Research Catalog

Cost-based, charge-based, and contractual payment systems

Title
Cost-based, charge-based, and contractual payment systems / Duane C. Abbey.
Author
Abbey, Duane C.
Publication
Boca Raton : CRC Press, [2013], ©2013.

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Details

Description
xxi, 161 pages : illustrations; 26 cm.
Summary
"This book provides an overview of a wide range of healthcare payment systems. It compares cost-based systems, charge-based payment approaches, and contractually-based payment processes to fee-schedule payment systems and prospective payment systems. It covers claim adjustment and compliance as well as managed care contracts and various combinations of payment systems used by third-party administrators. Examples illustrate the processes used for capitated contract arrangements. The author also addresses various compliance issues, including statutory, contractual, and overpayment issues"--Provided by publisher.
Series Statement
Healthcare payment systems
Uniform Title
Healthcare payment systems.
Subject
  • Medical fees > United States
  • Health insurance claims > United States
  • Reimbursement Mechanisms
  • Contract Services
  • United States
Bibliography (note)
  • Includes bibliographical references and index.
ISBN
  • 9781439872994 (pbk. : alk. paper)
  • 1439872996 (pbk. : alk. paper)
LCCN
2012013464
OCLC
  • ocn783990850
  • 783990850
  • SCSB-8857127
Owning Institutions
Columbia University Libraries