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Medicare payment policies to physicians /
| Clasificación: | Libro Electrónico |
|---|---|
| Otros Autores: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
New York :
Nova Science,
©2009.
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| Colección: | Health care issues, costs, and access.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- MEDICARE PAYMENTPOLICIES TO PHYSICIANS; CONTENTS; PREFACE; OPTIONS TO IMPROVE MEDICARE'SPAYMENTS TO PHYSICIANS, MAY 10, 2007; ENSURING ACCURATE PRICES; MEASURING RESOURCE USE AND PROVIDING FEEDBACK; ENCOURAGING COORDINATION OF CAREAND THE USE OF CARE MANAGEMENT PROCESSES; PROMOTING THE USE OF PRIMARY CARE; BUNDLING TO REDUCE OVERUSE; LINKING PAYMENT TO QUALITY; RATIVE-EFFECTIVENESS INFORMATION; USING STANDARDS TO ENSURE QUALITY; MEDICARE PAYMENT POLICIES*; ABSTRACT; INTRODUCTION; MEDICARE PAYMENT PRINCIPLES; Medicare Payment Rules; Beneficiary out-of-Pocket Payments.
- RECENT CONGRESSIONAL ACTIONSWITH RESPECT TO PROGRAM PAYMENTSMEDICARE PAYMENT POLICIES. PART A; 1. Inpatient Prospective Payment System (IPPS) for Short-term, General Hospitals; 2. Hospitals Receiving Special Consideration under Medicare's IPPS; 3. IPPS-Exempt Hospitals and Distinct Part Units; 4. Skilled Nursing Facility (SNF) Care; 5. Hospice Care; PART B; 1. Physicians; 2. Nonphysician Practitioners; 3. Clinical Diagnostic Laboratory Services; 4. Preventive Services; 5. Telehealth; 6. Durable Medical Equipment (DME); 7. Prosthetics and Orthotics; 8. Surgical Dressings.
- 9. Parenteral and Enteral Nutrition (PEN)10. Miscellaneous Items and Services; 11. Ambulatory Surgical Centers (ASCs); 12. Hospital Outpatient Services; 13. Rural Health Clinics and Federally Qualified Health Center (FQHCs) Services; 14. Comprehensive Outpatient Rehabilitation Facility (CORF); 15. Part B Drugs/Vaccines Covered Incident to a Physician's Visit; 16. Blood; 17. Partial Hospitalization Services Connected to Treatment of Mental Illness; 18. Ambulance Services; PARTS A AND B; 1. Home Health; 2. End-Stage Renal Disease; PART C; Managed Care Organizations; PART D.
- Outpatient Prescription Drug CoverageCRS REPORTS FOR ADDITIONAL INFORMATION; CRS STAFF, BY MEDICARE ISSUE; REFERENCES; MEDICARE: PAYMENTS TO PHYSICIANS*; ABSTRACT; INTRODUCTION: THE MEDICARE FEE SCHEDULE; Why the Fee Schedule Was Enacted; Calculation of the Fee Schedule; Beneficiary Protections; Participation Agreements; Submission of Claims; Refinements in Relative Value Units; SUSTAINABLE GROWTH RATE (SGR) SYSTEM; Conversion Factor Calculation; Update Adjustment Factor; Sustainable Growth Rate (SGR); Major Changes in Update Calculation; Criticisms of Current System; Suggested Modifications.
- Recent ActionsOTHER ISSUES; 2007 and 2008 Fee Schedules; Imaging Services; Impact of Spending Increases on Part B Premiums; Access to Care; Geographic Variation in Payments; Medicare Versus Private Payment Rates; Payments for Oncology Services; Concierge Care; RECENT LEGISLATION; Changes Made by MMA, DRA, TRHCA; Legislation in the First Session of the 110th Congress; Legislation in the Second Session of the 110th Congress: MIPPA; APPENDIX A. CALCULATION OF THE PHYSICIANFEE SCHEDULE UPDATE; Calculation of the Physician Fee Schedule; Calculation of the Update to the Conversion Factor (CF)