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5 nuances of Medicare billing.
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- المؤلفون: Richburg, Billy K.
- المصدر:
hfm (Healthcare Financial Management). Jan2008, Vol. 62 Issue 1, p72-76. 5p.
- معلومة اضافية
- الموضوع:
- الموضوع:
- نبذة مختصرة :
The article offers information on the five commonly misunderstood components of inpatient and outpatient prospective payment systems in the U.S. According to the author, severity-adjusted diagnoses-related groups (DRGs) has been agreed by most healthcare finance professionals as a logical evolution of the case rate prospective payment system (PPS). He added that providers must group claims under MS-DRG on "bill drop", investigate the possibility of attaining critical access hospital and identify managed contracts that pay therapies from physician schedule to ensure appropriate Medicare payment.
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