The correlation between charges and reimbursement was 0.42; for penetrating trauma patients, the correlation was 0.58. (p<.001) Conclusion: If DRG reimbursement were provided for all admitted trauma patients, the amount would equal per diem rates. Trauma centers with similar patients and lengths ...
Al-Khalil, O., Valeri, F., Senn, O., Rosemann, T. & Di Gangi, S. Effects of a DRG-based hospital reimbursement on the health care utilization and costs in Swiss primary care: A retrospective “quasi-experimental” analysis.PLOS ONE15, e0241179 (2020). ...
You know how to find a procedure code and you may even know how to do the procedure, but where does the reimbursement come from? It seems to be a mystery to many of us, so let's clear up some common confusion and review some of the main reimbursement systems. One of the most ...
DRG沿革及理論簡介回溯性支付制度(RetrospectivePaymentSystem;RPS):1965Medicareestablished,USACongressadoptedtheprivatehealthinsurancesector’s“retrospectivecost-basedreimbursement”systemtopayforhospitalservices.MedicaremadeinterimpaymentsHospitalfiledcostreportReconciledwithallowablecostsTwofactorswereblamed:Paymentmethodologies...