Evaluating Financial Statements
PART 1

Your facility has 2000 cases in the following payer mix:

– 40% commercial insurances

– 25% Medicare insurance

– 15% Medicaid insurance

– 15% liability insurance

– 5% all others, including self-pay

What are the proportions of the total cases for each payer?

PART 2

The average Medicare rate for each case is $6,200. Use this as the baseline. Commercial insurances average 110% of Medicare, Medicaid averages 65% of Medicare., Lliability insurers average 200% of Medicare, and the others average 100% of Medicare rates.

1. Calculate the individual reimbursement rates for all 5 payers?

2. What is your expected Accounts Receivable?

PART 3

Which of the following costs are fixed, which are variable, and which are direct or indirect:

– Materials/supplies (gowns, drapes, bedsheets)

– Wages (nurses, technicians)

– Utility, building, usage exp (lights, heat, technology)

– Medications

– Licensing of facility

– Per diem staff

– Insurances (malpractice, business, and so on)

PART 4

Given the following costs per case:

– Materials/supplies: $2,270

– Wages: $2,000

– Utility, building, usage exp: $1,125

– Insurances (malpractice, business, and so on): $175 What is the total cost of all combined cases?

PART 5

Calculate the difference between accounts receivable (A/R) and accounts payable (A/P)