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MC Revenue

The MC Revenue reports provide cost analysis around managed care patient stays by facility throughout their stay. It is a table that provides payer information along with costs and a net value determined by configuration in MCM. Table is exportable to PDF.

MC Revenue xlsx is the same report but exportable to Excel.

Region

Select which regions to include or All

Facility

Select which facilities to include or All

Payer (master)

Select “master” payer which includes linked contracts for that insurance

Time Period

Preset time periods you can choose from OR

Date Range

Manually adjust date range. Will populate off of Time Period, but you can adjust and will drive report logic

Costs and Reimbursement Calculations:

Estimated Reimbursement

Sum by payer level or HIPPS rate over the time period

Medication Cost

Sum of all medications ordered in the time period

Therapy Cost

Sum of all minutes provided multiplied by therapy minute rate

Other Expenses

Bed cost over the time period plus any additional patient stay expenses

Total Cost

Medication Cost + Therapy Cost + Other Expenses

Estimated Revenue

Estimated Reimbursement - Total Cost

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