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Apr 11

Reconcilition of Outlier Payments: How the Cost-to-Charge Ratio (CCR) Matters

In this post, I’d like to explain what happens when your final settled CCR is different from your priced CCR. I discussed before in the outlier discussion that the ratio of cost-to-charge (RCC or CCR) matters. However, this calculation is used merely to price your …
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Mar 27

Operating and Capital Cost-to-Charge Ratios (CCR)

The purpose of this post is to explain how Medicare calculates the operating and capital cost to charge ratios. Medicare informs that it is the latest settled or tentatively settled cost report that is used for calculating cost-to-charge ratios. First, we must obtain a statistic …
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