prospective reimbursement

prospective reimbursement

a method of payment to an agency for health care services to be delivered that is based on predictions of what the agency's costs will be for the coming year.
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The program provides prospective reimbursement to living donors based on the estimated travel expenses related to the donation process.
Because the prospective reimbursement mandated for Medicare SNFs by that legislation reduced the industry's demand for therapists and, absent a commensurate reduction in supply, the "price of" (i.
Reclassification allows a hospital to utilize its standardized operating cost or wage index, or both, of a neighboring region of higher than the prevailing rate in its own geographic area, to calculate its prospective reimbursement.
are unlikely to change over the intermediate term as the company faces the challenges of the new prospective reimbursement based system, while improving the current weak financial profile, Standard & Poor's said.
Prospective reimbursement systems allow greater control of increase in rate levels, as they did in prior analysis (Swan, Harrington, and Grant, 1988).
A transplant center with a disproportionate share of high risk patients has the potential of incurring higher programmatic costs than is covered by unadjusted prospective reimbursement approaches.
Also, Medicare has proposed a prospective reimbursement system for nursing homes to begin next year.
Ting: HCFA may develop special regulations for subacute care to accompany its prospective reimbursement.
These are most often categorized as retrospective, cost-based, flat-rate, or prospective reimbursement systems.
As of 1993, a prospective reimbursement system is anticipated in Pennsylvania which should eliminate much of the reimbursement disputes encountered by the company in the past.
Effects of Prospective Reimbursement Programs on Hospital Revenue, Expense and Financial Status.
This article defines homogenous peer groups of Department of Veterans Affairs providers for the purpose of establishing competitive prospective reimbursement rates.

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