Health Insurance Plans | Aetna
The inpatient CCR is calculated by dividing total inpatient costs by total inpatient charges. (c) The hospital-specific CCRs are used to estimate the cost of claims for determining whether the hospital’s inpatient claims exceed the cost outlier threshold in accordance with N.J.A.C. 10:52-14.11 and also to calculate the cost outlier payments. ................
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