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fill blanks for safety net HYVINICE Methods of Paym Provisions Adjustments Structure of Payment Disproportionate share 1. Establish initial payment hospital, indirect medical Cost of

image text in transcribed fill blanks for safety net

HYVINICE Methods of Paym Provisions Adjustments Structure of Payment Disproportionate share 1. Establish initial payment hospital, indirect medical Cost of Living Adjustment, rate 2. MS-DRG assignment case-mix, policy Inpatients MS-DRG education, high-cost outlier, new medical adjustments, transfer 3. Policy adjustments for services and technologies hospitals that quality 4. Add- adjuestments on for high-cost outlier and LOS, MS-DRG, Comorbid 1. Per diem rate 2. Adjust for Inpatient Outlier payments, initial stay Conditions, Older Patients, facility and patient Per diem and readmission, medical ECT Treatments, Wage- Psychiatric characteristics 3. Adjust for necessity Index, Teaching hospital daily costs and ECT treatment emergency facility 4. Adjust for outlier Resource- overhead cost of practice. 1. appropriate coding of the Anesthesia, Underserved tworates (lover, and service provided by utilizing Based Relative Physician higher), PLI, MP current procedural area, quality, technology Value Scale geographio pratice cost (RBRVS) terminology (CPT)2. negative incentive, index appropriate coding of the diagnosis usinain-S code immediate response geographie adjustment payment Additional factor, ground or air transport Ambulance HPCPS || payment is provided for the factor, milage not adjusted, extra overhead expenses muki patient trasportfactor, incurred to stay prepared at transpor of deceased patient all times foremenu 1. Conversion factor 2 Packaging, bundling partial hospitalization, discounting adjusted for area wage 3.non Hospital Outpatient ICD 10 CM high cost outlier, Rural Cancer hospital adjustment labrelated portion 4. conversion factor multiplied hospital study. pass through payment by APC relative wight 5. Paumer Safety Net HYVINICE Methods of Paym Provisions Adjustments Structure of Payment Disproportionate share 1. Establish initial payment hospital, indirect medical Cost of Living Adjustment, rate 2. MS-DRG assignment case-mix, policy Inpatients MS-DRG education, high-cost outlier, new medical adjustments, transfer 3. Policy adjustments for services and technologies hospitals that quality 4. Add- adjuestments on for high-cost outlier and LOS, MS-DRG, Comorbid 1. Per diem rate 2. Adjust for Inpatient Outlier payments, initial stay Conditions, Older Patients, facility and patient Per diem and readmission, medical ECT Treatments, Wage- Psychiatric characteristics 3. Adjust for necessity Index, Teaching hospital daily costs and ECT treatment emergency facility 4. Adjust for outlier Resource- overhead cost of practice. 1. appropriate coding of the Anesthesia, Underserved tworates (lover, and service provided by utilizing Based Relative Physician higher), PLI, MP current procedural area, quality, technology Value Scale geographio pratice cost (RBRVS) terminology (CPT)2. negative incentive, index appropriate coding of the diagnosis usinain-S code immediate response geographie adjustment payment Additional factor, ground or air transport Ambulance HPCPS || payment is provided for the factor, milage not adjusted, extra overhead expenses muki patient trasportfactor, incurred to stay prepared at transpor of deceased patient all times foremenu 1. Conversion factor 2 Packaging, bundling partial hospitalization, discounting adjusted for area wage 3.non Hospital Outpatient ICD 10 CM high cost outlier, Rural Cancer hospital adjustment labrelated portion 4. conversion factor multiplied hospital study. pass through payment by APC relative wight 5. Paumer Safety Net

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