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HSA 525 WEEK 6 HOMEWORK

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Due on: 12/24/2015
Posted On: 02/05/2014 08:31 AM

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HSA 525 WEEK 6
Practice Exercise 13–III: Contractual Allowance Assumptions: 1. Your unit’s gross charges for the period to date amount to $200,000. 2. The uniform gross charge for each procedure in your unit is $100.00. 3. The unit receives revenue from four major payers. For purposes of this exercise, as- sume the revenue volume from each represents 25% of the total. (The equal propor- tion is unrealistic, but serves the purpose for this exercise.) 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 ? 90% Payer 2 ? 80% Payer 3 ? 70% Payer 4 ? 50% Q: How many procedures has your unit recorded for the period to date? Q: Of these, 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?
As a follow-up to the Practice Exercise above, new assumptions are as follows: 1. Your unit’s gross charges for the period to date amount to $200,000. 2. The uniform gross charge for each procedure in your unit is $100.00
3. The unit receives revenue from four major payers. The number of procedures per- formed for the period totals 2,000. Of that total, the number of procedures per payer (stated as a percentage) is as follows: Payer 1 ? 30% Payer 2 ? 40% Payer 3 ? 20% Payer 4 ? 10% 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 con- tractual allowance per procedure for each payer? Q: How much is the total net revenue for each payer, and how much is the total con- Assignment Exercise 13–4.1: Forecast Capacity Levels Review the information in Exhibit 13-1 “Capacity Level Checkpoints for an Outpatient In- fusion Center.” The exhibit assumes three chairs and one 40-hour RN, for a realistic capac- ity level of seven patients infused per day. 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 in- fused per day? Assignment Exercise 13–4.2 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 in- fused per day?
Assignment Exercise 14–1: Comparable Data in a Graph Review Figures 14-1 through 14-5. Each of the five figures presents a graph depicting some type of comparative data. Required Locate healthcare information that can reasonably be compared. (1) Prepare your com- parative data. (2) Using your data, create one or more graphs similar to those found in Fig- ures 14-1 through 14-5. Assignment Exercise 14–2: Cumulative Inflation Factor for Comparable Data Review Table 14-3 and the accompanying text. Assumptions: Two hospitals report their annual projected revenue for five years to the local newspaper for a story on the area’s future economic outlook. However, Hospital 1 has applied a cu- mulative inflation factor of five percent per year while Hospital 2 has not applied any infla- tion factor. Thus the information is not properly comparable. Projected Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Hospital 1 $20,000,000 $22,500,000 $27,500,000 $27,500,000 $30,000,000 Hospital 2 $20,000,000 $21,000,000 $25,000,000 $24,000,000 $26,000,000 Required Revise Hospital 2’s projections by applying a cumulative inflation factor of five percent per year. Assignment Exercise 14–3 The head of your department is a prominent researcher. A health research foundation has asked him travel to London to give an important speech at a conference. He will then travel to Paris to tour a research facility before returning home. Although his travel expenses are being funded by the foundation, he will still need to take along some personal money. Con- sequently, he asks you to figure the exchange rates for $500 and for $1,000 in both pounds and euros. He explains that he is trying to judge the spending power of U.S. dollars when converted to the other currencies so he can decide how much personal money to take on the trip.
Required Locate the current exchange rates for pounds and euros and compute the currency con- version for $500 and for $1,000. Assignment Exercise 14–4: The Discovery The Chief Financial Officer at Sample Hospital has just discovered that the hospital’s Chief of the Medical Staff’s son Jason, a student at the local community college, is paid $100 per week year round for grounds maintenance at the hospital’s Outpatient Center. The CFO, no fan of the Chief of Medical Staff, now wants you to prepare a report that compares the relative costs of lawn care at each of three locations; the hospital itself, the outpatient center, and the hospital-affiliated nursing home down the block. Required Review the available information for grounds maintenance at the three facilities. Decide how to convert this information into comparable data. Then prepare a report, based on your assumptions, that presents comparable costs of grounds care. Also provide your as- sessment of what the best future course of action should be. Relevant Information So far you have assembled the following information. Now you need to decide how it can be converted into comparable data. Introduction to the Three Facilities Sample Hospital is an older 100-bed hospital. The new Outpatient Center, built last year, is across the street and the Golden Age Nursing Facility is down one block, on the corner. All three facilities are part of the Metropolis Health System. (Appendix 25-A contains some fi- nancial details about Sample Hospital.) The hospital is located in the midwestern sunbelt; there is occasional frost in the winter but no snow. Grounds Maintenance Tasks That Should Be Performed at All Three Sites • Mowing and edging • Walk sweeping • Raking leaves • Blowing off parking lot • Flower bed maintenance (where necessary) • Hedge trimming and minor tree pruning (major tree trimming is performed by a contractor on an as-needed basis and thus should be disregarded) Figure Ex-1 provides a map that illustrates the layout of the grounds for each facility and their proximity to each other.
he Chief Financial Officer at Sample Hospital has just discovered that the hospital’s Chief of the Medical Staff’s son Jason, a student at the local community college, is paid $100 per week year round for grounds maintenance at the hospital’s Outpatient Center. The CFO, no fan of the Chief of Medical Staff, now wants you to prepare a report that compares the relative costs of lawn care at each of three locations; the hospital itself, the outpatient center, and the hospital-affiliated nursing home down the block.

Tags homework week payer hospital exercise center revenue information data level chief prepare procedure grounds outpatient follows comparable capacity period year maintenance required number hospitals procedures unit aignment review sample medical contractual aumptions

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Exercise_14.4_.doc (32.5 KB)
Preview: is xxxxxxxxxx to xx that of xxx Sample Hospital, xxxxxxxxx Total xxxx xxxx 5 xx ft Let xx further assume xxxx other xxxxx xxxxxx from xxxxxx and edging) xxx easier and xxxxxxxxx less xxxx xx spent xxxxxxxxxx them Let xx assume that xxxx spent xxx xxxxx is xx of total xx can now xxxxxxx cost/sq xx xxxx mowing xxx edging) and xxxx them comparable xxx the xxxxx xxxxx The xxxxx is on xxx cost of xxxxxx and xxxxxx xxxxx it xx the only xxxx performed in xxx ground xxxxxxxxxxx xx the xxxxxxxxxx unit Table xxxxx shows that xxx Outpatient xxxxx xxxx is xxx highest, more xxxx eight times xxxx of xxx xxxxxx which xx the Nursing xxxxxx It is xxxxxxxxx highly.....
Assignment_Exercise13.4-113_.4-2_.doc (42 KB)
Preview: add xxxxxxx nurse xxx either four xx six hours xxx day xxx xxxxx this xxxxxx the daily xxxxxxxx level for xxxxxx of xxxxxxxx xxxxxxx per xxx ANSWER Capacity xxxxx Checkpoints for xx Outpatient xxxxxxxx xxxxxx Outpatient xxxxxxxx Center Capacity xxxxx Checkpoints infusion xxxxxx 4 xxxxxx xxxxx 1 xxxxxxxxx RN 1 xxxxxxxxx RN weekly xxxxxxxxx hours xx xxxxx of xxxxx per patient xxxxxxxx average 2 xxxxx (for xxxxxxxx xx this xxxxxxxx Work Flow xxxxxxxxxxx For each xxxxxxxx the xxxxx xxxx perform xxx following steps xxxxxxxxxxxx for this xxxxxxx actual xxxxxxxx xx more xxxxxxxxx 1) Obtain xxx review the xxxxxxxx chart xx xxxxxx and xxxxxxx the appropriate xxxx for infusion xx Interview xxx xxxxxxx 4) xxxxxxx the patient xxx commence the xxxxxxxx 5) xxxxxxx xxx record xxxxxxxx throughout the xxxxxxx infusion 6) xxxxxxx the xxxxxxx xxxx completion xx the infusion xx Complete charting xxxx Flow xxxxxxxx xx is xxxxxxxxxx for the xxx nurses to xxxxx patients xxxxxxxxx xx all xxxxx chairs simultaneously xxxx the theoretical xxxxxxxxx sequence xxxxx xx as xxxxxxx Assume one-half-hour xxx patient number xxxx and xxxx xxxxx (1) xxxxxxx (4) Once.....
Assignment_Exercise_13-3.doc (27.5 KB)
Preview: 50 xxxxxxxx Payer x 90 Self-pay x How many xxxxxxxxxx are xxxxxxxxxx xx each xxxxx A Total xxxxxx of proceedures xxxxxxxxxxx 002,000 xxxxxx xx proceedures xxx Payer 1 xxxxxxx 600 Payer x 2,00040 xxx xxxxx 3 xxxxxxx 400 Payer x 2,00010 200 x How xxxx xx the xxx revenue per xxxxxxxxx for each xxxxxx and xxx xxxx is xxx contractual allowance.....
Assignment_Exercise_14-1.doc (24.5 KB)
Preview: 3 xxxxx Year5 xxxxxxxx 1 20,000,000 xxxxxxxxxx 27,500,000 27,500,000 xxxxxxxxxx Hospital x xxxxxxxxxx 21,000,000 xxxxxxxxxx 24,000,000 26,000,000 xxxxxxxx ReviseHospital2s projections xx applying x xxxxxxxxxx inflation xxxxxx of.....
Assignment_Exercise_14-2.doc (24.5 KB)
Preview: the xxxxxxxxxxx is xxx properly comparable xxxxxxxxx Revenue Year x Year x xxxx 3 xxxxx Year5 Hospital x 20,000,000 22,500,000 xxxxxxxxxx 27,500,000 xxxxxxxxxx xxxxxxxx 2 xxxxxxxxxx 21,000,000.....
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