“Comparison of the Prospective Payment System Methodologies Currently Utilized in the United States” Toni Cade, MBA, RHIA, CCS, FAHIMA University of Louisiana at Lafayette. Overview.
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“Comparison of the Prospective Payment System Methodologies Currently Utilized in the United States”Toni Cade, MBA, RHIA, CCS, FAHIMAUniversity of Louisiana at Lafayette
Some of the prospective payment systems covered will include MS-DRGs, RBRVS, RUGs, APCs, CMGs, HHRGs, MS-LTC-DRGs, and IPF-PPS.
of Prospective Payment Systems?
Sources of Third Party PayersU.S. Census Bureau indicated that 84% of Americans had some type of health insurance and 16% had no health insurance in the calendar year 2006
- with MCC, with CC, and w/o CC/MCC
- with MCC and w/o MCC
- with CC/MCC and w/o CC/MCC
Renal Failure w MCC
Renal Failure w CC
Renal Failure w/o CC/MCC
Benign Prostatic Hypertrophy w MCC
Benign Prostatic Hypertrophy w/o MCC
Deep Vein Thrombophlebitis w CC/MCC
Deep Vein Thrombophlebitis w/o CC/MCC
YOUR MISSION IS
TO STAY INFORMED
OF THE PARTICULAR PROSPECTIVE PAYMENT SYSTEM(S) THAT RELATES TO YOUR JOB!