By Duane C. Abbey
The fourth booklet within the Healthcare money System sequence, Cost-Based, Charge-Based, and Contractual cost Systems compares cost-based structures, charge-based money techniques, and contractually-based cost procedures with fee-schedule cost structures and potential money platforms. offering readers with a transparent knowing of vital heritage fabric at the types of healthcare services, it covers the fundamentals of cost-based, charge-based, and contractual money structures.
The ebook illustrates crucial ideas with a chain of easy case studies—making it excellent for a person drawn to studying extra in regards to the particular platforms and techniques used for check in healthcare companies. It discusses Medicare cost-based cost structures, Medicare cost techniques, and comprises an appendix that outlines some of the Medicare money platforms. Demystifying contractual language, it outlines controlled care contracts and in addition:
- Delves into the intricacies concerned with adjudication of claims
- Considers capitated check systems
- Addresses healthcare bills and cost-based compensation systems
- Examines charge-based and contractual fee systems
- Describes the place healthcare fee platforms are headed within the future
Since compliance is inherent through the means of delivering providers, filling claims, and receiving check, the booklet examines the diversity of compliance matters, together with statutory, contractual, and overpayment concerns. utilizing quite a few examples to demonstrate the strategies used for capitated agreement preparations, the ebook contains assurance of declare adjustment, controlled care contracts, and many of the mixtures of fee platforms utilized by third-party directors.
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Additional info for Cost-Based, Charge-Based, and Contractual Payment Systems (Healthcare Payment Systems)
Cost-Based, Charge-Based, and Contractual Payment Systems (Healthcare Payment Systems) by Duane C. Abbey