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.
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.
Prospective Payment Systems
224
Prospective Payment Systems
224
Product Details
| ISBN-13: | 9781439873014 |
|---|---|
| Publisher: | Taylor & Francis |
| Publication date: | 02/15/2012 |
| Pages: | 224 |
| Product dimensions: | 6.80(w) x 9.90(h) x 0.80(d) |