A patient was admitted to an acute care facility for alcoholic liver disease. The patient stayed in the facility for 10 days. The actual charges incurred were $21,821. The PPS rate is $6,487.12. The per diem rate is $672.24 per day. For this case, Medicare will most likely pay:

Question

Quizplus · Accepted Answer

Medicare typically pays based on predetermined rates rather than actual charges. In this scenario, the Prospective Payment System (PPS) rate is given as $6,487.12, which is the amount Medicare is most likely to pay, as it does not pay based on actual charges or per diem rates in this context.

A Patient Was Admitted to an Acute Care Facility for Alcoholic