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1. Patient 72341 is admitted as an inpatient for delivery. L…

Posted byAnonymous June 14, 2021May 21, 2023

Questions

1. Pаtient 72341 is аdmitted аs an inpatient fоr delivery. Length оf stay is three days. The charges fоr the encounter are $10,425.00. The cost of the encounter is $5,848.45. Which payer will reimburse the hospital the highest amount? (blank 1) 2. Patient 89423 is seen in the outpatient clinic at Happy Hospital for a pneumonia follow-up visit. The charges for the encounter total $135. Which payer will reimburse the hospital the lowest amount? (blank 2) 3. 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. Which payer will reimburse the facility the highest amount? (blank 3) 4. Patient 62316 is admitted as an inpatient for hip replacement following a fall on ice in the school parking lot where he works as a teacher. During his admission, the patient received OT services post-surgery. The LOS was six days. The charges for the encounter are $135,000. Which payer will reimburse the hospital the highest amount? (blank 4) a. Payer A b. Payer B c. Payer C d. Payer D e. There is not enough information in the contract matrix to determine reimbursement for this encounter  

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