PROSPECTIVE payment for home care servicesALZHEIMER'S patientsMEDICAREMEDICAL careEarly indications are that the Medicare home health prospective payment system (PPS) has controlled Medicare home health expenditures. However, studies indicate many unresolved questions about whether PPS improves patient quality...
The recommended/previously entered billable date is the date that was sent on the RAP. The Home Health solution will pull the First Billable Visit Date that now exists for the episode. If the dates do not match the final claim will reject. The process is to cancel and rebill the RAP with...
in service use underlying the changes in spending; (2) the extent of the changes in use across beneficiaries, home health agencies (HHA), and locations; and (3) identify any implications these new patterns of home health use have for the impact of the prospective payment system (PPS)."关键...
A letter report issued by the General Accounting Office with an that begins "Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) research on a home health prospective payment system (PPS), focusing on: (1) the objectives, findings, and costs of...
The Balanced Budget Act of 1997 mandated a major overhaul in Medicare payment for home health care with an interim payment system (IPS) preceding a prospective payment system (PPS). This study extends an earlier analysis of the impact of the IPS to determine whether home health use and spendin...
practitioner services paid under the physician fee schedule are not recognized as home health services included in the PPS rates. Supplies incident to a physician service or related to a physician service billed to the Medicare contractor are not subject to the consolidated billing requirements. ...
The article reports that a proposal to raise Baseline Medicare Advantage payment rates to 1.35% on 2017 will result in an average 3.55% increase in revenue... Herman,Bob - 《Modern Healthcare》 被引量: 0发表: 2016年 CMS proposes prioritizing patient preferences, linking patients to follow-up...
Has the Medicare prospective payment system led to increased nursing home efficiency? Research Objective. To assess the impact of recent Medicare prospective payment system (PPS) changes on efficiency in skilled nursing homes. Data Source/S... JZ Ning,L Unruh,TTH Wan - 《Health Services Research...
与其他国家不同,得益于商业保险机构的逐利性,美国在付费方式层面有深入探索,其当前应用的资源消耗分组(Resource Utilization Groups,RUG)和居家医疗护理服务资源分组(Home Health Resource Groups, HHRGs)都是长期医疗护理服务领域的疾病诊断相关分组(DRGs),可更准确地匹配患者护理服务需求和费用支付,保障护理服务机构服务...
Home Health Agency (HHA) – Revenue per Episode, Cost per Episode, and Utilization per Episode. Hospice Agency – Average Cost Per Diem, Average Revenue per Diem and Capitation Calculation on an interim basis. Rural Health Clinics – PPS rate compared to per Diem Costs, Bad Debt calculations....