The Cost-to-Charge Ratio (CCR) is applied to the covered charges for a case to determine whether the costs of a case exceed the fixed-loss outlier threshold.

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The Cost-to-Charge Ratio (CCR) is used in healthcare, particularly in Medicare reimbursements, to convert hospital charges into an estimate of the actual costs. It is applied to the covered charges for a case to determine if the costs exceed the fixed-loss outlier threshold, which can affect the reimbursement amount.

The Cost-To-Charge Ratio (CCR) Is Applied to the Covered Charges