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相关概念视频

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
842
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
574
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Integrated Healthcare System01:20

Integrated Healthcare System

1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
Standards of Care I01:22

Standards of Care I

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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Physician Incentive Compensation Plans in Academic Medical Centers: The Imperative to Prioritize Value.

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Introduction of caveolae structural proteins into the protozoan Toxoplasma results in the formation of heterologous caveolae but not caveolar endocytosis.

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相关实验视频

Updated: Jul 6, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

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医疗保险中的Upcoding:它在哪里最重要?

Keith A Joiner1, Jianjing Lin2, Juan Pantano1

  • 1University of Arizona, Tucson, USA.

Health economics review
|January 2, 2024
PubMed
概括

医疗保险的升级代码每年花费数十亿美元. 在B部分的医生服务成本最高,每年238亿美元,而在A部分的住院费用要低得多.

科学领域:

  • 卫生经济学 卫生经济学
  • 医疗保健政策 医疗保健政策
  • 医疗计费和编码 医疗计费和编码

背景情况:

  • 升级编码 (upcoding) 被定义为对比提供更复杂的服务的计费,在医疗保险计划中有不同的定义和财务激励措施.
  • 之前对Medicare A和B部分的升级编码的财务估计因方法的不同而变化很大.
  • 综合性错误率测试 (CERT) 程序提供了一个标准化的方法来分析医疗保险A和B部分的升级编码.
关键词:
医院的入院情况医疗保险的审计医疗保险不当支付的不当付款未来的支付系统前景.升级编码 升级编码

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