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    kaleigh anne's Avatar
    kaleigh anne Posts: 2, Reputation: 1
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    #1

    Mar 10, 2008, 03:25 PM
    Medicare acute care
    If a hospital is excluded from the Medicare acute care PPS like children hospitals they get paid based on what ? Thank you for your help
    Fr_Chuck's Avatar
    Fr_Chuck Posts: 81,301, Reputation: 7692
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    #2

    Apr 3, 2008, 04:20 PM
    Hospitals that are on Medicare approved lists have agreed to accept the amount of money medicare will pay ( agreed contract pricing)
    So a person with no insurance may have to pay 10,000 for a treatment, but medicare has a agreed to price of lets say 5000 for that, which the hospital has to accept. So medicare will pay only their amount

    So non approved hospitals will get the 5000 dollars, but still bill the full amount of 10,000.

    ** in general if I understand what you are asking

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