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HSM 340 Midterm Exam

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title of statement, name of entity, and unit of measurement<br />

name, title, specific date of statement, and unit of measurement<br />

7. Question : (TCO 2) Which of the following is the BEST example of a financial metric?<br />

Student Answer: Degree of innovation<br />

Employee empowerment<br />

Accreditation by the Joint Commission on Accreditation of Healthcare Organizations<br />

Total margin<br />

Length of stay<br />

1. Question : (TCO 4) Formulate your answer based on the below information. Costs per case increased<br />

to $4,900 from a budgeted value of $4,750. This increased actual total costs by what amount?<br />

You have been asked by management to explain the variances in costs under your inpatient capitated<br />

contract. The following data is provided. Use the following data to calculate the variances.<br />

Budget Actual<br />

Inpatient Costs $12,568,500 $16,618,350<br />

Members 42,000 42,000<br />

Admission Rate 0.070 0.095<br />

Case Mix Index 0.90 0.85<br />

Cost per Case (CMI = 1.0) $4,750 $4,900<br />

2. Question : (TCO 4)Based on the information below, assume that the only change in the original<br />

example data is that Blue Cross raises their discount to 20 percent. What price should be set?<br />

You have been asked to establish a pricing structure for radiology on a per-procedure basis. Present<br />

budgetary data is presented below:<br />

Budgeted Procedures $10,000<br />

Budgeted Cost $400,000<br />

Desired Profit $80,000<br />

It is estimated that Medicare patients comprise 40 percent of total radiology volume and will pay on<br />

average $38.00 per procedure. Approximately 10 percent of the patients are cost payers. The remaining<br />

charge payers are summarized below:<br />

Payer Volume% Discount%<br />

Blue Cross 20 4<br />

Unity PPO 15 10<br />

Kaiser 10 10<br />

Self Pay 5 40<br />

50%<br />

3. Question : (TCO 4) What is the amount of variance that can be attributed to the difference between<br />

budgeted and actual volume?<br />

Use the following data to calculate the variances.<br />

The following information has been prepared for a home health agency.<br />

Budget Actual<br />

Wage Rate per Hour $16.00 $17.00<br />

Fixed Hours 320 320<br />

Variable Hours per Relative<br />

Value Unit (RVU) 1.0 1.1<br />

Relative Value Units (RVUs) 1,000 1,200<br />

Total Labor Hours 1,320 1,640<br />

Labor Costs $21,120 $27,880<br />

Cost per RVU $21.12 $23.23

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