Coding, Reimbursement, and Managed Care

被引：0

作者：

Falen, Thomas ^{[1
]}

Liberman, Aaron ^{[2
]}

机构：

[1] Hlth Informat Management, Orlando, FL USA

[2] Hlth Serv Adm, Orlando, FL USA

来源：

HEALTH CARE MANAGER | 2009年 / 28卷 / 03期

关键词：

coding; managed care; Medicare; reimbursement;

D O I：

10.1097/HCM.0b013e3181b3f1ac

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This article will discuss the vital link, emerging role, and high financial impact of medical coding to health care reimbursement and managed care. Medical (clinical) coding represents the data requirements needed to support the following: provider's reimbursement from Medicare and other third-party payers for both inpatient and outpatient services; sharing clinical data across a network of providers in various health care settings to provide for the continuity of patient care; and research needed to improve, standardize, and optimize patient treatments to ensure that high-quality care is provided at a reduced cost.

引用

页码：194 / 208

页数：15

共 50 条

[1] Reimbursement, managed care, finances, and contracting issues
Feinberg, DT
[J]. JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 2003, 13 (01) : 7 - 8
[2] The role of managed health care organizations in autopsy reimbursement
Chernof, D
[J]. ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 1996, 120 (08) : 771 - 772
[3] Medicaid managed care reimbursement for HIV and its implications for access to care
Conviser, R
Murray, M
Lau, D
[J]. AMERICAN JOURNAL OF MANAGED CARE, 2000, 6 (09): : 990 - 999
[4] Managed care, reimbursement structure, and access to prenatal social services
Minkovitz, CS
Duggan, AK
Wilson, MH
[J]. WOMENS HEALTH ISSUES, 1999, 9 (05) : 231 - 240
[5] Put the reimbursement with the rhetoric - Medicare, managed care, and mental health
Cohen, GD
[J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 1996, 4 (02): : 93 - 95
[6] Reimbursement strategies for home medical equipment in managed care.
Lipka, D
[J]. ASSISTIVE TECHNOLOGY, 1998, 10 (02) : 165 - 166
[7] CODING AND REIMBURSEMENT OF PRIMARY CARE BIOPSY AND DESTRUCTION PROCEDURES
ZUBER, TJ
PURVIS, JR
[J]. JOURNAL OF FAMILY PRACTICE, 1992, 35 (04): : 433 - 441
[8] CHANGES IN MEDICARE REIMBURSEMENT AND MANAGED CARE - A WINDOW TO HEALTH-CARE REFORM
BERMAN, ML
[J]. GYNECOLOGIC ONCOLOGY, 1994, 53 (02) : 141 - 145
[9] CODING AND REIMBURSEMENT OF PRIMARY CARE DEBRIDEMENT AND EXCISION PROCEDURES
ZUBER, TJ
PURVIS, JR
[J]. JOURNAL OF FAMILY PRACTICE, 1992, 35 (06): : 663 - 672
[10] Coding and Reimbursement
Barone, Claudia P.
Paniagua-Ramirez, Carmen T.
[J]. AACN ADVANCED CRITICAL CARE, 2006, 17 (02) : 116 - 118

← 1 2 3 4 5 →