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Prospective Payment Systems

By: Duane C. Abbey (Author)

Manufacture on Demand

Ksh 44,350.00

Format: Hardback or Cased Book

ISBN-10: 113844037X

ISBN-13: 9781138440371

Publisher: Taylor & Francis Ltd

Imprint: CRC Press

Country of Manufacture: GB

Country of Publication: GB

Publication Date: Jun 28th, 2018

Publication Status: Active

Product extent: 220 Pages

Weight: 570.00 grams

Product Classification / Subject(s): Network management

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  • Description

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This volume is an extensive collection of chapters discussing Folsom artifacts and sites, as well as innovative experiments undertaken to understand Folsom technology and lifeways. Public and private collections of Folsom artifacts were brought together with professional and amateur lithic analysts and knappers in an attempt to determine how the ancient stone tools were made and used. In addition, Folsom Technology and Lifeways summarizes interaction among knappers and analysts, and the attempts to replicate specific artifact types represented. It is a unique volume in that it examines the variation present in technology and behavior across a wide range of Folsom localities.
The third book in the Healthcare Payment Systems series, Prospective Payment Systems examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. Emphasizing the basic elements of PPS, 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 along with other providers. 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 PPSDiscusses Medicare prospective payment systems and approachesIncludes specific references to helpful resources, both online and in printFacilitates a clear understanding of the complexities related to PPS covering specific topics at a high level and revisiting similar topics to reinforce understandingComplete 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.

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