Prospective Payment Systems
Productivity Press (Verlag)
9781439873014 (ISBN)
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.
Duane C. Abbey, Ph.D., is a management consultant and president of Abbey & Abbey Consultants Incorporated. Based in Ames, Iowa, Abbey & Abbey specializes in healthcare consulting and related areas. His work in healthcare now spans more than 25 years, earned his graduate degrees at the University of Notre Dame and Iowa State University. Today he spends about half his time developing and teaching workshops (for students who affectionately quip that the Federal Register is his favorite reading material) and making presentations to professional organizations. He devotes the other half to consulting work that involves performing chargemaster reviews and compliance reviews, providing litigation support, and conducting reimbursement studies. Dr. Abbey also uses his mathematical and financial background to perform assessments, develop complex financial models, and conduct various types of statistical work. His studies in the field of neurolinguistic programming have enhanced his ability to provide organizational communication facilitation services for healthcare organizations. He also provides litigation support services for attorneys representing healthcare providers in legal proceedings. Dr. Abbey can be contacted by e-mail at duane@aaciweb.com.
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
| Zusatzinfo | 15 Tables, black and white; 4 Illustrations, black and white |
|---|---|
| Verlagsort | Portland |
| Sprache | englisch |
| Maße | 178 x 254 mm |
| Gewicht | 400 g |
| Themenwelt | Mathematik / Informatik ► Informatik ► Netzwerke |
| Medizin / Pharmazie ► Gesundheitswesen | |
| Wirtschaft ► Betriebswirtschaft / Management ► Finanzierung | |
| ISBN-13 | 9781439873014 / 9781439873014 |
| Zustand | Neuware |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
| Haben Sie eine Frage zum Produkt? |
aus dem Bereich
