Prospective Payment Systems - Couverture souple

Abbey, Duane C.

Couverture souple

ISBN 10 : 1439873011 ISBN 13 : 9781439873014

Editeur : Productivity Press, 2012

Synopsis

The third book in the Healthcare Payment Systems series, Prospective Payment Systems examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. Emphasizing the basic elements of PPS, it considers the many variations of payment for hospital inpatient and outpatient services, skilled nursing facilities, home health agencies, long-term hospital care, and rehabilitation facilities along with other providers.

The book describes the anatomy of PPS, including cost reports, adjudication features and processes, relative weights, and payment processes. It outlines the features and documentation requirements for Medicare Severity Diagnosis Related Groups (MS-DRGs), the Medicare Ambulatory Payment Classifications (APCs), Medicare HHPPS, Medicare Skilled Nursing Resource Utilization Groups (RUGs), and private third-party payers.

• Provides a framework for understanding and analyzing the characteristics of any PPS
• Discusses Medicare prospective payment systems and approaches
• Includes specific references to helpful resources, both online and in print
• Facilitates a clear understanding of the complexities related to PPS—covering specific topics at a high level and revisiting similar topics to reinforce understanding

Complete with a detailed listing of the acronyms most-commonly used in healthcare coding, billing, and reimbursement, the book includes a series of case studies that illustrate key concepts. It concludes with a discussion of the challenges with PPS—including compliance and overpayment issues—to provide you with the real-world understanding needed to make sense of any PPS.

A propos du livre

À propos de l'auteur

Duane C. Abbey

À propos de la quatrième de couverture

This book examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. It considers the many variations of payment for hospital inpatient and outpatient services, skilled nursing facilities, home health agencies, long-term hospital care, and rehabilitation facilities. The book describes the anatomy of PPS, including cost reports, adjudication features and processes, relative weights, and payment processes. It outlines the features and documentation requirements for Medicare Severity Diagnosis Related Groups, Medicare Ambulatory Payment Classifications, Medicare HHPPS, Medicare Skilled Nursing Resource Utilization Groups, and private third-party payers.

Détails de l'édition

• Éditeur: Productivity Press
• Date d'édition: 2012
• Langue: anglais
• ISBN 10: 1439873011
• ISBN 13: 9781439873014
• Reliure: Broché
• Nombre de pages: 199
• Coordonnées du fabricant: CRC Press; https://www.routledge-ny.com; ; 6000 BROKEN SOUND PARKWAY, NW SUITE 300; BOCA RATON; FL; 33487; Etats-Unis
• Personne responsable: gpsr@libri.de; gpsr@libri.de; ; Europaallee 1; Bad Hersfeld; 36244; Allemagne