Pay-for-performance is an emerging payment model that links quality of care with the level of payment for healthcare services. While pay-for-performance programs are still in their formative stages, hospitals need to prepare by intensifying their efforts to ensure systems and processes support high-quality care. In today's healthcare market, complex reimbursement...
Long-term care currently comprises almost 10% of national health expenditures and it is projected to rise rapidly over coming decades. A key, and relatively poorly understood, element of long-term care is home health care. The paper uses a substantial change in Medicare reimbursement policy, which took the form of tightly...
Declining fee schedules, decreasing operating margins and increasingly stringent compliance regulations create a need for intense scrutiny and optimization of a radiology organization's billing and collection procedures. This papers goal was to analyze the effectiveness of departmental professional billing procedures, identify controllable factors, and intervene when they could be improved....
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