A contractual adjustment is a reduction in patient service revenues caused by agreements between health care entities and third-party payors that allow the payors to pay the entity based on their determination of reasonable costs rather than the entity's full charges. The document describes a health care entity that provides $1 million in services but estimates $200,000 in contractual adjustments and $100,000 in bad debts, and does not expect to collect $400,000 designated as charity care. Therefore, the entity records patient service revenues as $1 million but nets out the adjustments and records net patient service revenues as $300,000.
A contractual adjustment is a reduction in patient service revenues caused by agreements between health care entities and third-party payors that allow the payors to pay the entity based on their determination of reasonable costs rather than the entity's full charges. The document describes a health care entity that provides $1 million in services but estimates $200,000 in contractual adjustments and $100,000 in bad debts, and does not expect to collect $400,000 designated as charity care. Therefore, the entity records patient service revenues as $1 million but nets out the adjustments and records net patient service revenues as $300,000.
A contractual adjustment is a reduction in patient service revenues caused by agreements between health care entities and third-party payors that allow the payors to pay the entity based on their determination of reasonable costs rather than the entity's full charges. The document describes a health care entity that provides $1 million in services but estimates $200,000 in contractual adjustments and $100,000 in bad debts, and does not expect to collect $400,000 designated as charity care. Therefore, the entity records patient service revenues as $1 million but nets out the adjustments and records net patient service revenues as $300,000.
The third-party payor retained the $700 and will convey it to
the health care facility at the start of the next fiscal period.9. What is a contractual adjustment?a. An increase in a patient’s charges caused by revisions in the billing process utilized by a health care entity.b. A year-end journal entry to recognize all of a health care entity’s remaining receivables.c. A reduction in patient service revenues caused by agreements with third-party payors that allows them to pay a health care entity based on their determination of reasonable costs.d. The results of a cost allocation system that allows a health care entity to determine a patient’s cost by department.10. A private not-for-profit health care entity provides its patients with services that would normally be charged at $1 million. However, it estimates a $200,000 reduction because of contractual adjustments.It expects another $100,000 reduction because of bad debts. Finally, the organization does not expect to collect $400,000 because this amount is deemed to be charity care. Which of the following is correct?a. Patient service revenues = $1 million; net patient service revenues = $300,000.b. Patient service revenues = $1 million; net patient service revenues = $400,000.c. Patient service revenues = $600,000; net patient service revenues = $300,000.d. Patient service revenues = $600,000, net patient service revenues = $400,000.View Solution: 1 The Jones family lost its home in a fire SOLUTION-- http://solutiondone.online/downloads/1-the-jones-family-lost-its-home-in-a-fire/
13 Soc - Sec.rep - Ser. 264, Medicare&medicaid Gu 35,380 Charter Medical Corp. v. Otis R. Bowen, Secretary of Health and Human Services, 788 F.2d 728, 11th Cir. (1986)