LET'S END THE U.S. HEALTH CARE SHELL GAME
- Transitioning to Bundled Payments. LETOURNEAU, RENÉ // HealthLeaders Magazine;Jun2014, Vol. 17 Issue 5, p62
The article discusses issues in the healthcare industry in the U.S., particularly on payer relationships and medical care reimbursements. It highlights the need for hospitals and health systems to impose strategies for maintaining cash flow and economic viability as the industry moves away from...
- Follow 3 Tips for Guaranteed Post-Op Brachial Plexus Success. // Anesthesia & Pain Management Coding Alert;Apr2010, Vol. 12 Issue 4, p25
The article provides tips for post-operative brachial plexus reimbursement in medical services in the U.S. It mentions the use of code 64416 for post-operation services or pain management and the importance of getting anesthesia request in writing so that it can be properly documented to support...
- Unlock Pay With Anesthesia V Code Advice. // Anesthesia & Pain Management Coding Alert;Apr2010, Vol. 12 Issue 4, p27
The article discusses the application of the anesthesia V Code to unlock medical payments in healthcare establishments in the U.S. It mentions that payers should look for symbols indicating V Code use because coders often are not aware of the ICD-9 codes and can make mistakes and report...
- Policy Statement on Third-Party Reimbursement of Medical Costs Related to Sedation/General Anesthesia. // Pediatric Dentistry;Reference Manual 2001-2002, Vol. 23 Issue 7, p26
The article offers information on the policy statement on the reimbursement of medical costs of hospital dental services from sedation and general anesthesia in the U.S.
- reasonable cost. // Taber's Cyclopedic Medical Dictionary;2005, p1857
A definition of the term "reasonable cost" is presented. It refers to the amount which a third party has to reimburse for health care. This amount is based on the cost incurred by the provider of the medical service.
- third-party payer. // Taber's Cyclopedic Medical Dictionary;2005, p2176
A definition of the term "third-party payer" is presented. It refers to an entity other than the patient or the health care provider which reimburses health care costs. Such entities include insurance companies and employers.
- Employer plans. // Money;Fall2003, Vol. 32 Issue 11, p90
Discusses health insurance in the United States. Rise in the cost to employers and employees; Outlook for another large premium increase in 2004; How the consumer-driven health plans, which have high deductible managed care plans and are matched with health-care reimbursement accounts, work;...
- Strategic Pricing: Hitting the Mark. // hfm (Healthcare Financial Management);Jan2008, Vol. 62 Issue 1, p24
The article reports that payment and pricing have continued to be one of the top challenges faced by the healthcare systems in the U.S. According to the author, in the January 1988 cover article, authors Lou Porn, formerly a partner with Ernst & Whinney in Chicago and Martin Manning, formerly a...
- Third-Party Payment Strategy Guide. // Nursing Economic$;Sep84, Vol. 2 Issue 5, p364
The article discusses the book "Obtaining Third-Party Reimbursement: A Nurse's Guide to Methods and Strategies," by American Nurses' Association's Council of Primary Health Care Nurse Practitioners. The book provides nurses engaged in full or part-time practice and nursing faculty with a full...