Healthcare: Describe how price may differ from revenues collected from third party payers. What causes the differences?
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Describe how price may differ from revenues collected from third party payers. What causes the differences?
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The expert describes how prices may differ from revenues collected from third party payers.
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In health care, third party payors are companies such as health insurance companies or HMOs. Doctors submit their charges for an office visit or a procedure (this is the price) and the third party payor pays the doctor's office a revenue. This revenue is not always the price that the doctor billed.
Each doctor has his/her own set of pricing for visits and procedures. Let's say Dr. Jones charges ...
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