Payer A Show
Payer B Payer C Payer D Patient 72341 is admitted as an inpatient for delivery. The length of stay is three days. The charges for the encounter are $10,425.00. The cost of the encounter is $5,848.45. Which payer will reimburse the hospital the highest amount? Recommended textbook solutions
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Mathematics with Business Applications6th EditionMcGraw-Hill Education 3,760 solutions Which of the following statements is true about including modifiers in the CDM quizlet?Which of the following statements is true about including modifiers in the CDM? Modifiers should be used sparingly in the CDM because documentation in the medical record must support the application of the modifier.
Which of the following programs is used to execute packaging logic for the Medicare hospital outpatient payment system quizlet?Which of the following software programs is used to execute packaging logic for the Medicare Hospital Outpatient Payment System? The Outpatient Code Editor (OCE) is an editing system created and maintained by CMS to process outpatient facility claims.
Which of the following is a function of the Outpatient Code Editor quizlet?The Outpatient Code Editor (OCE) is used to: Review procedural and diagnosis coding - Rationale: The Outpatient Claim Editor (OCE) is used for outpatient claims to review procedural and diagnosis coding.
Which program is an incentive program for physicians in eligible clinicians that links payment to quality measures and cost saving goals?MIPS Overview
The Merit-based Incentive Payment System (MIPS) is a program designed to tie payments to quality and cost-efficient care, drive improvement in care processes and health outcomes, increase the use of healthcare information, and reduce the cost of care.
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Which of the following modifiers is included in the interrupted services provision under opps?
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