By Duane C. Abbey
The fourth booklet within the Healthcare check System sequence, Cost-Based, Charge-Based, and Contractual cost Systems compares cost-based platforms, charge-based cost techniques, and contractually-based check strategies with fee-schedule cost platforms and potential money structures. delivering readers with a transparent knowing of vital heritage fabric at the sorts of healthcare services, it covers the fundamentals of cost-based, charge-based, and contractual fee platforms.
The e-book illustrates crucial suggestions with a chain of straightforward case studies—making it excellent for somebody attracted to studying extra in regards to the particular platforms and methods used for fee in healthcare prone. It discusses Medicare cost-based fee structures, Medicare cost methods, and contains an appendix that outlines a few of the Medicare check platforms. Demystifying contractual language, it outlines controlled care contracts and likewise:
- Delves into the intricacies concerned with adjudication of claims
- Considers capitated money systems
- Addresses healthcare expenses and cost-based compensation systems
- Examines charge-based and contractual fee systems
- Describes the place healthcare money structures are headed within the future
Since compliance is inherent during the means of offering companies, filling claims, and receiving cost, the ebook examines the diversity of compliance issues, together with statutory, contractual, and overpayment concerns. utilizing quite a few examples to demonstrate the approaches used for capitated agreement preparations, the publication contains insurance of declare adjustment, controlled care contracts, and some of the combos of check platforms utilized by third-party directors.
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Cost-Based, Charge-Based, and Contractual Payment Systems (Healthcare Payment Systems) by Duane C. Abbey
by Thomas
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