Murray J E, Dombi W A
Center for Health Care Law, Washington, DC, USA.
Caring. 1999 Mar;18(3):28-32.
IPS brought many changes for home health providers, including intensified claims review and audits, resulting in overpayments. Agencies have several options despite the limited protection they have under Medicare, including challenging determinations, rebutting the decision, requesting a waiver, and appealing decisions.
综合付费制给家庭健康服务提供商带来了诸多变化,包括加强理赔审查和审计,导致多付款项。尽管这些机构在医疗保险下受到的保护有限,但它们仍有多种选择,包括对裁定提出质疑、反驳该决定、申请豁免以及对决定提出上诉。