Set up a worksheet with individual columns across the top for six revenue source

ID: 3011739 • Letter: S

Question

Set up a worksheet with individual columns across the top for six revenue sources (payers): Medicare, Medicaid, Other Public Programs, Patients, Commercial Insurance, and Managed Care Contracts.

Certain situations concerning the Intensive Care Unit and the Laboratory are described below.

Set up six vertical line items on your worksheet, numbered (1) through (6). Six situations are described below. For each of the six situations, indicate its number (1 through 6) and enter the appropriate cost center (either Intensive Care Unit or Laboratory). Then place an X in the column(s) that represents the correct revenue source(s) for the item. The six situations are as follows:

            (1) ICU stay billed to employee’s insurance program.
            (2) Lab test paid for by an individual.
            (3) Pathology work performed for the state.
            (4) ICU stay billed to member’s health plan.
            (5) ICU stay billed for Medicare beneficiary.
            (6) Series of allergy tests run for eligible Medicaid beneficiary.

Headings for your worksheet:

Medicare Medicaid Other Public Programs Patients Commercial Insurance Managed Care Contracts

(1)

(2)

(3)

(4)

(5)

(6)

Explanation / Answer

Situation

Medicare

Medicaid

Other Public Programs

Patients

Commercial insurance

Managed Care contract

ICU stay billed to employee.s insurance program

Lab test paid for by an individual

Pathology work performed for the state

ICU stay billed to member.s health plan

ICU stay billed for medicare beneficiary

Series of allergy tests run for eligible medicaid beneficiary