Get Answer: Ncounter Billed Charges Question Guide

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What This Question Is About

This question relates to ncounter billed charges and requires a structured academic response.

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Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves ncounter billed charges. A strong answer should include explanation, application, and examples.

Original Question

ncounter 1 21,000 x 56% = $11,760 $8,500 $1700 x 4 = 6800.00 A 56% of billed charges 56% of billed charges LOS 4 B $8,500 cardiac case rate Fee Schedule Charges $21,000 $70 per clinic visit $50 per initial PT evaluation Encounter 2 $25 per PT visit (non-eval) LOS 3 C $1,700 cardiac per diem $65 per clinic visit Charges $18,993 $30 per PT visit Encounter 3 LOS 5 Charges $35,000 Total Reimbursment Total Cost $25,497.62 $25,497.62 $25,497.62 By typing/signing my name here I certify that I have not worked with another student or used a previous students’s work to complete this assignment. Student’s name: Profit/loss Outpatient Clinic Visit Payer A Payer B Payer C Encounter 1 Charges $125.00 ANSWER THE FOUR QUESTIONS BELOW ALSO!!!!!!!!!!!!!!! Encounter 2 Charges $75.00 1. Eli is calculating the MS-DRG for an inpatient admission. He is determining if the encounter is medical or surgical. Which of the following should he do. (multiple choice) a. Determine if the physician dictated an operative report for the principal procedure; if so, the encounter is surgical Encounter 3 b. Determine if the principal procedure is an OR procedure in the MS-DRG Definitions Manual, if so, then the encounter is surgical Charges $50.00 c. Determine if any procedure reported, regardless of whether it was principal or secondary, is an OR procedure in the MS-DRG Def. Manual; if so the encounter is surgical d. Check the bill for the encounter; if there are OR charges on it, the encounter is surgical. Total Reimbursment ANSWER: (TYPE THE LETTER OF THE ANSWER ONLY) Total Cost $85.00 $85.00 $85.00 Profit/loss 2. Which reimbursement methodology is used in IPPS? Type out your answer: Physical Therapy Visit Payer A Payer B Payer C 3. What are the four domains used in the Hospital VBP program (list one on each line below) Encounter 1 Type Eval Charges $85.00 Encounter 2 Type Follow-up Charges $65.00 4. Which provision provides additional reimbursement for new technologies that enhance beneficiary outcomes? Answer: Encounter 3 Type Follow-up Charges $78.00 Total Reimbursment Total Cost $77.52 $77.52 $77.52 Profit Total Profit by Payer

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