Briefly describe how outlier payments might be handled to ensure that the Center does not suffer large
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Question:
Briefly describe how outlier payments might be handled to ensure that the Center does not suffer large losses on outliers (patients with unusually high costs).
(Hint: Cost outliers are identified by having costs that exceed a specified threshold. Then, in addition to the standard payment, the provider is reimbursed for some percentage of the costs above the threshold.)
For this question, you must choose a cost threshold and outlier payment percentage.
Related Book For
Accounting Information Systems
ISBN: 9780132871938
11th Edition
Authors: George H. Bodnar, William S. Hopwood
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