1) For each of the five ratio's, please indicate whether the trend is favorable or
unfavorable to the business:
a. Current Ratio 2.0 1.9 1.7 1.6 1.2
b. Debt to equity .65 .65 .65 .78 .85
c. Cash on Hand 150 160 149 136 130
d. Inventory Turnover 7.0 6.0 5.0 4.3 4.3
e. Operating Margin .5 1.0 2.0 5.0 4.5 5.0

Weighted Reimbursement Problem (30 points): Your hospital has just opened a new orthopedic joint replacement surgery program and you have been asked to calculated the net revenue per joint surgery. Here is the relevant
data: Cases:
Medicare
Insurance
Medi-Cal 100
150
50

1) Total Charges per Case is $35,000

2) The length of stay for case is 4 days

3) The Medicare DRG payment for joint replacement surgery (simplified for this problem) is $15,000. 20% of this amount is paid by the patients are their co-insurance and the hospital collects 80% of that amount.

4) Your hospital is subject to a cap on Medi-Cal inpatient reimbursement (MARL) which is $9,000 per case but they generally pay $2,500 per day.

5) Your insurance contracts pay off of a fee scheduled for this case at $8,000 but your contracts also have a stop loss provision that if charges are over $10,000, the amount over $8,000 is paid at 65% of charges. Step-down Cost Allocation

Your medical office practice has two specialties, pediatrics and adult. Assume the following information given to you by the accountant:

Direct Expenses-pediatrics
Direct Expenses-adult
Building Costs
Billing Depart Costs
Medical Records Costs $100,000
$200,000
$100,000
$ 75,000
$ 25,000 Square Footage:
Medical Records
Billing
Adults
Pediatrics 1,000
500
4,000
3,000 Gross Revenue:
Adults
Pediatrics $425,000
$125,000 Charts:
Adults
Pediatrics 3,000

5,000 What is the profit and/or loss by each department? Breakeven problem:

You're a planning to lease a new PET Scanner. The leasing company will charge you $800 per scan. Your hospital will need to provide a radiology tech for each scan (the employee can work elsewhere when the scans are completed) and your estimated is each
scan will take the tech 2 hours at $75.00/hour. Film cost for each scan is $50. Your net revenue per scan is $1,300. You must pay a radiologist a medical director fee of $2,000 per month to read the scans. How many scans must be done in a month to breakeven? How many scans must be done if your net revenue per scan is $1,800 but the radiologist wants $5,000 per month? RVU Allocation Problem (30 points): Your DME/O2 Business sells oxygen in small tanks (E tanks) that are refilled from a larger tank or through a piece of equipment, which utilizes liquid oxygen. You had your staff complete a time study with the following results:

Labor to re-fill E O2 tanks/deliver them
Labor to re-fill liquid O2 tanks
Oxygen cost/rental for E tanks
Oxygen cost for liquid 1.0 hour
2.0 hours
$20/tank
$5/tank Your staff makes an average of $20/hour; your total O2 department costs are $100,000.

Determine using RVU allocation how much expenses should be allocated to the E Tanks and how much to the liquid tanks to aid you in negotiating a new contract. Your project volume is 1000 E tank customer visits and 500 liquid oxygen customers.