Assignment__Contractual_Allowances,_Grouping_Revenue_and_Expenses_Week_2_Hca_270

HCA/270 Health Care Finance PART I - Contractual Allowance Background: Every health program negotiates particular agreements with the doctor or hospital. Each practice code rate. Assume the settled rate for the code 99214 is $84. The doctor invoices the insurer $72 for the patient visit. Th which it was decided that the health program would pay $45 for every patient visit. For that reason, the contractual between the settled rate of $84 and the agreed-upon sum of $45. Directions: Contractual allowances signify the main difference between the complete settled method rate and the ra doctor practice depending upon the agreed-upon contractual rate. For Section I of this project, presume that every conferred a Managed Care agreement with the doctor. The doctor has carried out 10 fresh patient physicals, one fo each of the health programs the settled rate of $174 for practice code 98235. The agreed upon rate is mentioned i the contractual allowance for every health program and put the outcome in Column C. New Patient Physical Exam Code is 99385 . Established rate of $174. Column A Health Plan Payer HAP Tricare HPM Medicaid Medicare BCN PPO BCBS Humana CCN Priority Health Column B Column C Contracted Rate Contractual Allowance $110.00 $98.00 $142.95 $60.45 $70.20 $135.90 $152.00 $112.00 $74.35 $128.25 $64.00 $76.00 $31.05 $113.55 $103.80 $38.10 $22.00 $62.00 $99.65 $45.75 inance ance or hospital. Each practice code has an settled rate and a hired rer $72 for the patient visit. The doctor has an agreement in r that reason, the contractual allowance is the variation settled method rate and the rate which will be paid to the is project, presume that every payer shown below have fresh patient physicals, one for every payer, and will invoice greed upon rate is mentioned in Column B. You should find . There are 3 parts to this excel assignment. Use the tabs located on your lower left side to navigate through all of them. (hint: it says "PART I, PART II, PART III)