Expansion of Medicare's Definition of Post-Acute Care Transfers.

In October 1998, the definition of a transfer in Medicare's hospital prospective payment system was expanded to include several post-acute care (PAC) providers in 10 high-volume PAC diagnosis-related groups (DRGs). In this methodological article, the authors respond to a congressional mandate to con...

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Publicado en:Health Care Financing Review Vol. 24; no. 2; pp. 95 - 114
Autores principales: Cromwell, Jerry, Donoghue, Suzanne, Gilman, Boyd H.
Formato: Artículo
Publicado: HCFA ORDS Publications Winter 2002
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Expansion of Medicare's Definition of Post-Acute Care Transfers.
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          Cromwell, Jerry
          Donoghue, Suzanne
          Gilman, Boyd H.
      su:
        Patient aftercare
        Medicare
        Hospital prospective payment
        Diagnosis related groups
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          Patient aftercare
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          Hospital prospective payment
          Diagnosis related groups
      ab: In October 1998, the definition of a transfer in Medicare's hospital prospective payment system was expanded to include several post-acute care (PAC) providers in 10 high-volume PAC diagnosis-related groups (DRGs). In this methodological article, the authors respond to a congressional mandate to consider more DRGs in the definition. Empirical results support expansion to many more DRGs that are split in ways that understate total PAC volumes, including 25 DRG pairs (with/without complications) and DRG bundles (e.g., infections) that together exhibit high PAC volumes. By contrast, some DRGs (e.g., craniotomy) are questionable PAC candidates because of their heterogeneous procedure mix. Reprinted by permission of the publisher.
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      doctype: Article
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    language: English
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