Question
Use the following contract matrix to answer the following question. Payer Inpatient Services Outpatient Services A 62% billed charges 56% of billed charges B $6,500
Use the following contract matrix to answer the following question.
Payer | Inpatient Services | Outpatient Services |
A | 62% billed charges | 56% of billed charges |
B | $6,500 obstetric delivery case rate | Fee Schedule |
$70 per clinic visit | ||
$85 per initial OT evaluation | ||
$50 per OT visit (non-eval) | ||
C | $2,100 obstetric delivery per diem | $75 per clinic visit |
$45 per OT visit | ||
D | $6,350 obstetric delivery case rate | $65 per clinic visit |
$55 per initial OT evaluation | ||
$35 per OT visit (non-eval) |
Patient 24571 is seen in the Occupational Therapy (OT) clinic for an initial evaluation of her carpal tunnel surgery recovery. The charges for the visit total $150.00. Which payer will reimburse the facility the highest amount?
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