| Optimize APC revenue with process-oriented assessments. | |
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MedLine Citation:
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PMID: 11963602 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To maintain or improve revenue streams under the Medicare outpatient prospective payment system (PPS), healthcare financial managers should use a process-oriented approach to assess the effectiveness of revenue capture in departments most affected by the PPS's use of ambulatory patient classifications, which typically include the radiology, cardiology, and emergency departments. Such an assessment should be conducted by a multidisciplinary team with senior management support. The team ideally should include the CFO, COO, and leaders from the departments to be assessed. Such an assessment process should consist of five basic phases: chargemaster/charge-capture analysis, revenue-capture process assessment, claims review, development of implementation strategies, and monitoring. |
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Authors:
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Michael S Kovar; Elizabeth Lowery |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Healthcare financial management : journal of the Healthcare Financial Management Association Volume: 56 ISSN: 0735-0732 ISO Abbreviation: Healthc Financ Manage Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-04-19 Completed Date: 2002-05-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8215859 Medline TA: Healthc Financ Manage Country: United States |
Other Details:
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Languages: eng Pagination: 88-91 Citation Subset: H |
Affiliation:
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KPMG, LLP, Baltimore, Maryland, USA. mkovar@kpmg.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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classification,
economics Efficiency, Organizational Financial Management, Hospital / methods* Income Medicaid Medicare* Outpatient Clinics, Hospital / economics* Prospective Payment System* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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