HCA/270 Health Care FinancePART I – Contractual AllowanceBackground: Every health program negotiates particular agreements with the doctor or hospital. Each practice coderate. Assume the settled rate for the code 99214 is $84. The doctor invoices the insurer $72 for the patient visit.
Thwhich it was decided that the health program would pay $45 for every patient visit. For that reason, the contractualbetween 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 radoctor practice depending upon the agreed-upon contractual rate. For Section I of this project, presume that everyconferred a Managed Care agreement with the doctor. The doctor has carried out 10 fresh patient physicals, one foeach of the health programs the settled rate of $174 for practice code 98235. The agreed upon rate is mentioned ithe 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 AHealth Plan PayerHAPTricareHPMMedicaidMedicareBCN PPOBCBSHumanaCCNPriority HealthColumn BColumn CContracted Rate Contractual Allowance$110.00$98.
75inanceanceor hospital. Each practice code has an settled rate and a hiredrer $72 for the patient visit. The doctor has an agreement inr that reason, the contractual allowance is the variationsettled method rate and the rate which will be paid to theis project, presume that every payer shown below havefresh patient physicals, one for every payer, and will invoicegreed upon rate is mentioned in Column B.
You should find.There are 3 parts to this excel assignment. Use thetabs located on your lower left side to navigatethrough all of them. (hint: it says “PART I, PART II,PART III)