Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Under the provider's ratio of cost to charges, for a claim of $2,400 and a provider RCC of 40%, the payment for that claim would

image text in transcribed
image text in transcribed
image text in transcribed
Under the provider's ratio of cost to charges, for a claim of $2,400 and a provider RCC of 40%, the payment for that claim would be: a) $2,400 b) $960 Oc) $3,360 d) $400 A DRG plan stipulated that for all claims in excess of $70,000 in billed charges, the payor will not pay the claim on a DRG basis, but at 75% of billed charges. If the claim had a DRG payment of $18,000 and the patient incurred $82,000 of total charges, the payor would pay a) $1,000 b) $82,000 c) $61,500 d) $100,000 If a health plan agrees to pay the provider at 70% of its billed charges to cover its costs, the provider would need to charge ____ for a patient's claim for $100? a) $142.85 b) $100.00 c) $70.00 d) $152.97 O e) $136.54

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

More Books