Differentiate_Between_Various_Payment_Methodologies.__1_.docx Differentiate Between Various Payment Methodologies. HI215 Reimbursement Methodologies Unit 5 Assignment Differentiate Between Various Payment Methodolo
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Differentiate_Between_Various_Payment_Methodologies.__1_.docx Differentiate Between Various Payment Methodologies. HI215 Reimbursement Methodologies Unit 5 Assignment Differentiate Between Various Payment Methodologies. The New York department of health is being doubled billed for patients transferred to other hospitals. I think they should assign different people to manage the hospitals billing so they can cross check the bills with that first hospital so they can pay the first hospital a perception of the patient staying there. The hospital should get paid per day of a patient staying, and if the patient is transferred in the morning, the hospital should not get any funds for that day. And someone should crosscheck to make sure all the hospitals are being paid a perception for that patient so no one is being overpaid for the same patient.    2a. Prospective payment system PPS is the reimbursement of services before the services are rendered. This is a fixed amount that is predetermined based on the classification of the service being provided to the patient. 2b. Managed fee-for-service closely resembles fee-for-service. Their members control managed care, giving the patient more leeway to negotiate the fee for a more discounted rate. 2c. Capitation is a monthly fee a healthcare member has to pay. It is set forth by the insurance company. 2d. Before 1983, if a patient went to see the doctor or hospital, they have to paid for services first called traditional fee-for-service reimbursement. 2e. MS-DRG payment syste. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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