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In contract between a hospital and a managed care plan that contains payment provisions related to...

In contract between a hospital and a managed care plan that contains payment provisions related to outlier cases, what are those cases typically based upon?

A. Hospital cost- accounting Value Sales

B. The plan's Resource Based Relative

C. The hospital's charge Master

D. All of the above

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Answer #1

Option C is the answer

Hospital's charge Master

In contract between a hospital and a managed care plan that contains payment provisions related to outlier cases, those cases are based on hospital's charge master
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