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Question5: reviewing accounts in the Revenue Cycle Management team you have a total charge for $280,000. Cigna contract pays the hospital 52% of the total
Question5: reviewing accounts in the Revenue Cycle Management team you have a total charge for $280,000. Cigna contract pays the hospital 52% of the total charges. How much should the hospital expect from Cigna? Question 6: You are reviewing AR accounts , the representative from BCBS informs you the patient has a $5,000 deductible which has been met. His total out of pocket maximum is $10,000 has not been met , the patient remains responsible for 20% of total charges after deductible. The total charges billed is $25,000.What is the patient's financial responsibility? ------------------------------------------------------------------- Question7: What program started in 2013 that sought to improve quality for Medicare patients by providing a single payment to multiple providers to share as reimbursement for an episode of care? HIPAA (Health Insurance Portability and Accountability Act. MS-DRG (Medicare Severity-Diagnosis Related Group) BPCI (Bundled Payments for Care Initiative) Disproportionate Share Hospital Payments Question 8: Review the graph below. Fill in the type of third-party payer that each section of the pie chart represents. 43.4% represents: 29.0% represents: 22.3% represents: 5.3 % represents
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