Branch L G, Goldberg H B, Cheh V A
Boston University School of Medicine.
Health Care Financ Rev. 1991 Fall;13(1):83-91.
Based on little prior information and a brief interview, the Medicare home health agency intake case manager must estimate the types and amounts of services a new client will require during the first 60 days of home care. We systematically examined the concordance between types and amounts of planned services with those actually approved and reimbursed during the first 60 days of care for a sample of 2,431 clients during 1986. Overall, the mean number of planned visits during the first 60 days was 24.76, and the mean number of approved visits was 15.95. Approved visits as a percent of planned visits averaged 64.4.
基于极少的先前信息和简短的访谈，医疗保险居家健康机构的入院病例管理人员必须预估新客户在居家护理的头60天所需的服务类型和数量。我们系统地检查了1986年2431名客户样本在护理头60天内计划服务的类型和数量与实际获批和报销的服务之间的一致性。总体而言，头60天计划访视的平均次数为24.76次，获批访视的平均次数为15.95次。获批访视次数占计划访视次数的平均比例为64.4%。
