Difference between cost base system and charge base system

Expert Solution

Cost base - —A payment system that uses provider cost, as opposed to charges, as the starting point to determine the amount of payment. A cost-payment basis simply means that the underlying method for payment is the provider’s cost. The rules for determining cost are specified in the contract between the payer and the healthcare provider.

Charge based – billed charges are paid according to rate schedule established by the provider. This trend is now shifting to a less generous reimbursement methods; only private patients pay full amounts. Although shifting this form of reimbursement will be in use for a while.

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ekkarill92 answered 1 year ago

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