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Hca 270 Week 2 Assignment

HCA/270 Health Care Finance PART I - Contractual Allowance New Patient Physical Exam Code is 99385 . Established rate of $174. Column A Column B Column C Health Plan Payer Contracted Rate HAP $110.00 $64.00 Tricare $98.00 $76.00 HPM $142.95 $31.05 Medicaid $60.45 $113.55 Medicare $70.20 $103.80 BCN PPO $135.90 $38.10 BCBS $152.00 $22.00 Humana $112.00 $62.00 CCN $74.35 $99.65 Priority Health $128.25 $45.75 Background: Each health plan negotiates specific contracts with the physician or hospital. Each procedure code has an established rate and a contracted rate. Let's say that the established rate for the code 99214 is $84. The physician bills the insurance company $72 for the patient visit. The physician has a contract where it was agreed that the health plan would pay $45 for a patient visit. Therefore, the contractual allowance is the difference between the established rate of $84 and the agreed-upon amount of $45. Directions: Contractual allowances represent the difference between the full established procedure rate and the rate that will be paid to the physician practice based upon the agreed-upon contractural rate. For Part I of this assignment, assume that each payer listed below have negotiated a Managed Care contract with the physician. The physician has performed 10 new patient physicals, one for each payer, and will

Наибольшая скорость, которую она развивала, достигала 50 миль в час, причем делала это со страшным воем, напоминая скорее циркулярную пилу, а не мотоцикл, и, увы, ей не хватало слишком много лошадиных сил, чтобы взмыть в воздух. В боковое зеркало заднего вида он увидел, как такси выехало на темное шоссе в сотне метров позади него и сразу же стало сокращать дистанцию.

Беккер смотрел прямо перед. Вдалеке, метрах в пятистах, на фоне ночного неба возникли силуэты самолетных ангаров.

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