Hospital Reimbursement
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Hospital Reimbursement
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Author : Kyle Herbert
language : en
Publisher: CRC Press
Release Date : 2012-06-05
Hospital Reimbursement written by Kyle Herbert and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-06-05 with Business & Economics categories.
Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also: Covers the full range of services and procedures for which a hospital can receive reimbursement Explains the difference between a for-profit and not-for-profit hospital Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet) Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.
Reimbursement Incentives For Hospital And Medical Care
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Author : Lowell Eugene Gallaway
language : en
Publisher:
Release Date : 1968
Reimbursement Incentives For Hospital And Medical Care written by Lowell Eugene Gallaway and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1968 with Economic development categories.
Using Casemix System For Hospital Reimbursement In Social Health Insurance Programme
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Author : Syed Aljunid
language : en
Publisher: Partridge Publishing Singapore
Release Date : 2020-11-26
Using Casemix System For Hospital Reimbursement In Social Health Insurance Programme written by Syed Aljunid and has been published by Partridge Publishing Singapore this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-26 with Health & Fitness categories.
Social Health Insurance (SHI) is one of the vehicles in achieving Universal Health Coverage. However, in many low- and middle-income countries, implementation of SHI failed to provide efficient and effective coverage due to poor provider payment method. Indonesia has introduced social health insurance in 2014. With the population of more than 270 million, Indonesia is the biggest country in the world that implemented SHI with casemix system (INA-CBG) as the prospective provider payment method. In this book, we presented an outcome of a study implemented in the largest hospital in Jakarta, Indonesia that compared the impact of using casemix system as provider payment method with fee-for-service. A total 32,227 outpatients and 8,270 inpatients medical records were reviewed and included in the study. In addition, a survey was also conducted among billing administrators to assess the cost of the billing process and their perceptions on the two reimbursement methods. The total hospital charges, length of stay of inpatients, rate of unnecessary admissions and cost of billing process were among the indicators of efficiency compared in the study between the two provider payment methods. The book provides comprehensive evidence to confirm the advantages of casemix system as an efficient provider payment method in SHI programme.
Cost Based Reimbursement Of Hospitals Under Medicare
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Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
language : en
Publisher:
Release Date : 1976
Cost Based Reimbursement Of Hospitals Under Medicare written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1976 with Hospitals categories.
Reimbursement Incentives For Hospital And Medical Care
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Author : United States. Social Security Administration. Office of Research and Statistics
language : en
Publisher:
Release Date : 1968
Reimbursement Incentives For Hospital And Medical Care written by United States. Social Security Administration. Office of Research and Statistics and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1968 with Hospitals categories.
Principles Of Reimbursement For Services By Hospital Based Physicians
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Author : United States. Social Security Administration
language : en
Publisher:
Release Date : 1967
Principles Of Reimbursement For Services By Hospital Based Physicians written by United States. Social Security Administration and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1967 with Medical fees categories.
Prospective Reimbursement For Hospitals
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Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
language : en
Publisher:
Release Date : 1983
Prospective Reimbursement For Hospitals written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983 with Government publications categories.
Coding And Reimbursement For Hospital Inpatient Services
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Author : Karen S. Scott
language : en
Publisher: American Health Information Management Association
Release Date : 2009-01-01
Coding And Reimbursement For Hospital Inpatient Services written by Karen S. Scott and has been published by American Health Information Management Association this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-01-01 with Medical categories.
Medicare Reimbursement And The Quality Of Hospital Care
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Author : Michael J. McGinty
language : en
Publisher: DIANE Publishing
Release Date : 1993
Medicare Reimbursement And The Quality Of Hospital Care written by Michael J. McGinty and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with Hospital care categories.
Examines the relationship between hospital reimbursement per discharge & the clinical quality of care received by Medicare patients before & after the implementation of the PPS in 1993-1984. Objectives were to evaluate the link between program, payments & quality & to identify characteristics of higher & lower quality hospitals for the period 1981 to 1986.
Hospital Reimbursement Specialist
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Author : National Learning Corporation
language : en
Publisher: Career Examination
Release Date : 2014
Hospital Reimbursement Specialist written by National Learning Corporation and has been published by Career Examination this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Study Aids categories.
The Hospital Reimbursement Specialist Passbook(R) prepares you for your test by allowing you to take practice exams in the subjects you need to study. It provides hundreds of questions and answers in the areas that will likely be covered on your upcoming exam, including but not limited to: general accounting and auditing; understanding and interpreting written material; understanding and interpreting tabular material; preparation of written material; office management; administrative supervision; and other related areas.