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- ISBN: 9781439872994 | 1439872996
- Cover: Nonspecific Binding
- Copyright: 8/7/2012
This fourth book in the Healthcare Payment Systemseries provides an overview of a wide range of healthcare payment systems. It compares cost-based systems, charge-based payment approaches, and contractually-based payment processes to fee-schedule payment systems and prospective payment systems. It covers claim adjustment and compliance as well as managed care contracts and various combinations of payment systems used by third-party administrators. Examples illustrate the processes used for capitated contract arrangements. The author also addresses various compliance issues, including statutory, contractual, and overpayment issues.