Finance for Healthcare

David Jones, the new administrator for a surgical clinic, was trying to determine how to allocate his indirect expenses. His staff was complaining that the current method of taking a percentage of revenues was unfair. He decided to try to allocate utilities based on square footage of each department, administration based on direct costs, and laboratory based on tests. Use the information in the chart below to answer problems 1, 2, and 3.

Square Footage   Direct
Expenses   Lab Tests
Utilities       $200,000
Administration   2,000   500,000
Laboratory   2,000   625,000
Day-op Suite   3,000   1,400,000   4,000
Cystoscopy   1,500   300,000   500
Endoscopy   1,500   600,000   500
Total   10,000   $   3,375,000   5,000

1. What are the Day Op Suite’s total expenses?

2. What are the Cystoscopy Department’s total expenses?

3. What are the Endoscopy Department’s total expenses?

Use the following information for questions 4, 5, and 6.

Your hospital has been approached by a major HMO to perform all their MS-DRG 470 cases (major joint procedures). They have offered a flat price of $10,000 per case. You have reviewed your charges for MS-DRG 470 during the last year and found the following profile:

Average Charge   $15,000
Average LOS    5 Days
Cost/Charge   Variable Cost %
Routine Charge   $3,600   0.80   60

Operating Room   2,657   0.80   80
Anesthesiology   293   0.80   80
Lab   1,035   0.70   30
Radiology   345   0.75   50
Medical Supplies   4,524   0.50   90
Pharmacy   1,230   0.50   90
Other Ancillary   1,316   0.80   60
Total Ancillary   $11,400   0.75   50

4. In the above data set, assume that the hospital’s cost to charge ratio is 0.80 for routine services and 0.75 for all other ancillary services. Using this information, what would the average cost of MS-DRG 470 be?