Accounting

Accounting

Contractual Allowances
Physician Office Revenue for Visit Code 99214 has a full established rate of $72.00. Often different payers, there are nine different contracted rates, as follows:

Payer    Contracted Rate
FHP    $35.70
HPHP    58.85
MC    54.90
UND    60.40
CCN    70.20
MO    70.75
CGN    10.00
PRU    54.90
PHCS    50.00
ANA    45.00
Rates for illustration only.
Required
1.    Set up a worksheet with four columns: Payer, Full Rate, Contracted Rate, and Contractual Allowance.
2.    For each payer, enter the full rate and the contracted rate.
3.    For each payer, compute the contractual allowance.
The first payer has been computed below:

Full Payer Rate

(less)

Contracted Rate

=

Contratural Allowance

FHP $72.00

$35.7

$36.30