Video: PPS raug zam cov tsev kho mob qog noj ntshav li cas?
2024 Tus sau: Stanley Ellington | [email protected]. Kawg hloov kho: 2023-12-16 00:17
PPS - zam cov chaw kho mob qog noj ntshav thiab koom nrog tsev kho mob raug them rov qab los ntawm "tus nqi tsim nyog" tsis yog raws li pawg kws tshuaj ntsuam xyuas (DRG) txoj kev siv los ntawm NCI cov chaw kho mob cancer thiab lwm yam mob qog noj ntshav saib xyuas tsev kho mob . "Qhov kev ceeb toom no yuav tsum suav tag nrho cov chaw kho mob cancer thiab koom nrog tsev kho mob ."
Ua raws li qhov no hauv kev txiav txim siab, PPS lub tsev kho mob raug zam yog dab tsi?
PPS - Kev zam Mob qog noj ntshav Tsev kho mob Kev Tshaj Tawm Txog Kev Ua Haujlwm Zoo (PCHQR) Kev Tsim Nyog. Cov no tsev kho mob tsis suav nrog kev them nyiaj raws li Inpatient Prospective Payment System. Lub Chaw rau Medicare & Medicaid Services (CMS) tau xaiv 11 tsev kho mob raws li PPS - Kev zam Mob qog noj ntshav Tsev kho mob , los yog Medicare PPS - Tsis suav Cancer Tsev kho mob.
Qhov thib ob, thaum twg Medicare PPS pib? Cov PPS tau tsim los ntawm Centers for Medicare thiab Medicaid Services (CMS), raws li qhov tshwm sim ntawm Social Security Amendments Act of 1983, tshwj xeeb yog hais txog kev kho mob hauv tsev kho mob kim. Tsis hais txog cov kev pabcuam twg, kev them nyiaj yog tus nqi tsim nyog.
Tom qab ntawd, lub tsev kho mob PPS yog dab tsi?
A Prospective Payment System ( PPS ) yog ib txoj hauv kev them nyiaj rov qab uas Medicare them nyiaj raws li qhov tau txiav txim ua ntej, tas li. Tus nqi them rau ib qho kev pabcuam tshwj xeeb yog muab los ntawm kev faib tawm ntawm cov kev pabcuam ntawd (piv txwv li, pab pawg kuaj mob rau tus neeg mob hauv tsev kho mob. tsev kho mob kev pabcuam).
Medicare DRG yog dab tsi?
DRG sawv cev rau pab pawg neeg mob ntsig txog kev kuaj mob. Medicare's DRG system hu ua Medicare Cov pab pawg muaj feem cuam tshuam txog kev mob hnyav, lossis MS- DRG , uas yog siv los txiav txim tsev kho mob kev them nyiaj nyob rau hauv tus neeg mob lub neej yav tom ntej them nyiaj system (IPPS).
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