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
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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