Prospective Payment Systems

Duane C. Abbey

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Paperback

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English

Productivity Press
15 February 2012

This book from the Healthcare Payment Systems series reviews and discusses the various types of payment systems in use by healthcare providers and third-party payers. Emphasizing the basic elements of any prospective payment system, it considers the variations that exist for paying for hospital inpatient and outpatient services, skilled nursing facilities, home health agencies, long-term hospital care, and rehabilitation facilities and providers. It pays particular attention to the Medicare MS-DRG, Medicare APCs, Medicare HHPPS, and the Medicare Skilled Nursing Resource Utilization Groups, as well as private third-party payers.

By: Duane C. Abbey
Imprint: Productivity Press
Country of Publication: United States
Dimensions: Height: 254mm, Width: 178mm,
Weight: 408g
ISBN: 9781439873014
ISBN 10: 1439873011
Pages: 219
Publication Date: 15 February 2012
Audience: Professional and scholarly , Professional and scholarly , Undergraduate , Undergraduate
Format: Paperback
Publisher's Status: Active

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

Duane C. Abbey, PhD, is President of Abbey & Abbey Consultants.