| Description |
1 online resource |
| Series |
Health care issues, costs and access |
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Health care issues, costs, and access
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| Contents |
MEDICARE PAYMENTPOLICIES TO PHYSICIANS; CONTENTS; PREFACE; OPTIONS TO IMPROVE MEDICARE'SPAYMENTS TO PHYSICIANS, MAY 10, 2007; ENSURING ACCURATE PRICES; MEASURING RESOURCE USE AND PROVIDING FEEDBACK; ENCOURAGING COORDINATION OF CAREAND THE USE OF CARE MANAGEMENT PROCESSES; PROMOTING THE USE OF PRIMARY CARE; BUNDLING TO REDUCE OVERUSE; LINKING PAYMENT TO QUALITY; RATIVE-EFFECTIVENESS INFORMATION; USING STANDARDS TO ENSURE QUALITY; MEDICARE PAYMENT POLICIES*; ABSTRACT; INTRODUCTION; MEDICARE PAYMENT PRINCIPLES; Medicare Payment Rules; Beneficiary out-of-Pocket Payments |
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RECENT CONGRESSIONAL ACTIONSWITH RESPECT TO PROGRAM PAYMENTSMEDICARE PAYMENT POLICIES. PART A; 1. Inpatient Prospective Payment System (IPPS) for Short-term, General Hospitals; 2. Hospitals Receiving Special Consideration under Medicare's IPPS; 3. IPPS-Exempt Hospitals and Distinct Part Units; 4. Skilled Nursing Facility (SNF) Care; 5. Hospice Care; PART B; 1. Physicians; 2. Nonphysician Practitioners; 3. Clinical Diagnostic Laboratory Services; 4. Preventive Services; 5. Telehealth; 6. Durable Medical Equipment (DME); 7. Prosthetics and Orthotics; 8. Surgical Dressings |
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9. Parenteral and Enteral Nutrition (PEN)10. Miscellaneous Items and Services; 11. Ambulatory Surgical Centers (ASCs); 12. Hospital Outpatient Services; 13. Rural Health Clinics and Federally Qualified Health Center (FQHCs) Services; 14. Comprehensive Outpatient Rehabilitation Facility (CORF); 15. Part B Drugs/Vaccines Covered Incident to a Physician's Visit; 16. Blood; 17. Partial Hospitalization Services Connected to Treatment of Mental Illness; 18. Ambulance Services; PARTS A AND B; 1. Home Health; 2. End-Stage Renal Disease; PART C; Managed Care Organizations; PART D |
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Outpatient Prescription Drug CoverageCRS REPORTS FOR ADDITIONAL INFORMATION; CRS STAFF, BY MEDICARE ISSUE; REFERENCES; MEDICARE: PAYMENTS TO PHYSICIANS*; ABSTRACT; INTRODUCTION: THE MEDICARE FEE SCHEDULE; Why the Fee Schedule Was Enacted; Calculation of the Fee Schedule; Beneficiary Protections; Participation Agreements; Submission of Claims; Refinements in Relative Value Units; SUSTAINABLE GROWTH RATE (SGR) SYSTEM; Conversion Factor Calculation; Update Adjustment Factor; Sustainable Growth Rate (SGR); Major Changes in Update Calculation; Criticisms of Current System; Suggested Modifications |
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Recent ActionsOTHER ISSUES; 2007 and 2008 Fee Schedules; Imaging Services; Impact of Spending Increases on Part B Premiums; Access to Care; Geographic Variation in Payments; Medicare Versus Private Payment Rates; Payments for Oncology Services; Concierge Care; RECENT LEGISLATION; Changes Made by MMA, DRA, TRHCA; Legislation in the First Session of the 110th Congress; Legislation in the Second Session of the 110th Congress: MIPPA; APPENDIX A. CALCULATION OF THE PHYSICIANFEE SCHEDULE UPDATE; Calculation of the Physician Fee Schedule; Calculation of the Update to the Conversion Factor (CF) |
| Bibliography |
Includes bibliographical references and index |
| Notes |
English |
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Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL |
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Print version record |
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digitized 2011 HathiTrust Digital Library committed to preserve pda MiAaHDL |
| Subject |
Medicare -- Claims administration.
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Medicare -- trends
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Medicare -- economics
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Fees, Medical -- trends
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MEDICAL -- Medicaid & Medicare.
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Medicare -- Claims administration.
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| SUBJECT |
United States https://id.nlm.nih.gov/mesh/D014481 |
| Form |
Electronic book
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| Author |
Bergen, Katherine V
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| LC no. |
2020685050 |
| ISBN |
9781614702399 |
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161470239X |
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