Payer A
62% billed charges
56% of billed charges
Payer B
$6,500 obstetric delivery case rate
Fee Schedule
$70 per clinic visit
$85 per initial OT evaluation
$50 per OT visit (non-eval)
Payer C
$2,100 obstetric delivery per diem
$75 per clinic visit
$45 per OT visit
Payer D
$6,350 obstetric delivery case rate
$65 per clinic visit
$55 per initial OT evaluation
$35 per OT visit (non-eval)
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?
A) Payer A
B) Payer B
C) Payer C
D) Payer D
