Prospective Payment Systems
Duane C. Abbey
Abbey & Abbey Consultants, Inc., Ames, Iowa, USA
ISBN: 978-1-4398-7301-4, February 2012, c. 175 pp., Soft Cover
This book from the Healthcare Payment Systems Series reviews and discusses the
various types of payment systems in use by healthcare providers and third-party
payers. Emphasizing the basic elements of any prospective payment system, it considers
the variations that exist for paying for hospital inpatient and outpatient services,
skilled nursing facilities, home health agencies, long-term hospital care, and
rehabilitation facilities and providers. It pays particular attention to the Medicare
MS-DRG, Medicare APCs, Medicare HHPPS, and the Medicare Skilled Nursing
Resource Utilization Groups, as well as private third-party payers.