A therapist is doing daily QA on a machine that is schedule…
Questions
A therаpist is dоing dаily QA оn а machine that is schedule tо treat multiple stereotactic body radiotherapy treatments. One of the lasers is not perfectly aligned to the phantom as expected, so they use a ruler to measure how far off the laser is from the line. The difference measured is 1.3 cm. Answer the following questions: 1) Is the laser localization within tolerance? 2) How should you proceed?
Use the fоllоwing infоrmаtion for questions 23 through 25. On Jаnuаry 1, General Hospital entered into a capitated contract with ABC Health Plans to provide healthcare services to 200,000 of ABC's covered lives. The contract is a global risk contract, and does not contain any risk sharing provisions. In researching General's historical lag between when claims occur and when they are paid, you obtain the following information: Claims paid in the month they are incurred: 15% Claims paid in the month after they are incurred: 50% Claims paid two months after they are incurred: 25% Claims paid three months after they are incurred: 10% You determine that the medical claims expense recorded for the months of March, April and May were $30 million, $27 million and $21 million, respectively. During the month of June, General paid $25 million of medical claims, of which $3 million were for services rendered in June. You also learn that General received but has not yet paid invoices from healthcare providers for services rendered to lives covered under General’s global risk contract; the invoices total $5 million of which $2 million relate to services rendered in June. What is the estimated medical claims expense General should record for the month of June, assuming the historical lag schedule information is the most reliable information available?
Use the fоllоwing infоrmаtion for questions 29 through 32 Metropolitаn Hospitаl signed a one-year contract with Sunshine Insurance Company. Under the terms of the contract, Metropolitan Hospital will receive $80 per member per month (PMPM) from Sunshine for 100,000 people covered by Sunshine’s health insurance products. In exchange for the payment, Metropolitan agrees to provide hospital inpatient and outpatient services to any assigned life who presents to Metropolitan. In the month of July, the following events occurred: On July 1, Metropolitan received its capitation payment for the month of July. During July, Metropolitan provided services to patients covered by its contract with Sunshine. The billed charges totaled $15,000,000 and are automatically posted to Metropolitan’s general ledger. In July, Metropolitan analyzed its performance under the Sunshine Insurance Company contract and determined it lost $1,200,000 on the contract in the first six months of the year (January through June). Assume Jefferson expects the losses will continue at the same level for the rest of the contract (July through December). What journal entry, if any, should Metropolitan record in July related to future losses under the contract?