Hospital Reimbursement

Concepts and Principles

Business & Finance, Management & Leadership, Leadership, Management
Cover of the book Hospital Reimbursement by Kyle Herbert, CRC Press
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: Kyle Herbert ISBN: 9781466568020
Publisher: CRC Press Publication: August 28, 2012
Imprint: Productivity Press Language: English
Author: Kyle Herbert
ISBN: 9781466568020
Publisher: CRC Press
Publication: August 28, 2012
Imprint: Productivity Press
Language: English

Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting.

The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also:

  • Covers the full range of services and procedures for which a hospital can receive reimbursement
  • Explains the difference between a for-profit and not-for-profit hospital
  • Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet)
  • Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A

Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting.

The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also:

Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.

More books from CRC Press

Cover of the book Copper Proteins and Copper Enzymes by Kyle Herbert
Cover of the book Practical Handbook of Estuarine and Marine Pollution by Kyle Herbert
Cover of the book Statistical Methods for Environmental and Agricultural Sciences by Kyle Herbert
Cover of the book Nuclear Engineering Fundamentals by Kyle Herbert
Cover of the book Bacterial Diseases of Crop Plants by Kyle Herbert
Cover of the book A Tour through Graph Theory by Kyle Herbert
Cover of the book Role Play and Clinical Communication by Kyle Herbert
Cover of the book Handbook of Statistical Methods and Analyses in Sports by Kyle Herbert
Cover of the book Surfactants in Cosmetics by Kyle Herbert
Cover of the book Inventive Engineering by Kyle Herbert
Cover of the book Control System Analysis and Identification with MATLAB® by Kyle Herbert
Cover of the book Digital Art Masters: Volume 4 by Kyle Herbert
Cover of the book Household Chemicals and Emergency First Aid by Kyle Herbert
Cover of the book Reliability Engineering for Nuclear and Other High Technology Systems (1985) by Kyle Herbert
Cover of the book MCQs for the New MRCPsych Paper A with Answers Explained by Kyle Herbert
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy