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Community Medical Center’s charges, payments, and adjustments from third-party payers for the month of July are represented in the table below. a. Calculate the percentage of charges, payments, and adjustments for each third-party payer and enter the percentages in the correct columns of the table.
Payer
Charges
Payments
Adjustment
Charges
Payments
Adjustments
BC/BS
$450,000
$360,000
$90,000
Commercial
$250,000
$200,000
$50,000
Medicaid*
$350,000
$75,000
$275,000
Medicare
$750,000
$495,000
$255,000
TRICARE*
$150,000
$50,000
$100,000
Totals
$1,950,000
$1,180,000
$770,000
100%
100%
100%
* Managed care capitated payment for period
b. Based on the percentages calculated in the charges column, identify the payer the facility does the most business with and the payer it does the least business with.
c. Based on the percentages calculated in the payment column, identify the payers that reimburse the facility the most and the least.
d. Based on the percentages calculated in the adjustments column, identify the payers that proportionately reimburse the facility the most and the least.
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