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Hospital Prospective Payment System


Hospital Prospective Payment System
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Case Based Payment Systems For Hospital Funding In Asia An Investigation Of Current Status And Future Directions


Case Based Payment Systems For Hospital Funding In Asia An Investigation Of Current Status And Future Directions
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Author : OECD
language : en
Publisher: OECD Publishing
Release Date : 2015-11-02

Case Based Payment Systems For Hospital Funding In Asia An Investigation Of Current Status And Future Directions written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-11-02 with categories.


The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.



Prospective Payments


Prospective Payments
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Author : United States. Health Care Financing Administration
language : en
Publisher:
Release Date : 1983*

Prospective Payments written by United States. Health Care Financing Administration and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983* with Hospitals categories.




Impact Of The Medicare Hospital Prospective Payment System


Impact Of The Medicare Hospital Prospective Payment System
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Author :
language : en
Publisher:
Release Date : 1984

Impact Of The Medicare Hospital Prospective Payment System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984 with Hospitals categories.




Medicare Prospective Payment And The Shaping Of U S Health Care


Medicare Prospective Payment And The Shaping Of U S Health Care
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Author : Rick Mayes
language : en
Publisher: JHU Press
Release Date : 2006-12-20

Medicare Prospective Payment And The Shaping Of U S Health Care written by Rick Mayes and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-12-20 with Medical categories.


This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.



Impact Of The Medicare Prospective Payment System For Hospitals


Impact Of The Medicare Prospective Payment System For Hospitals
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Author : Stuart Guterman
language : en
Publisher:
Release Date : 1986

Impact Of The Medicare Prospective Payment System For Hospitals written by Stuart Guterman and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Hospitals categories.




Implications Of Prospective Payment For The Health Care System And Health Planning


Implications Of Prospective Payment For The Health Care System And Health Planning
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Author : Laura A. Dummit
language : en
Publisher:
Release Date : 1985

Implications Of Prospective Payment For The Health Care System And Health Planning written by Laura A. Dummit and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Health insurance categories.




Medicare S Prospective Payment System


Medicare S Prospective Payment System
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Author :
language : en
Publisher:
Release Date : 1985

Medicare S Prospective Payment System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Medicare categories.




Prospective Payment Systems


Prospective Payment Systems
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2018-06-28

Prospective Payment Systems written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-28 with Business & Economics categories.


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 PPSDiscusses Medicare prospective payment systems and approachesIncludes specific references to helpful resources, both online and in printFacilitates a clear understanding of the complexities related to PPS covering specific topics at a high level and revisiting similar topics to reinforce understandingComplete 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.



Rural Hospitals And Medicare S Prospective Payment System


Rural Hospitals And Medicare S Prospective Payment System
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Author :
language : en
Publisher:
Release Date : 1991

Rural Hospitals And Medicare S Prospective Payment System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Medicare categories.




Adjustments To The Medicare Prospective Payment System


Adjustments To The Medicare Prospective Payment System
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Author : United States. Prospective Payment Assessment Commission
language : en
Publisher:
Release Date : 1989

Adjustments To The Medicare Prospective Payment System written by United States. Prospective Payment Assessment Commission and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1989 with Hospitals categories.