Author: Donald Lee ZimmermanPublisher:
ISBN:
Category : Cost control
Languages : en
Pages : 32
Book Description
Current Developments in Prospective Reimbursement Systems for Financing Hospital Care
Author: Donald Lee ZimmermanPublisher:
ISBN:
Category : Cost control
Languages : en
Pages : 32
Book Description
Implications of Prospective Payment for the Health Care System and Health Planning
Author: Laura A. DummitPublisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 84
Book Description
Hospital Prospective Payment System
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Hospitalization insurance
Languages : en
Pages : 508
Book Description
The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients
Author: Rand CorporationPublisher:
ISBN:
Category : Diagnosis related groups
Languages : en
Pages : 32
Book Description
To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.
Adjustments in Medicare's Prospective Payment System
Author: United States. Congress. Senate. Committee on Finance. Subcommittee on HealthPublisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 148
Book Description
Medicare Prospective Payment and the American Health Care System
Author: Medicare Prospective Payment and the American Health Care System
Author: United States. Prospective Payment Assessment CommissionPublisher:
ISBN:
Category : Cost
Languages : en
Pages : 136
Book Description
Impact of the Medicare Prospective Payment System for Hospitals
Author: Stuart GutermanPublisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 18
Book Description
Medicare Prospective Payment and the Shaping of U.S. Health Care
Author: Rick MayesPublisher: JHU Press
ISBN: 9780801884542
Category : Law
Languages : en
Pages : 274
Book Description
health care system.--Andrew B. Whitford "International Public Management Journal"
Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. HarringtonPublisher: Jones & Bartlett Learning
ISBN: 1284203298
Category : Medical
Languages : en
Pages : 344
Book Description
Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.