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Download e-book for iPad: Prospective Payment Systems (Healthcare Payment Systems) by Duane C. Abbey

By Duane C. Abbey

ISBN-10: 1439873011

ISBN-13: 9781439873014

The 3rd booklet within the Healthcare money Systems sequence, Prospective fee structures examines a number of the sorts of potential check platforms (PPS) utilized by healthcare companies and third-party payers. Emphasizing the fundamental parts of PPS, it considers the numerous diversifications of cost for clinic inpatient and outpatient companies, expert nursing amenities, domestic healthiness organisations, long term health facility care, and rehabilitation amenities in addition to different prone.

The publication describes the anatomy of PPS, together with fee reviews, adjudication positive factors and approaches, relative weights, and check techniques. It outlines the good points and documentation necessities for Medicare Severity prognosis comparable teams (MS-DRGs), the Medicare Ambulatory cost Classifications (APCs), Medicare HHPPS, Medicare expert Nursing source usage teams (RUGs), and personal third-party payers.

  • Provides a framework for knowing and reading the features of any PPS

  • Discusses Medicare potential fee structures and approaches

  • Includes particular references to precious assets, either on-line and in print

  • Facilitates a transparent figuring out of the complexities on the topic of PPS—covering particular issues at a excessive point and revisiting related themes to augment understanding

Complete with a close directory of the acronyms most-commonly utilized in healthcare coding, billing, and repayment, the booklet incorporates a sequence of case reviews that illustrate key suggestions. It concludes with a dialogue of the demanding situations with PPS—including compliance and overpayment issues—to give you the real-world realizing had to make feel of any PPS.

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Prospective Payment Systems (Healthcare Payment Systems) by Duane C. Abbey

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