How will the Quest software increase or decrease standard reimbursement from Medicare / Medicaid, or any other fixed-amount payer?
None at all. The software affects only non-fixed-payer net revenue, not fixed-payer reimbursement. There is no affect on revenue received from any HMO, PPO, Managed Care or Capitation Plan, that have fixed-payer contracts. 4. What are the sources from which Quest had developed the basis for the statistical pricing index multiplier system? Estimating the net annual revenue increase available: 1. AHA (American Hospital Association)……updated annually. 2. Solucient.updated annually. 3. Quests in-house database: Consisting of pricing data of US hospitals, representing> $ 27 billion in hospital charges.updating continuous. Validating the estimate: Analysis of 12 mos. of actual discharge data. 4. Medicare Cost Reports updated annually or more often as required 5. CMS (Center for Medicare and Medicaid Services) data on blended rates and area wage index…updated annually. 6. Hospitals own case and payer mix…updated annually. 7. Metropolitan Statistical Area.(hospitals specific locale)..u
Related Questions
- How will the Quest software increase or decrease standard reimbursement from Medicare / Medicaid, or any other fixed-amount payer?
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