By Duane C. Abbey
The fourth booklet within the Healthcare money System sequence, Cost-Based, Charge-Based, and Contractual money Systems compares cost-based platforms, charge-based check techniques, and contractually-based check strategies with fee-schedule cost structures and potential fee platforms. providing readers with a transparent knowing of significant history fabric at the sorts of healthcare companies, it covers the fundamentals of cost-based, charge-based, and contractual money structures.
The e-book illustrates crucial suggestions with a sequence of easy case studies―making it excellent for a person drawn to studying extra in regards to the particular platforms and techniques used for money in healthcare providers. It discusses Medicare cost-based check platforms, Medicare check techniques, and contains an appendix that outlines many of the Medicare fee structures. Demystifying contractual language, it outlines controlled care contracts and in addition:
- Delves into the intricacies concerned with adjudication of claims
- Considers capitated check systems
- Addresses healthcare expenses and cost-based repayment systems
- Examines charge-based and contractual cost systems
- Describes the place healthcare check platforms are headed within the future
Since compliance is inherent during the technique of supplying providers, filling claims, and receiving money, the ebook examines the variety of compliance matters, together with statutory, contractual, and overpayment concerns. utilizing a variety of examples to demonstrate the strategies used for capitated agreement preparations, the ebook contains assurance of declare adjustment, controlled care contracts, and some of the combos of cost structures utilized by third-party directors.