3. The unit receives revenue from four major payers. The number of procedures performed for the period totals 2000. Of that total the number of procedures per payer (stated as a percentage) is as follows:

3. The unit receives revenue from four major payers. The number of procedures performed for the period totals 2000. Of that total the number of procedures per payer (stated as a percentage) is as follows:

4. The following contractual payment arrangements are in effect for the current period. The percentage of the gross charge that is currently paid by each payer is as follows: Payer 1 = 80% [Medicare]Payer 2 = 70% [Commercial managed care plans]Payer 3 = 50% [Medicaid]Payer 4 = 90% [Self-pay] Q: How many procedures are attributed to each payer?
Q: How much is the net revenue per procedure for each payer and how much is the contractual allowance per procedure for each payer?
Q: How much is the total net revenue for each payer and how much is the total contractual allowance for each payer?
Assignment Exercise 134.1: Forecast Capacity Levels
Review the information in Exhibit 131. The exhibit assumes three chairs and one 40-hour RN for a realistic capacity level of seven patients infused per day.
Exhibit 131 illustrates the array of elements that should be taken into account when computing maximum capacity levels. This computation is important because your forecast should take maximum capacity into account. (Alternative assumptions can also be made of course. See the sensitivity analysis discussion in a following chapter.)
Exhibit 131 Capacity Level Checkpoints for an Outpatient Infusion Center
Outpatient Infusion Center Capacity Level Checkpoints
# infusion chairs 3 chairs
# staff 1 RN
# weekly operating hours 40 hours
# of hours per patient infusion average 2 hours (for purposes of this example)
Required
Prepare another Infusion Center Capacity Level Forecast as follows:
Assume the same three infusion chairs but add another nurse for either four or six hours per day. How would this change the daily capacity level for number of patients infused per day?
Assignment Exercise 134.2
Required
Prepare another Infusion Center Capacity Level Forecast as follows:
Increase the number of infusion chairs to four and add another nurse for either four or six hours per day. How would this change the daily capacity level for number of patients infused per day?
Assignment Exercise 142: Cumulative Inflation Factor for Comparable Data
Review Table 143 and the accompanying text.
SEE SEPARATE ATTACHMENT FOR TABLE 14-3
Assumptions
Two hospitals report their annual projected revenue for five years to the local newspaper for a story on the areas future economic outlook. However Hospital 1 has applied a cumulative inflation factor of 5% per year while Hospital 2 has not applied any inflation factor. Thus the information is not properly comparable.
Projected Revenue
Year 1 Year 2 Year 3 Year 4 Year 5
Hospital 1 $20000000 $22500000 $27500000 $27500000 $30000000
Hospital 2 $20000000 $2100000

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