Hospital Reimbursement

Explaining the technical aspects of reimbursement in language that is easy to understand, this book illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. It addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. Covering the  range of services and procedures for which a hospital can receive reimbursement, this book examines governmental cost reporting and walks readers through the creation of a mock Medicare cost report for a sample hospital.