Cost-based, charge-based, and contractual payment systems
"This book provides an overview of a wide range of healthcare payment systems. It compares cost-based systems, charge-based payment approaches, and contractually-based payment processes to fee-schedule payment systems and prospective payment systems. It covers claim adjustment and compliance as...
Main Author: | |
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Format: | eBook |
Language: | English |
Published: |
Boca Raton, Fla.
CRC Press
2013
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Series: | Healthcare payment systems
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Subjects: | |
Online Access: | |
Collection: | O'Reilly - Collection details see MPG.ReNa |
Summary: | "This book provides an overview of a wide range of healthcare payment systems. It compares cost-based systems, charge-based payment approaches, and contractually-based payment processes to fee-schedule payment systems and prospective payment systems. It covers claim adjustment and compliance as well as managed care contracts and various combinations of payment systems used by third-party administrators. Examples illustrate the processes used for capitated contract arrangements. The author also addresses various compliance issues, including statutory, contractual, and overpayment issues"-- |
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Item Description: | "A Productivity Press book.". - Title from title screen |
Physical Description: | 1 online resource |
ISBN: | 9781439873007 1439873003 |