.Of ten different payers, there are nine different contracted rates, as follows:
Payer Contracted Rate
FHP $35.70
HPHP 58.85
MC 54.90
UND 60.40
CCN 70.20
MO 70.75
CGN 10.00
PRU 54.90
PHCS 50.00
ANA 45.00
Rate for illustration only
Required
Set up a worksheet with four columns: Payer, Full Rate, Contracted Rate, and Contractual Allowance.
For each payer, enter the full rate and the contracted rate.
For each payer compute the contractual allowance.The first payer has been computed below:
Full Rate Contracted Rate Contractual Allowance
Payer Rate (less) (equals)
FHP $72.00 $35.70 $36.30
#2
Sources of healthcare revenue are often grouped by payer. Thus services might be grouped as follows:
Revenue from the Medicare Program (payer=Medicare)
Revenue from the Medicaid Program (payer = Medicaid)
Revenue from Blue Cross Blue Shield ( payer = Commercial Insurance) or
Revenue from Blue Cross Blue Shield (payer= Managed Care Contract)
- 9 years ago
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