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Key elements of prospective payment

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A 68-year-old diabetic collapses as a result of low blood sugar while crossing a busy road and is struck by a car. The man survives but endures injuries that include a broken back, several cracked ribs, and deep wounds on both of his legs and feet from broken glass. He is hospitalized in an "IPPS" hospital; after being stabilized, he is later transferred to another "IPPS" facility for rehabilitative services to aid in his recovery. He is released in 90 days.

Instructions:

An assessment of the scenario as if you were responsible for billing for reimbursement

An analysis of the key elements of prospective payment

An explanation of the GMLOS, the hospital transfer, and how the payment rate will be determined

Reference no: EM133028038

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