A. The Maximum amount the payer will reimburse for each procedure or service, according to the

B. DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care

D. Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare

AAPC

CPB · Question #222

Allowable Charge

The correct answer is C. See limiting charge; maximum fee a physician may charge. See the full explanation below for the reasoning.

Reimbursement & Collections

Question

Allowable Charge

AThe Maximum amount the payer will reimburse for each procedure or service, according to the
BDRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care
CSee limiting charge; maximum fee a physician may charge.
DAdopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare

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