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...

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Bibliographic Details
Main Author: Abbey, Duane C.
Format: eBook
Language:English
Published: Boca Raton, Fla. CRC Press 2013
Series:Healthcare payment systems
Subjects:
Online Access:
Collection: O'Reilly - Collection details see MPG.ReNa
Description
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"--
Item Description:"A Productivity Press book.". - Title from title screen
Physical Description:1 online resource
ISBN:9781439873007
1439873003