Read and Download eBook Full
Author: Ingenix
Publisher:
Published: 2010-09
Total Pages: 0
ISBN-13: 9781601513786
DOWNLOAD EBOOKTHE DRG EXPERT has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively.
Author: Optum
Publisher: Optuminsight
Published: 2013-09
Total Pages: 0
ISBN-13: 9781601519504
DOWNLOAD EBOOKThe DRG Expert has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively. Features and benefits Optum Edge-Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements. Optum Edge-Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS. Optum Edge-MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed. Optum Edge-LTC-DRG crosswalk and current rate structure. Know what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system. Optum Edge-MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC. Optum Edge-Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate. Optum Edge-Average national payment. Listed for every MS-DRG as a quick benchmark comparison. Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code. Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization. Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up. Icons indicate which CC subclass the DRG belongs to. These important indicators are based upon the presence or absence of CCs or major CCs (MCCs). Complete list of diagnoses conside
Author: Caryn Bredenkamp
Publisher: World Bank Publications
Published: 2019-12-19
Total Pages: 69
ISBN-13: 1464815216
DOWNLOAD EBOOKThis book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.
Author: Lippincott
Publisher: Lippincott Williams & Wilkins
Published: 2019-03-15
Total Pages: 3079
ISBN-13: 1975139941
DOWNLOAD EBOOKStill THE #1 Drug Guide for nurses and other clinicians, always dependable, always up to date! Look for these outstanding features: Completely updated nursing-focused drug monographs featuring over 3,700 generic, brand-name, and combination drugs in an easy A-to-Z format NEW 34 brand-new FDA-approved drugs in this edition, including 31 complete monographs—tabbed and conveniently grouped in a handy “new drugs” section for easy retrieval NEW More than 8,100 clinical updates —new dosages and indications, Black Box warnings, adverse reactions, nursing considerations, clinical alerts, and patient teaching information NEW ISMP-recommended tall-man lettering for lookalike–sound alike drugs Special focus on U.S. and Canadian drug safety issues and concerns Photoguide insert with images of 455 commonly prescribed tablets and capsules Plus FREE companion Toolkit available online through NDHnow.com Monthly FDA updates featuring newly approved drugs, indications, and warnings Pharmacology videos, audio pronunciation guide, and English-Spanish translator Equianalgesic dosing guidelines for opioid drugs Mechanisms and sites of action graphics for selected drugs NCLEX® style questions, free CE tests, plus bonus discounts and more!
Author: Reinhard Busse
Publisher: McGraw-Hill Education (UK)
Published: 2011-11-16
Total Pages: 490
ISBN-13: 0335245587
DOWNLOAD EBOOKDiagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector
Author:
Publisher: HC Pro, Inc.
Published: 2010
Total Pages: 155
ISBN-13: 1601467206
DOWNLOAD EBOOKAuthor: American Medical Association
Publisher:
Published: 2021-11
Total Pages: 250
ISBN-13: 9781640161344
DOWNLOAD EBOOKFor a better understanding of the latest revisions to the CPT(R) code set, rely on the CPT(R) Changes 2022: An Insider's View. Get the insider's perspective into the annual changes in the CPT code set directly from the American Medical Association.
Author: Cynthia Tang
Publisher:
Published: 2020-10-15
Total Pages: 328
ISBN-13: 9781733459433
DOWNLOAD EBOOKAuthor: Djamal Benslimane
Publisher: Springer
Published: 2017-08-11
Total Pages: 472
ISBN-13: 3319644718
DOWNLOAD EBOOKThis two volume set LNCS 10438 and LNCS 10439 constitutes the refereed proceedings of the 28th International Conference on Database and Expert Systems Applications, DEXA 2017, held in Lyon, France, August 2017. The 37 revised full papers presented together with 40 short papers were carefully reviewed and selected from 166 submissions. The papers discuss a range of topics including: Semantic Web and Semantics; Graph Matching; Data Modeling, Data Abstraction, and Uncertainty; Preferences and Query Optimization; Data Integration and RDF Matching; Security and Privacy; Web Search; Data Clustering; Top-K and Skyline Queries; Data Mining and Big Data; Service Computing; Continuous and Temporal Data, and Continuous Query Language; Text Processing and Semantic Search; Indexing and Concurrency Control Methods; Data Warehouse and Data Stream Warehouse; Data Mining and Machine Learning; Recommender Systems and Query Recommendation; Graph Algorithms; Semantic Clustering and Data Classific ation.
Author: Debra P. Ferenc
Publisher: Elsevier Health Sciences
Published: 2013-02-26
Total Pages: 626
ISBN-13: 1455723630
DOWNLOAD EBOOKA basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.
