Hospitals sometimes work with third-party payers who pay an interim rate based on a percentage of the hospital's established rates but also have the right to adjust their payments later-or retrospectively.

Question

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Third-party payers that pay hospitals retrospectively reimburse hospitals initially on the basis of interim payment rates. The interim payment rates are then adjusted retrospectively based on stipulated allowable costs after the hospitals submit required cost reports to the third-party payers.

Hospitals Sometimes Work with Third-Party Payers Who Pay an Interim