How much is the net revenue per procedure


1. Your unit's gross charges for the period to date amount to $20,000

2. The uniform gross charge for each procedure in your unit is $100.00

3. The unit receives revenue from major payers. the number of procedures performed 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%

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 appowance 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?

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Finance Basics: How much is the net revenue per procedure
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