Question

10. The Evangelista Clinic’s actual information for 2019 is listed below. Total FFS Visit Volume 100,000...

10. The Evangelista Clinic’s actual information for 2019 is listed below. Total FFS Visit Volume 100,000 visits Payer Mix Budgeted : Blue Cross 50% Highmark 50% Reimbursement Rates Budgeted: Blue Cross $25 per visit Highmark $20 per visit Payer Mix Actual : Blue Cross 48% Highmark 52% Reimbursement Rates Actual: Blue Cross $28 per visit Highmark $18 per visit Based on this information, calculate the actual total revenues. Choice: $1,800,000 Choice: $4,650,000 Choice: $2,280,000 Choice: $3,647,000

Homework Answers

Answer #1

Answer :

Calculation of actual total revenue :

We have,

Total FFS visit = 100,000

% of visit to Blue cross as per actual = 48

No. of visit to Blue cross as per actual = 100,000 * 48% = 48,000

Blue cross charges per visit as per actual = $28

Total Blue cross charges as per actual = $28 * 48,000 = $ 1,344,000

% of visit to Highmark as per actual = 52

No. of visit to Highmark as per actual = 100,000 * 52% = 52,000

Highmark charges per visit as per actual = $18

Total Highmark charges as per actual = $18 * 52,000 = $ 936,000

Therefore,

Total actual revenue = Actual charges of Blue cross + Actual charges of Highmark

= $ 1,344,000 + $ 936,000

Total Actual revenue is = $ 2,280,000

The answer is choice (3) i.e., $ 2,280,000

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