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.
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Region |
Select which regions to include or All |
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Facility |
Select which facilities to include or All |
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Payer (master) |
Select “master” payer which includes linked contracts for that insurance |
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Time Period |
Preset time periods you can choose from OR |
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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:
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Estimated Reimbursement |
Sum by payer level or HIPPS rate over the time period |
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Medication Cost |
Sum of all medications ordered in the time period |
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Therapy Cost |
Sum of all minutes provided multiplied by therapy minute rate |
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Other Expenses |
Bed cost over the time period plus any additional patient stay expenses |
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Total Cost |
Medication Cost + Therapy Cost + Other Expenses |
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Estimated Revenue |
Estimated Reimbursement - Total Cost |