Prospective Payment Systems - Abbey, Duane C.

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Résumé :
This book examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. 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. 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, Medicare Ambulatory Payment Classifications, Medicare HHPPS, Medicare Skilled Nursing Resource Utilization Groups, and private third-party payers....

Biographie:
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.

Sommaire:
This book examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. 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. 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, Medicare Ambulatory Payment Classifications, Medicare HHPPS, Medicare Skilled Nursing Resource Utilization Groups, and private third-party payers....