Description
- The partners of Ortho Inc. are planning for the upcoming fiscal year. For every 1,000 patients you can expect the following rates:
- 350 Medicare patients, in which the government will reimburse $1,200 per procedure;
- 50 Medicaid patients, in which the state of Virginia will reimburse $750 per visit;
- 100 Blue Cross patients in which your contract states will pay you charges less a 30% discount;
- 100 patients from United in which the contract pays the lesser of $1,400 or 75% of charges;
- 100 private pay patients who will pay 100% of charges;
- 25 Charity patients who you are required to render healthcare to; and
- 75 Self-Pay patients who will pay (on average) of 15% of our total charges.
200 Aetna patients, in which you have a negotiated contract at charges less a 15% discount;
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Explanation & Answer
Hi, please find the attached
Type of Payor
Medicare
Medicaid
AETNA
Blue Cross
United
Private pay
Charity
Self-pay
Number of
Patients
350
50
200
100
100
100
25
75
Actual
Total
Rate/Visit
Revenue - 1 Cost
1200
420,000
750
...