Healthcare Payment Systems: Fee Schedule Payment Systems, 1st Edition (e-Book) book cover

Healthcare Payment Systems

Fee Schedule Payment Systems, 1st Edition

By Duane C. Abbey

CRC Press

152 pages

Purchasing Options:$ = USD
Paperback: 9781439840238
pub: 2010-10-25
eBook (VitalSource) : 9780429250972
pub: 2010-10-25
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For healthcare providers and patients alike, the ways of private third-party payer payment systems can be mysterious and oftentimes quite frustrating. Payment for hospital, nursing, or homecare services can be subject to a variety of payment systems including cost-based and charge-based or those with payments that are determined in advance. Knowing

Table of Contents

Introduction to Fee Schedule Payment Systems. Healthcare Provider Concepts. Anatomy of a Fee Schedule Payment System. Medicare Physician Fee Schedule. Other Medicare Fee Schedule Payment Systems. Private Third-Party Payer Fee Schedule Systems. Appendix: Case Study List. Acronym List.

About the Author

Duane C. Abbey, PhD, CFP, a nationally recognized expert in payment systems, is president of Abbey and Abbey Consultants, Inc. Dr. Abbey works extensively in all areas relating to coding, billing, and reimbursement with particular emphasis on the chargemaster and outpatient payment. His consulting activities include hospitals, clinics, and physicians. Dr. Abbey. Another special area of expertise includes APGs/APCs. He is recognized as the leading expert in the nation in APGs/APCs by the thousands who have attended his seminars, read his publications, and/or contacted him for his services. Recently, he has begun to turn his focus towards Medicare?s new RAC audits.

Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Industries / Service Industries
MEDICAL / Administration