Hosp Case Manag. 2012 Jul;20(7):107-8.
The Centers for Medicare & Medicaid Services' proposed rule for the Inpatient Prospective Payment System strengthens ties between Medicare reimbursement and quality improvement. The proposed rule expands Hospital Inpatient Quality Reporting and Value-based Purchasing. Shift to payment for quality makes it essential for documentation to be accurate and complete. To ensure optimal reimbursement, hospitals must manage care transitions and take steps to avoid hospital-acquired conditions.
医疗保险和医疗补助服务中心针对住院病人预期支付系统提出的规定加强了医疗保险报销与质量改进之间的联系。该提议规定扩大了医院住院病人质量报告和基于价值的采购。向质量付费的转变使得文件记录准确完整至关重要。为确保最佳报销,医院必须管理护理转接并采取措施避免医院获得性疾病。