Martin G I, Gattshall K, MacPherson F, Tiffany S
Neonatal Intensive Care Unit, Citrus Valley Medical Center, West Covina, CA, USA.
Pediatr Clin North Am. 1998 Jun;45(3):619-34. doi: 10.1016/s0031-3955(05)70032-8.
In a changing economic climate, the neonatologist must be aware of all of the forces that can affect the practice of neonatology. In addition to clinical issues, billing and reimbursement must take into account physician work and common procedural terminology (CPT) codes, which accurately describe the medical services and procedures delivered. An understanding of this coding and resource-based work unit system is necessary to prevent financial loss. The influence of managed care, capitation, fixed per-case reimbursement, practice guidelines and care maps have already seriously affected clinical practice patterns. The neonatologist must be proactive in negotiating contracts using historic information and outcome data to define and defend the quality of care provided.
在不断变化的经济环境中，新生儿科医生必须了解所有可能影响新生儿科医疗实践的因素。除了临床问题外，计费和报销必须考虑医生的工作以及通用程序术语（CPT）编码，这些编码准确描述了所提供的医疗服务和程序。了解这种编码和基于资源的工作单元系统对于防止财务损失是必要的。管理式医疗、按人头付费、固定的按病例报销、实践指南和护理图谱的影响已经严重影响了临床实践模式。新生儿科医生必须积极主动地利用历史信息和结果数据来谈判合同，以界定和维护所提供护理的质量。
