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Write a 700 word literature review that relates to your problem, purpose, and research questions. See attachment. literature review to the topic effects of prospective payment systems on acute care...

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Writea 700 word literature review that relates to your problem, purpose, and research questions.See attachment.

literature review to the topiceffects of prospective payment systems on acute care delivered in an acute health care facility.Please include reference in the body of the text and a separate reference page. APA FORMAT FOR REFERENCES.

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Effects of inpatient prospective payment systems Health care organizations contract with Medicare to provide acute inpatient care and settle to receive prearranged acute inpatient prospective payment system amounts as compensation in full. At the time of discharge the patients chart is sent to the hospitals health information management department for coding purposes, and the discharges are assigned to diagnosis-related groups (DRG), these system groups’ related clinical conditions and the procedures provided by the hospital during the stay. The statement of the problem is to identify effects of prospective payment systems on acute care delivered in an acute health care facility. The introduction of Medicare and Medicaid law resulted in ethical hazards and provider induced request (Shi & Singh). Administration is faced with challenges to identify cost containment strategies to regulate prices, an issue mandated by Medicare as stated by the Centers for Medicare and Medicaid Services XXXXXXXXXXThe fee for health care intensified and prospects of the programs were unclear. The prospective payment system was made to restrict costs in giving care for Medicare patients (Mayes & Berenson, XXXXXXXXXXThe goals of introducing Prospective Payment Systems were (a) to confirm care provided was repaid, (b) have an improved method of checking apprises of repayment rates, (c) to confirm Medicare patients received high standards of care, and (d) to offer resolutions for prevailing glitches between Medicare patients and health care organizations. Background Preceding the enactment of Prospective Payment Systems health care organizations were compensated on a fee desirable method (Asper & Hassan, XXXXXXXXXXProspective Payment System was to guarantee Medicare patients had contact to health care without monetary stress (Durthaler & Miller, XXXXXXXXXXProspective payment systems substituted the price plus method to repay inhospital care (Shi & Singh, XXXXXXXXXXAn article by Saqr, Mikhail, and...

Answered Same Day Dec 23, 2021

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David answered on Dec 23 2021
109 Votes
Effects of prospective payment systems on acute care delivered in an acute health care facility

Effects of prospective
payment systems on acute
care delivered in an acute
health care facility
Literature Review
Student Name
March, 2013
With the introduction of prospective payment systems, healthcare managers are facing a difficult
task of maintaining higher levels of quality at lower cost levels
Effects of prospective payment systems on acute
care delivered in an acute health care facility
2013
2

Effects of inpatient prospective payment systems
Prospective payment systems or the PPS introduced in 1980s with the goal of ensuring that
Medicare patients receive adequate care without being burdened with unwa
anted healthcare
costs. Under this system, the chances of misusing and abusing of healthcare services are
largely minimized as opposed to the cost plus system (Shi & Singh, 2008).
Implemented in 1983, PPS was introduced as a part of cost containment strategy to motivate
acute care hospitals to change the way in which they delivered health care services. At the
time of discharge patient chart is forwarded to the hospital health information department for
coding purposes. Based on the code assigned (which denotes the kind of illness/disease), one
flat rate is reimbursed to the acute care delivery in a hospital setting. This method of
eimbursement is known as diagnosis related group or the DRG (Centers for Medicare and
Medicaid, 2010). The problem statement refers to determining the impact of prospective
payment systems on acute care delivered in an acute health care facility.
Besides controlling the steep rise in cost associated with providing care for Medicare
ecipients, Congress established PPS with the following objectives in mind:
ï‚· To ensure all the services rendered by acute care delivery setting is reimbursed, thus
ensuring nothing is left...
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