Prospective Payment Systems

1. Auflage 2012
ISBN: 978-1-4398-7301-4
Verlag: Taylor & Francis Ltd (Sales)

Buch, Englisch, 224 Seiten, Format (B × H): 170 mm x 251 mm, Gewicht: 417 g

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.

Zielgruppe

Professional Practice & Development

Autoren/Hrsg.

Abbey, Duane C

Fachgebiete

• Wirtschaftswissenschaften Betriebswirtschaft Bereichsspezifisches Management Kostenmanagement, Budgetierung
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Krankenhausmanagement, Praxismanagement
• Mathematik | Informatik EDV | Informatik Computerkommunikation & -vernetzung Netzwerkmanagement

Inhaltsverzeichnis

Preface, About the Author, 1. Introduction to Prospective Payment Systems, 2. Healthcare Provider Concepts, 3. Anatomy of a Prospective Payment System, 4. Medicare Severity Diagnosis Related Groups (MS-DRGs), 5. Ambulatory Payment Classifications (APCs), 6. Other Prospective Payment Systems, Conclusion and Endnote, Appendix A: Case Studies, Appendix B: Acronyms

Über Autor(innen)

Duane C. Abbey