Kaplan University HI215 Unit 6 Assignment (2015)
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Kaplan University School of Health Sciences
HI215 Unit 6 Assignment
Comparison Table for PPSs in Post-Acute Care (PAC)
Unit outcomes addressed in this Assignment:
Explain the grouping models and payment formulas associated with reimbursement
under the Medicare and Medicaid payment systems for post-acute care
Course outcome assessed/addressed in this Assignment:
HI215-2: Examine the reimbursement processes of different health insurance plans.
Instructions: Comparison Table for PPSs in Post-Acute Care (PAC)
You have examined numerous payment models thus far for Medicare-Medicaid PPS
systems for both inpatient and non-inpatient services.
Choose five of the services addressed in Chapters 6and 7 (Inpatient, Physicians, HOPPS,
ACS, ESRD, Safety Net, or Hospice) and prepare a comparison table of the five settings
to include the following:
o Name of Setting
o Structure of PPS Payment System
o Potential Adjustments
o Example payment for service
o Special Circumstance
An example table is illustrated below. Your table may be developed in Excel,
PowerPoint, or a Word document.
Provide a narrative to accompany your table explaining the five services you have
outlined and their payment structure.
Requirements
If table is developed in Excel or PowerPoint, copy and paste into your Word document.
Submit the completed table and narrative to the Unit 6 Dropbox.
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