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Interested in learning more about outpatient outlier payments?
While the issues of inpatient cost-to-charge ratios have been discussed at length, what do you do in the case of APC-based payments? I found a nice description here: http://corporate.findlaw.com/law-library/hospitals-have-you-checked-your-potential-outlier-payments-under.html. The basic premise is to calculate the excess costs above the threshold (by applying the hospital’s …
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