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Cardiology coding alert
| Cardiology coding alert |
| Pubbl/distr/stampa | Naples, FL, : Coding Institute |
| Descrizione fisica | 1 online resource |
| Disciplina | 616 |
| Soggetto topico |
Cardiology
Cardiovascular system - Surgery Nosology Information storage and retrieval systems - Medicine Insurance Claim Reporting Insurance, Health, Reimbursement |
| Soggetto genere / forma |
Electronic journals.
Terminology Lists Periodicals. |
| ISSN | 1947-6892 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Periodico |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910145834103321 |
| Naples, FL, : Coding Institute | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Effects of health care payment models on physician practice in the United States
| Effects of health care payment models on physician practice in the United States |
| Autore | Friedberg Mark W |
| Pubbl/distr/stampa | [Place of publication not identified], : Rand Corporation, 2015 |
| Disciplina | 362.1068/1 |
| Soggetto topico |
Medical care - United States - Cost control
Medical fees - United States Physician practice patterns - United States Practice Management Organization and Administration Economics Reimbursement Mechanisms Professional Practice Social Sciences Health Services Administration Insurance, Health, Reimbursement Health Care Financing, Organized Health Care Economics and Organizations Geography Medical Economics Public Health Health & Biological Sciences |
| ISBN | 0-8330-9023-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
; Machine generated contents note: ; ch. ONE Introduction -- Organization of This Report -- ; pt. ONE Model, Background, and Methods -- ; ch. Two Conceptual Model -- ; ch. Three Background: Scan of the Literature on Effects of Payment Models on Physician Practice -- Overview -- Payment Models Included in the Scan -- Supplementary Payment Models -- Organizational Models That Combine Payment Models -- Alternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes -- ; ch. Four Methods -- Overview of Methodological Approach -- Justification for Qualitative Methods -- Data Collection -- Data Analysis -- Limitations -- ; pt. TWO Results
; Ch. Five Changes in Organizational Structure -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ; ch. Six Changes in Practice Operations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ; ch. Seven Increased Importance of Data and Data Analysis -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ; ch. Eight Interactions Among Payment Programs and Between Payment Programs and Government Regulations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research ; Ch. Nine Physician Incentives and Compensation -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ; ch. Ten Physician Work and Professional Satisfaction -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ; ch. Eleven Factors Limiting the Effectiveness of New Payment Models as Implemented -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ; ch. Twelve Conclusions -- Challenges and Opportunities for Physicians and Physician Practices -- Challenges and Opportunities for Health Plans -- Challenges and Opportunities for Hospitals -- Challenges and Opportunities for Vendors of Electronic Health Record Systems -- Challenges and Opportunities for Regulators -- Closing. |
| Record Nr. | UNINA-9910220144003321 |
Friedberg Mark W
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| [Place of publication not identified], : Rand Corporation, 2015 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Mammography regulation and reimbursement report
| Mammography regulation and reimbursement report |
| Pubbl/distr/stampa | Marblehead, MA, : HC Pro, Inc |
| Descrizione fisica | 1 online resource |
| Disciplina | 618 |
| Soggetto topico |
Breast - Magnetic resonance imaging
Breast - Radiography - Costs Financial Management Health Services Insurance, Health, Reimbursement Mammography - standards |
| Soggetto genere / forma |
Periodical
Periodicals. |
| ISSN | 1937-7681 |
| Formato | Materiale a stampa |
| Livello bibliografico | Periodico |
| Lingua di pubblicazione | eng |
| Record Nr. | UNISA-996336746503316 |
| Marblehead, MA, : HC Pro, Inc | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. di Salerno | ||
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Medicare Laboratory Payment Policy [[electronic resource]] : Now and in the Future
| Medicare Laboratory Payment Policy [[electronic resource]] : Now and in the Future |
| Autore | Dianne Miller Wolman |
| Pubbl/distr/stampa | Washington, DC, USA, : National Academies Press, 2000 |
| Descrizione fisica | 1 online resource (261 p.) |
| Soggetto topico |
MEDICAL
Medicaid & Medicare Medical care, Cost of - United States Medicare - Evaluation Pathological laboratories - United States - Prospective payment Medicare Prospective Payment System Clinical Laboratory Techniques Insurance, Health Medical Assistance Reimbursement Mechanisms Investigative Techniques Legislation as Topic Public Assistance Insurance, Health, Reimbursement Insurance Social Control, Formal Health Care Economics and Organizations Financing, Organized Financing, Government Economics Health Care Medical Care Plans Public Health Health & Biological Sciences |
| ISBN |
0-309-18361-8
1-280-18522-8 9786610185221 0-309-56498-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778608703321 |
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Dianne Miller Wolman
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| Washington, DC, USA, : National Academies Press, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare Laboratory Payment Policy : Now and in the Future
| Medicare Laboratory Payment Policy : Now and in the Future |
| Autore | Dianne Miller Wolman |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, DC, USA, : National Academies Press, 2000 |
| Descrizione fisica | 1 online resource (261 p.) |
| Soggetto topico |
MEDICAL
Medicaid & Medicare Medical care, Cost of - United States Medicare - Evaluation Pathological laboratories - United States - Prospective payment Medicare Prospective Payment System Clinical Laboratory Techniques Insurance, Health Medical Assistance Reimbursement Mechanisms Investigative Techniques Legislation as Topic Public Assistance Insurance, Health, Reimbursement Insurance Social Control, Formal Health Care Economics and Organizations Financing, Organized Financing, Government Economics Health Care Medical Care Plans Public Health Health & Biological Sciences |
| ISBN |
0-309-18361-8
1-280-18522-8 9786610185221 0-309-56498-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Medicare Laboratory Payment Policy -- Copyright -- REVIEWERS -- Preface -- Acknowledgments -- Contents -- Summary -- INTRODUCTION -- THE LABORATORY INDUSTRY -- THE CURRENT MEDICARE PAYMENT SYSTEM -- GOALS FOR A PAYMENT SYSTEM -- ASSESSMENT OF THE CURRENT MEDICARE PAYMENT SYSTEM -- RECOMMENDATIONS -- CONCLUSION -- REFERENCES -- 1 Introduction -- ORIGINS OF THIS STUDY -- STATEMENT OF TASK -- THE IOM STUDY PROCESS -- GOALS FOR A PAYMENT SYSTEM -- CLINICAL LABORATORY SERVICES COVERED BY MEDICARE -- THE MEDICARE PROGRAM -- What Types of Laboratory Services Are Included in the Medicare Laboratory Fee Schedule? -- ORGANIZATION OF THE REPORT -- REFERENCES -- 2 Background and Environmental Trends -- BACKGROUND ON THE CLINICAL LABORATORY INDUSTRY -- Sites of Service -- Geographic Distribution -- Size and Distribution of the Market -- Trends in Expenditures for Laboratory Services -- Financial Strength of the Laboratory Industry -- MEDICARE PART B CLINICAL LABORATORY TRENDS -- Medicare Part B Spending -- ENVIRONMENTAL TRENDS -- Regulatory Trends -- Clinical Laboratory Improvement Amendments of 1988 -- Test Complexity and Laboratory Certification -- CLIA's Impact on the Laboratory Industry -- CLIA's Impact on Quality -- Occupational Safety and Health Administration -- MINIMIZING FRAUD, WASTE, AND ABUSE -- Stark Amendments -- OIG Investigations -- Medical Necessity Review -- PAYMENT TRENDS -- Medicare Shift to Prospective Payment Systems -- Growth of Managed Care -- RESPONSE FROM THE INDUSTRY TO ENVIRONMENTAL TRENDS -- Market Consolidation and Network Development -- Growth of Hospital-Based Laboratory Outreach Programs -- SUMMARY -- REFERENCES -- 3 Technology Trends in the Clinical Laboratory Industry -- AUTOMATION -- Preanalytic Stage -- Analytic Stage -- Postanalytic Stage -- INFORMATION TECHNOLOGY -- LABORATORY MEASUREMENT AND TESTING TECHNOLOGY.
Esoteric Tests -- Genetic Testing -- Pharmacogenomics -- Nanotechnology -- TECHNOLOGY'S EFFECT ON SITE OF SERVICE -- Point-of-Care Testing -- Home Testing -- EFFECT ON CLINICAL LABORATORY STAFF REQUIREMENTS -- SUMMARY -- REFERENCES -- 4 Description of the Current Medicare Payment System and Its Historical Roots -- INTRODUCTION -- THE FDA APPROVAL PROCESS -- CODING POLICY -- Coding Updates -- Panel Codes -- Codes for New Technology -- Ambiguities in Code Use -- CLAIMS PROCESSING -- MEDICARE COVERAGE POLICY -- National Coverage Decisions -- Local Medical Review Policy -- Claims Denials -- Advanced Beneficiary Notice -- Negotiated Rulemaking -- MEDICARE PAYMENT POLICY -- Early History of the Payment System -- DEVELOPMENT OF THE CURRENT SYSTEM -- ELEMENTS OF A PAYMENT SYSTEM -- Type of Payment -- Unit of Payment -- Basis of Payment -- Level of Payment -- Panel Tests -- Congressionally Set Test Payment Levels -- Fee Level for New Technology -- Updating Payments -- Adjustments -- Geographic Adjustment -- Sole Community Hospital Adjustment -- Base-Fee Adjustment -- Inherent Reasonableness -- Cost Sharing -- EFFECT OF LABORATORY SPENDING ON PHYSICIAN PAYMENT -- CONCLUSION -- REFERENCES -- 5 The Current System: How Well Does It Work? -- BENEFICIARY ACCESS -- FLEXIBILITY -- TRANSPARENCY -- VALUE -- ADMINISTRATIVE SIMPLICITY AND EFFICIENCY -- OTHER ISSUES OF CONCERN -- Improving the Quality and Appropriate Use of Laboratory Services -- Coding Process for Outpatient Laboratory Tests -- Fraud, Waste, and Abuse -- CONCLUSION -- REFERENCES -- 6 Alternative Payment Methodologies -- INTRODUCTION -- ELEMENTS OF A PAYMENT SYSTEM -- Type of Payment -- Definition -- Discussion -- Comparative Assessment -- Unit of Payment -- Definition -- Discussion -- Comparative Assessment -- Basis of Payment -- Definition -- Discussion -- Level of Payment -- Definition -- Discussion. OTHER ISSUES IN PAYMENT SYSTEMS -- Updating Payments -- Adjustments -- Cost Sharing -- MAKING IMPROVEMENTS A REALITY -- Designing Payment Policies -- Implementing New Payment Policies -- CONCLUSION -- REFERENCES -- 7 Recommendations -- INTRODUCTION -- CONCLUSION -- REFERENCES -- Acronyms and Glossary -- ACRONYMS -- GLOSSARY -- APPENDIX A Acknowledgments -- APPENDIX B Medicare Clinical Laboratory Payments: The National Limitation Amount and Its Relationship to Payment Amounts -- APPENDIX C Study of Fees and Payment System Characteristics for Clinical Laboratory Services -- EXECUTIVE SUMMARY -- Study Methodology -- Study Findings -- STUDY OBJECTIVES AND DESCRIPTION OF STUDY METHODOLOGY -- Background and Study Objectives -- Payment Rate Determination Methodology -- Selection of Payers -- Selection of Clinical Laboratory Services -- Additional Information Included in the Survey -- CLINICAL LABORATORY PAYMENT RATES -- Introduction -- Clinical Laboratory Fee Data -- Clinical Laboratory Capitation Data -- Comparison of Fees -- CHARACTERISTICS OF LABORATORY SERVICE PAYMENT SYSTEMS -- Survey Approach -- Laboratory Payment System Characteristics -- REFERENCES -- EXHIBIT C.1: SURVEY INSTRUMENT FOR STUDY OF PAYMENT RATES FOR LABORATORY SERVICES -- Section I. Background and General Description of Laboratory Payment Methodologies -- Section II. Fee-for-Service Plans -- Section III. Capitated Plans -- Section IV. Additional Comments -- APPENDIX D Annual Volume of Laboratory Tests by Laboratory Type and Waived-Nonwaived Test Status, 1996-1998, 1999-Early 2000 -- APPENDIX E 1998 Medicare Carrier Denial Rates -- APPENDIX F Committee Biographies. |
| Record Nr. | UNINA-9910810847203321 |
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Dianne Miller Wolman
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| Washington, DC, USA, : National Academies Press, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s [[electronic resource]]
| Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s [[electronic resource]] |
| Autore | Farley Donna |
| Pubbl/distr/stampa | Santa Monica, : RAND Corporation, 2002 |
| Descrizione fisica | 1 online resource (215 p.) |
| Disciplina |
368.42600973
368.42600973091734 |
| Soggetto topico |
Rural hospitals - Prospective payment
Medicare - Cost control Medicare Rural health services Medicare - economics Rural Health Services - economics Health Care Costs Medically Underserved Area Insurance, Health, Reimbursement |
| Soggetto genere / forma | Statistics. |
| ISBN |
0-8330-5686-7
1-59875-282-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Preface; Tables; Summary; Acknowledgments; Acronyms; 1. INTRODUCTION; 2. METHODS AND DATA; 3. CHARACTERISTICS OF U.S. METROPOLITAN AND NON-METROPOLITAN COUNTIES; 4. PAYMENT TRENDS FOR NON-METROPOLITAN HOSPITALS; 5. TRENDS FOR RURAL HEALTH CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS; 6. UTILIZATION AND SPENDING FOR PHYSICIAN SERVICES; 7. 1990-1997 TRENDS IN AAPCC CAPITATION RATES; 8. SPECIAL HOSPITAL PAYMENTS AND PART A PER CAPITA COSTS; 9. POLICY IMPLICATIONS AND RECOMMENDATIONS; References; A. Special Medicare Payments for Rural Hospitals; B. Definitions of Rurality |
| Record Nr. | UNINA-9910220107903321 |
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Farley Donna
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| Santa Monica, : RAND Corporation, 2002 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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