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Prospective Payment Systems

| £54.95 | €61.80 | Ca$89.15 | Au$87.98
by Duane C. Abbey
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Prospective Payment Systems by Duane C. Abbey

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.

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Ebook Details
Pages: 219
Size: 3.0 MB
Publisher: CRC Press
Date published:   2012
ISBN: 9781466553774 (DRM-EPUB)

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This product is listed in the following categories:

Nonfiction > Business & Economics > Management
Nonfiction > Business & Economics > Information Management
Nonfiction > Computers > Information Technology

This author has products in the following categories:

Nonfiction > Business & Economics > Management
Nonfiction > Medical > Health Care Delivery
Nonfiction > Business & Economics > Finance
Nonfiction > Business & Economics > Information Management
Nonfiction > Computers > Information Technology
Nonfiction > Business & Economics > Industries > Service Industries
Nonfiction > Medical > Administration

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