For hospital-based inpatient rehabilitation facilities, we measure capacity as the number of beds in a rehabilitation unit exempt from the Medicare (Hospital) Prospective Payment system
By extending a prospective payment system
to ambulatory care, payers would be better able to predict and control their outpatient expenditures.
The home health prospective payment system
would continue to reduce the use of home health care overall because it was designed to continue the interim payment system cuts.
The concept of a prospective payment system
is much better than working under the IPS," says Valerie Tully, director of public relations for the National Association of Home Care.
The Medicare prospective payment system
is clearly having a devastating impact on revenues and cash flow, said Robert Elkins, chairman and CEO.
In Medicare's outpatient prospective payment system
(OPPS), new technologies that cannot be readily accommodated within an existing ambulatory payment classification (APC) group can qualify for reimbursement by one of two methods: inclusion in a new technology APC group or to be granted transitional pass-through payment status.
Among the changes affecting the Prospective Payment System
, providers would get the full market-basket adjustment in fiscal 2001 and the market-basket increase minus 0.
While both the Roth and Thomas bills propose to adjust the SNF prospective payment system
to better meet the needs of medically complex patients and ease the effects of caps on outpatient therapy, they take different approaches.
HQS is the leader in delivering Internet-based, online, real-time data management and reporting tools to assist home health care agencies in managing all aspects of daily business operations under the Medicare Prospective Payment System
RJ Schmitz of Abt Associates, a private-sector research firm frequently contracted by HCFA, presented an economic model of the home health industry under the new Medicare Prospective Payment System
(which uses managed-care-type reimbursement).
SEVENTY-FOUR PERCENT OF NURSING HOME administrators say a patient's medical condition has become a more important factor in admissions decisions under Medicare prospective payment system
, according to a report by the Office of the Inspector General (OIG) of the Department of Health and Human Services.
In the tough environment of the Medicare Prospective Payment System
, customers will be seeking out those vendors that can supply these types of programs and share risk.