Revenue

Question 1

revenue

Answer 1

the amounts earned by an organization from rendering services to patients.

Question 2

contractual allowance

Answer 2

the difference between the full established rate and the agreed-upon contractual rate that will be paid

Question 3

Sources of Healthcare Revenue

Answer 3

1. governmental sources (medicare, medicaid, other programs)
2. managed care sources (receive predetermined amount per-member in premium. HMO, PPO)
3. other sources (private pay, donations, charity)

Question 4

revenue is classified by:

Answer 4

1. payment after service is delivered:
   - fee for service
   - discounted fee for service
2. payment before service is delivered:
   - pre-determined per-person payment
   - rate-setting differences

Question 5

grouping revenue for planning and control

Answer 5

1. revenue centers
2. care settings grouping
3. service lines
4. physician groups service delivery
5. other service designations