Poto-Dill E
Optimal Coding and Reimbursement Resources, Inc., Cave City, KY, USA.
Health Care Superv. 1997 Sep;16(1):42-8.
This case history details one company's success in using coding software to handle the requirements of the new ambulatory patient group (APG) system following the implementation of this complex new payment mechanism for outpatient care. Providers and payers are looking to coding software for help in billing and paying for outpatient services. Since the APG system "consolidates," "packages," and "discounts" a facility's payment for outpatient services, the new coding software helps ensure adequate reimbursement.
本病例详细介绍了一家公司在采用这种复杂的门诊护理新支付机制后,成功使用编码软件来满足新的门诊患者群体(APG)系统要求的情况。医疗服务提供者和付款人都在寻求编码软件来帮助处理门诊服务的计费和支付。由于APG系统对医疗机构的门诊服务支付进行了“整合”、“打包”和“打折”,新的编码软件有助于确保获得足够的报销。