A rural hospital's use of software to determine accurate Medicare reimbursement levels.
This article details how a software program has helped a hospital collect more Medicare payments for which it was eligible than it previously had collected. The software simplifies the process of selecting complications by reminding the user when no complications have yet been entered, by determining whether each item entered qualifies as a complication, and by suggesting other possibilities. In many instances, these complications are possibilities that a person performing manual coding might not consider.
Weiszbrod
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Samaritan Hospital, Moses Lake, WA, USA.
D003211:Concurrent Review; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics; D006743:Hospital Bed Capacity, under 100; D006780:Hospitals, Rural / Q000191:economics; D007344:Insurance Claim Reporting / Q000145:classification*; D007349:Insurance, Health, Reimbursement; D008499:Medical Records / Q000145:classification*; D008500:Medical Records Department, Hospital / Q000458:organization & administration*; D016344:Medicare Part A / Q000191:economics* / Q000458:organization & administration; D012984:Software; D014481:United States; D014861:Washington