The difference between a nonprofit's hospital's established billing rate and the amount paid by a third-party payer is referred to as:

Question

Quizplus · Accepted Answer

Explicit concessions are differences between the billing rate and the amount paid by a third-party provider are those agreed to as part of a contract-for example the contractual rate adjustments agreed to with third-party payers, such as Medicaid or Blue Cross. Implicit price concessions are not based on contracts but on the hospital's intention.

The Difference Between a Nonprofit's Hospital's Established Billing Rate and the Amount