Statistics budget: changing RVU weight. How would the estimate of commercial wei
ID: 2469950 • Letter: S
Question
Statistics budget: changing RVU weight. How would the estimate of commercial weighted encounters (Exhibit I.1e) change if ZMG Hospitalist Practice estimated that its admissions had a relative value weight of 3.50 and the follow-up visits had a relative value weight of 1.75 (Exhibit I.1d)?
Exhibit 1.1e Weighted Encounters by payor and type
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Commercial
Admissions
1,892
1,768
1,908
1,772
1,692
1,736
1,776
1,828
1,760
1,860
1,788
1,968
21,748
Follow-up
2,838
2,652
2,860
2,656
2,540
2,606
2,664
2,740
2,638
2,792
2,684
2,950
32,620
Total
4,730
4,420
4,768
4,428
4,232
4,342
4,440
4,568
4,398
4,652
4,472
4,918
54,368
Medicare
Admissions
2,944
2,748
2,964
2776
2636
2704
2760
2844
2736
2896
2784
3060
33,832
Follow-up
4,416
4,124
4,448
4,132
3,952
4,054
4,142
4,264
4,104
4,342
4,176
4,588
50,742
Total
7,360
6,872
7,412
6,888
6,588
6,758
6,902
7,108
6,840
7,238
6,960
7,648
84,574
Medicaid/Self Pay
Admissions
420
392
424
392
376
388
396
408
392
412
396
436
4,832
Follow-up
630
590
636
590
564
580
592
610
586
620
596
656
7,250
Total
1,050
982
1,060
982
940
968
988
1,018
978
1,032
992
1,092
12,082
Total
13,140
12,274
13,240
12,298
11,760
12,068
12,330
12,694
12,216
12,922
12,424
13,658
151,024
Note: Computed by multiplying the projected encounters by type and payor in Exhibit 1.1c by the RVUs (4 for admissions, 2 for follow-up) in exhibit 1.1d, rounded to the nearest whole number
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Commercial
Admissions
1,892
1,768
1,908
1,772
1,692
1,736
1,776
1,828
1,760
1,860
1,788
1,968
21,748
Follow-up
2,838
2,652
2,860
2,656
2,540
2,606
2,664
2,740
2,638
2,792
2,684
2,950
32,620
Total
4,730
4,420
4,768
4,428
4,232
4,342
4,440
4,568
4,398
4,652
4,472
4,918
54,368
Medicare
Admissions
2,944
2,748
2,964
2776
2636
2704
2760
2844
2736
2896
2784
3060
33,832
Follow-up
4,416
4,124
4,448
4,132
3,952
4,054
4,142
4,264
4,104
4,342
4,176
4,588
50,742
Total
7,360
6,872
7,412
6,888
6,588
6,758
6,902
7,108
6,840
7,238
6,960
7,648
84,574
Medicaid/Self Pay
Admissions
420
392
424
392
376
388
396
408
392
412
396
436
4,832
Follow-up
630
590
636
590
564
580
592
610
586
620
596
656
7,250
Total
1,050
982
1,060
982
940
968
988
1,018
978
1,032
992
1,092
12,082
Total
13,140
12,274
13,240
12,298
11,760
12,068
12,330
12,694
12,216
12,922
12,424
13,658
151,024
Explanation / Answer
A B C D E F Weghted Encounter Fees Gross Patient Service Revenues(Axb) Discount Percentage Discount Net Patient Service Revenue(C-E) Commercial Admission 21748 100 2174800 0 0 2174800 Follow up 32620 100 3262000 0 0 3262000 Total 54368 5436800 5436800 Medicare Admission 33832 100 3383200 0 0 3383200 Follow up 50742 100 5074200 0 0 5074200 Total 84574 8457400 8457400 Medical/Self Pay Admission 4832 100 483200 0 0 483200 Follow up 7250 100 725000 0 0 725000 Total 12082 1208200 1208200 Note:Assuing that Fees is equal to $100.