Payer Inpatient Services Outpatient Services A 62% billed charges 56% of billed charges B $6,500 obstetric delivery case rate Fee Schedule $70 per

Payer

Inpatient Services

Outpatient Services

A

62% billed charges

56% of billed charges

B

$6,500 obstetric delivery case rate

Fee Schedule

$70 per clinic visit

$85 per initial OT evaluation

$50 per OT visit (non-eval)

C

$2,100 obstetric delivery per diem

$75 per clinic visit

$45 per OT visit

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. Length of stay is 3 days. The charges for the encounter are $10,425. The cost of the encounter is $5,848.45. Which payer will reimburse the hospital the highest amount? 

Payer A

Payer B

Payer C

Payer D

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