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This volume is an extensive collection of chapters discussing Folsom artifacts and sites, as well as innovative experiments undertaken to understand Folsom technology and lifeways. Public and private collections of Folsom artifacts were brought together with professional and amateur lithic analysts and knappers in an attempt to determine how the ancient stone tools were made and used. In addition, Folsom Technology and Lifeways summarizes interaction among knappers and analysts, and the attempts to replicate specific artifact types represented. It is a unique volume in that it examines the variation present in technology and behavior across a wide range of Folsom localities.
List of contents
Preface, About the Author, 1. Introduction to Prospective Payment Systems, 2. Healthcare Provider Concepts, 3. Anatomy of a Prospective Payment System, 4. Medicare Severity Diagnosis Related Groups (MS-DRGs), 5. Ambulatory Payment Classifications (APCs), 6. Other Prospective Payment Systems, Conclusion and Endnote, Appendix A: Case Studies, Appendix B: Acronyms
About the author
Duane C. Abbey
Summary
The third book in the Healthcare Payment Systems series, Prospective Payment Systems examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. Emphasizing the basic elements of PPS, it considers the many variations of payment for hospital inpatient and outpatient services, skilled nursing facilities, home health agencies, long-term hospital care, and rehabilitation facilities along with other providers.
The book describes the anatomy of PPS, including cost reports, adjudication features and processes, relative weights, and payment processes. It outlines the features and documentation requirements for Medicare Severity Diagnosis Related Groups (MS-DRGs), the Medicare Ambulatory Payment Classifications (APCs), Medicare HHPPS, Medicare Skilled Nursing Resource Utilization Groups (RUGs), and private third-party payers.
Provides a framework for understanding and analyzing the characteristics of any PPS
Discusses Medicare prospective payment systems and approaches
Includes specific references to helpful resources, both online and in print
Facilitates a clear understanding of the complexities related to PPS covering specific topics at a high level and revisiting similar topics to reinforce understanding
Complete with a detailed listing of the acronyms most-commonly used in healthcare coding, billing, and reimbursement, the book includes a series of case studies that illustrate key concepts. It concludes with a discussion of the challenges with PPS including compliance and overpayment issues to provide you with the real-world understanding needed to make sense of any PPS.
