Question: When using the formula shown in Table 6-3, what is the average discount rate when you have 100 uninsured patients who pay on average 7%


When using the formula shown in Table 6-3, what is the average discount rate when you have 100 uninsured patients who pay on average 7% of charges, 250 payers who pay an average of 82% of billed charges and 300 block of health plan patients who pay 78% of billed charges? a) .36 b) .20 O c) .22 Od).17 e).33 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 O d) $100,000 If a hospital is subject to a 10% withhold and the hospital is paid $895 per day, the hospital will be paid? a) $805.50 b) $895.00 c) It depends on the risk assessment O d) It depends on the utilization
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