How Hospital Managers Should Respond to PPS
Article Abstract:
A third part response relating to the Medicare prospective payment system (PPS) by hospital managers is examined. A dozen techniques are outlined to initiate and maintain methods for providing optimal health services to the community. Improvement of the quality of medical records by developing an integrated data base with billing and financial statements merged, is one proposal. Other advice is concerned with the identification and confrontation of problem targets such as profit and loss activities and the development of use standards. Charts are provided depicting resource and physician profiles correlated with medical cost centers and diagnosis related groups. PPS will show signs of success when better facility management and reliable staff communications become the watch word of hospitals.
Publication Name: Healthcare Financial Management
Subject: Health care industry
ISSN: 0735-0732
Year: 1984
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Responding to PPS: The Outside Response
Article Abstract:
In responding to Medicare's prospective payment system (PPS), it is suggested that money can be retained as profit by redefinition of relationships with members of the surrounding healthcare community. This article, fourth in a series, emphasizes a plan to utilize the 'outside response'. This requires a plan designed to increase volume, reduce costs, improve case variety and implement non-diagnosis related group services. This plan must be flexible and consider conditions which could affect the hospital.
Publication Name: Healthcare Financial Management
Subject: Health care industry
ISSN: 0735-0732
Year: 1984
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Part 1, Defining the Hospital Product: The Response to PPS: Inside, Outside, Over Time
Article Abstract:
The Prospective Payment System (PPS) was enacted by Congress in 1984 and it simply means that a hospital's revenue from Medicare is derived from the volume of patient load times, the price per case. The government has predetermined the rates that are reimburseable to the hospital for Medicare patients. Hospital administrators have the responsibility to determine to what extent non- capital items will be reimbursed. Certain capital expenses will also be reimbursed at a reasonable rate.
Publication Name: Healthcare Financial Management
Subject: Health care industry
ISSN: 0735-0732
Year: 1984
User Contributions:
Comment about this article or add new information about this topic:
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