Question

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

Answer 1

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

Contractual Adjustment is a part of a patient's bill that a doctor or hospital must write-off  because of billing agreements with the insurance company.

A write off is simply the amount that cannot be collected from patient due to several issues.

A contractual adjustment is important because it helps in preventing fraud from occurring in the total amount of the bill.

Learn more about contractual adjustment here;

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