Use the following contract matrix to answer the question. PayerInpatient ServicesOutpatient ServicesA62% billed charges56% of billed chargesB$6,500 obstetric delivery case rateFee 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 visitD$6,350 obstetric delivery case rate$65 per clinic visit$55 per initial OT evaluation$35 per OT visit (non-eval) 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 6 days. The charges for the encounter are $135,000. Which payer will reimburse the hospital the highest amount? Please show evaulation for each payer. Thank you for your time answering this problem.
Use the following contract matrix to answer the question.
PayerInpatient ServicesOutpatient ServicesA62% billed charges56% of billed chargesB$6,500 obstetric delivery case rateFee 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 visitD$6,350 obstetric delivery case rate$65 per clinic visit$55 per initial OT evaluation$35 per OT visit (non-eval)
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 6 days. The charges for the encounter are $135,000. Which payer will reimburse the hospital the highest amount?
Please show evaulation for each payer.
Thank you for your time answering this problem.
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