Articles liés à Cost-based, Charge-based, and Contractual Payment Systems

Cost-based, Charge-based, and Contractual Payment Systems - Couverture rigide

Abbey, Duane C.

 
9781138431829: Cost-based, Charge-based, and Contractual Payment Systems
Couverture rigide
ISBN 10 : 1138431826 ISBN 13 : 9781138431829
Editeur : CRC Press, 2018

Synopsis

The fourth book in the Healthcare Payment System series, Cost-Based, Charge-Based, and Contractual Payment Systems compares cost-based systems, charge-based payment approaches, and contractually-based payment processes with fee-schedule payment systems and prospective payment systems. Supplying readers with a clear understanding of important background material on the different types of healthcare providers, it covers the basics of cost-based, charge-based, and contractual payment systems. The book illustrates essential concepts with a series of simple case studies making it ideal for anyone interested in learning more about the specific systems and processes used for payment in healthcare services. It discusses Medicare cost-based payment systems, Medicare payment approaches, and includes an appendix that outlines the various Medicare payment systems. Demystifying contractual language, it outlines managed care contracts and also: Delves into the intricacies involved with adjudication of claimsConsiders capitated payment systemsAddresses healthcare costs and cost-based reimbursement systemsExamines charge-based and contractual payment systemsDescribes where healthcare payment systems are headed in the futureSince compliance is inherent throughout the process of providing services, filling claims, and receiving payment, the book examines the range of compliance concerns, including statutory, contractual, and overpayment issues. Using numerous examples to illustrate the processes used for capitated contract arrangements, the book includes coverage of claim adjustment, managed care contracts, and the various combinations of payment systems used by third-party administrators.

Les informations fournies dans la section « Synopsis » peuvent faire référence à une autre édition de ce titre.

À propos de l'auteur

Duane C. Abbey

Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.

Éditeur
CRC Press
Date d'édition
2018
Langue
anglais
ISBN 10 
1138431826
ISBN 13 
9781138431829
Reliure
Relié
Nombre de pages
181
Coordonnées du fabricant
non disponible
Personne responsable
non disponible