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by Susan Hosek
Download Charges and Outcomes for Rehabilitative Care: Implications for the Prospective Payment System/R3424 (Rand Report) fb2
Administration & Medicine Economics
  • Author:
    Susan Hosek
  • ISBN:
    0833007645
  • ISBN13:
    978-0833007643
  • Genre:
  • Publisher:
    Rand Corp (November 1, 1986)
  • Pages:
    77 pages
  • Subcategory:
    Administration & Medicine Economics
  • Language:
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    1370 kb
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  • Rating:
    4.6
  • Votes:
    220
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When Congress directed that Medicare develop a prospective payment system for acute hospital care in 1983 . Consequently, one issue concerns the desirability of basing payment for rehabilitative care on diagnosis instead of some measure of functional status.

When Congress directed that Medicare develop a prospective payment system for acute hospital care in 1983, rehabilitation hospitals were exempted. The exemption arose from a concern that the patient classification system and payment approach developed for acute care hospitals would be inappropriate for inpatient rehabilitative care. A more fundamental issue is whether a separate payment system for rehabilitation is desirable given that rehabilitation typically follows acute hospital care.

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a Prospective Payment System (PPS) for inpatient rehabilitation

2 - iii - PREFACE This draft is the interim report for a project in support of the Health Care Financing Administration s (HCFA) design, development, implementation, monitoring, and refining a Prospective Payment System (PPS) for inpatient rehabilitation.

To estimate the effect of Medicare's prospective payment system for .

To estimate the effect of Medicare's prospective payment system for inpatient rehabilitation facilities on discharge functional status, community discharge, and length of stay. Implications for Rehabilitation Patients discharged from rehabilitation should be transformed into participants in lifelong physical activity through a continuum of health services, which we refer to as Transformative Exercise.

Charges and Outcomes for Rehabilitative Care Implications for the .

Charges and Outcomes for Rehabilitative Care Implications for the Prospective Payment System/R3424 (Rand Corporation//Rand Report) by Susan D. Hosek, Rand Corporation Paperback, 77 Pages, Published 1986 by Rand Corp ISBN-13: 978-0-8330-0764-3, ISBN: 0-8330-0764-5 "When Congress directed that Medicare develop a prospective payment system for acute hospital care in 1983, rehabilitation hospitals were.

Inpatient prospective payment system (IPPS). Acute-care facility Excludes -Psychiatric unit -Long-term care unit -Rehabilitation unit. Each DRG group has a set payment rate that is based on historical charge and payment data

Inpatient prospective payment system (IPPS). October 1-September 31 Federal fiscal year (FFY) Updated yearly. History (Prior to prospective payment). Each DRG group has a set payment rate that is based on historical charge and payment data. 4. Each DRG should contain patients who are similar from a clinical perspective. DRG assignment is primarily based on diagnosis and/or procedure performed.

Congress mandated that the Centers for Medicare and Medicaid Services (CMS) implement a prospective payment system (PPS) for hospital inpatient rehabilitation care (IRF) for Medicare beneficiaries.

Primary care providers have an important role to play in expanding the use of cardiopulmonary rehabilitation for .

Primary care providers have an important role to play in expanding the use of cardiopulmonary rehabilitation for patients with CVD and COPD because they often manage patients after hospital admission for myocardial infarctions and COPD exacerbations.

Prospective payment systems must be associated with quality assurance . In most countries hospitals consume the greatest portion of health care budgets.

Requirements for the add-on payment are FDA premarket approval (or rarely, 510 clearance), an expected increase in the charges associated with one or more MS-DRGs above a threshold, and demonstration of substantial clinical improvement. To demonstrate that the charges exceed the threshold, claims data is required.