1. Which of the diagnoses/procedures would be the highest revenue generating? The S42.30 Fracture, Humerus (closed reduction with pinning) diagnosis/procedure would be the highest revenue generating diagnosis/procedure. It has a revenue of 10,233 dollars. 2. Which of the diagnoses/procedures may be considered for exclusion from the initiative based on volumes or revenue-and why? The diagnosis/procedure J35.01 Chronic tonsillitis (T&A) may be considered for exclusion. The volume is great but all payers listed are paying lower for this procedure the other diagnosis/ procedures in this report. N93.8 Uterine Bleeding (D&C) because they also lost revenue. 3. Which of the diagnoses/procedures has a high volume, but lowest revenue? The diagnoses/procedure J35.01 Chronic tonsillitis (T&A) has a high volume of 42 procedures performed and total revenue of (-17379) 4. Which of the diagnoses/procedures would benefit the most with a shift in payer mix (increase or decrease in patient volumes by payer )? Which payer and what type of change in volumes?
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- Fall '18
- Allie Kotzian
- Orders of magnitude, Empty set, Natural number